Foster Home Application

Name

Address

City

State

Zip Code

Cell Phone

Home Phone

Email

How soon are you able to foster?

Please list all members of your household and ages:

Please list all pet types/male or female and ages:

Are current animals up to date on vaccinations:
YesNo

if not up to date on vaccinations, please explain:

Are current animals spayed/neutered:
YesNo

City ordinance for animals:
YesNo

Have you ever lost, re-homed or had a pet hit by a car:
YesNo

If yes (lost/re-homed/hit by car), please explain:

If you have livestock, please describe type, number and fencing:

Approximate yard size and type of fencing:

Is your yard attached to your home:
YesNo

If no fence, how do you plan to safely potty and provide daily exercise for your dog:

Do you plan to participate in dog sports with your new dog, if so list sports:

Do you own your home?
YesNo

If not, we will need a letter of permission from your landlord.

Landlord's name:

Landlord's phone or email:

Describe how you will provide exercise and frequency exercise:

Primary caregiver:

Hours alone per day:

Do you crate dogs when you are not at home?
YesNoN/A

If you do not crate your dogs, where do the dogs stay when you are not at home?

Do you plan to attend obedience with your new dog?
YesNo

Please list previous Aussie experience (if any):

What activity level can you accommodate (low, medium, medium high, high):
LowMediumMedium HighHigh

Behaviors you are well suited for or prepared to handle:

Behaviors you would not be comfortable handling:

Name of Veterinarian/Clinic Name:

Veterinarian's phone number:

List two other references with phone numbers:

Other rescues you have applied with, if any:

Notes (anything you care to add to help us determine if this dog is the right match):