First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone

Thank you for considering fostering one of our pups!

Have you ever fostered for a rescue organization? If so, for whom and for how long?*

Please list all occupants in your household including names and age.*

Please provide your most recent or current Veterinarian's Name and Phone Number Please notify your vet that we will be calling and authorize the release of information. If you are a first time pet owner, please call your local veterinarians and ask if they are accepting new patients. List the vet you plan on using for your new pet.*

List three references (include one family member) including phone numbers and email address.*

Please list all species of pets in your home, including age, gender and whether or not they are spayed or neutered.*

What type/brand of food do you intend to feed the dog?*

What kind of Flea and Tick control do you use or intend on using?*

How much time will the pup spend alone during the day*

Where will the animal be kept when you are not home*

Do you own or rent your home*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal
Choose one: Yes No

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

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What is the height of the fence

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

By typing my name in the box below, I understand as a foster home that while in foster care of a PADR dog I will provide shelter, food and security and that only those medical procedures that are approved by PADR will be paid for by them. Anything else, such as flea treatment, grooming, nail clipping, training or boarding will be absorbed by me unless prior contact with a Board member for approval of reimbursement has been done and only for legitimate reasons. As a foster parent I understand that I am helping rescue by fostering and personally covering the expenses of normal care. While in foster care, I will not mistreat or abuse a PADR foster. I understand that if I do or PADR finds I have been negligent, I will have the foster dog removed immediately and will no longer be able to foster for PADR. I understand that if a foster dog has an accident that is due to my lack of care or my pet injures the foster, I am responsible for the medical bills for the PADR foster. I understand I have a requirement to meet or exceed proper care while a PADR foster is in my home. I am aware that PADR dogs may have undetectable illnesses and as a foster home I will take all precautions to quarantine a new dog coming in to my home. I also realize that PADR is not aware of the temperament or history of the dog in many cases and therefore realize that I am responsible for taking extreme care and precautions when bringing in a foster dog. Therefore, I understand that any medical issue or injury that occurs as a result of my negligence will be covered by me. I am fully responsible for the well being of the foster dog until it is officially adopted. I will contact a PADR representative immediately should the fostered PADR dog become lost, stolen, seriously ill or die. The fostered PADR dog will wear an ID and rabies tag at all times. (Foster homes can create a temporary tag or if a PADR tag is available, it will be supplied) I certify that I am at least 21 years of age and that I will be solely responsible for the care and well-being of any dog that I foster care for PADR. Any misrepresentation of the true facts in this foster home application will invalidate the foster home agreement and will give PADR the right to immediately reclaim the foster dog. *