SSBBR Foster Application
Personal Information
*
Name:
*
Address:
*
City:
*
State:
*
Zip:
*
Home Phone:
*
Cell Phone:
*
Email Address:
Household Information
*
Do you:
Own
Rent
*
Do you live in a:
House
Apartment
Trailor
Duplex
Other
*
Do you live with:
Alone
Spouse/Partner
Spouse/Partner & children
Children
Roommate(s)
Parents
*
Please list the names, ages, and genders of all people who would be living with the pet:
*
Do you have a fenced yard?
Yes
No
Describe your fence height (wood, chain link, etc) and height:
If you do not have a fence, please describe how you will exercise your pet and handle bathroom needs:
If you rent, please complete the following:
Landlord/Management Company Name:
Landlord/Management Company Phone Number:
Can you provide a copy of your lease, stating you are allowed to have a large bully breed dog?
Yes
No
*******************************************************************************************
Animal Experience
Please list the breed, age & sex for all animals who would be living with the pet:
Are all the animals listed above spayed or neutered?
Yes
No
*
If they are not spayed or neutered, please tell us why:
Are all the animals listed above current on vaccines, heartworm prevention, & flea/tick prevention?
Yes
No
If they are not vaccinated, on heartworm prevention, or on flea/tick prevention, please tell us why:
Please list any pets you no longer own and the reason you no longer own them:
Please list the name and phone number of your current veterinarian:
*
Where would the animal be kept when you are not at home:
Outside loose
Outside on a chain
Outside in a pen
Inside loose
Inside in a kennel
Inside confined to a specific area
At pet daycare/boarding facility
*
Where would the animal be kept when you were at home?
Outside loose
Outside on a chain
Outside in a pen
Inside loose
*
Please list any behaviors you CAN NOT handle in an animal:
*
Please list any specific requirements you may have for the type of animals you will foster(ex. breed, age,sex,etc..)
*
How long are you willing to foster an animal?
No more than 3 months
3 to 6 months
3 months to 1 yr.
As long as it takes
*
Are you willing to be financially responsible for food for the foster animal?
Yes
No
*
Have you ever worked with or fostered for any other rescue groups before?
Yes
No
If so, please list them below with contact names and phone numbers:
Terms and Conditions
*
I agree that this is just an application, and not an agreement, to become a foster parent for SSBBR
Agree
Disagree
*
Do you agree that all the information you provided on this form is true, and if any information is proved false, you forfit any right to ever foster an animal for SSBBR?
Agree
Disagree
*
Indicates Response Required
Report Abuse