Foster Application | Hearts & Paws Rescue

First name

Last name

Phone

Email

Address

City, State and Zip

Driver's License Number

DL State and Expiration Date

Date of Birth

Employer:

Please list all the members of your household, their age and relationship to you.

Does any member in your household have allergies?

Which member of the household will be the primary caregiver of the foster pet?

If you rent, please provide your landlord's name and phone number:

If yes, what type of fence and how tall is the fence?

List all animals CURRENTLY in the household. Please include type, age , gender, and if they are spayed/neutered and vaccinated (indicate for each animal):

Veterinarian's Name, Address, Phone Number. Please make sure to call your vet's office and give them authorization to speak to Hearts & Paws Rescue.

How many hours per day will the foster animal be alone and where will they be kept?

Will the foster animal be crated when you are not home? If no, where will the animal be kept?

Do you have a pool? If yes, is there a fence that is sufficient to keep the foster animal away from it?

Can you isolate your foster pet if they can't get along with other pets? If so, how will you do this?

Are there any breeds you are not comfortable with? If so, please list breed(s).

Type Full Name - by entering your name you are electronically signing this application/agreement.

Foster Program Application