Dog Foster Application

Name *

First

Last

Street Address *

City/State/Zip *

Phone number *

Email *

Interested in fostering a: *

Dog
Puppy
Newborns (bottle feeding)

If there is a specific dog you are interested in fostering, please enter his/her name below:

Please list all names and ages of the persons living in your household. *

If yes, please explain.

Are you aware of anyone in your household having allergies to dogs? *

yes
no

What type of home do you live in? *

Do you own your home? *

yes
no

If no, please provide contact information for the homeowner/landlord below. Include name and phone number.

Please provide at least two references, one being a veterinarian if possible. Include names, relationship, and phone number. *

Please list your current veterinarian if applicable and not listed above. Include name, address, and phone number.

Why do you want to foster a dog? *

What do you think are the most important responsibilities in fostering a dog? *

Have you/are you a foster for another rescue? *

yes
no

If yes, please state the name.

Have you ever had a foster application be declined by another animal rescue group/shelter? *

yes
no

If interested in fostering a dog, which breed/size/etc. would you prefer?

How many dogs are you willing to foster at one time? *

Are you willing to foster a dog with special needs (Behaviorally, mentally, or physically) ? *

yes
no

If yes, do you have any experience with special needs dogs? What kind of special needs dog are you interested in fostering?

Are you willing to foster a dog that is pregnant? *

yes
no

If yes, do you have any experience with a dog giving birth and newborns? Explain:

Do you currently have any other pets? *

yes
no

If yes, please list each animal's type, breed, age, current health condition, personality, and if they are primarily an indoor or outdoor animal. Also, please mention where you got your animal(s).

If no, please list any animals you've had in the past, their type, breed, age when they became part of your family, years of ownership, and cause of death if applicable. If the animal(s) is/are still alive, please explain where they are now and why.

Have you ever relinquished an animal to a shelter? *

yes
no

If yes, please explain.

Do you have an area where the foster dog can be segregated from your other pets for a period of time without them being neglected? *

yes
no
n/a

If applicable, how are your pets with other dogs?

If applicable, are all current pets spayed or neutered?

yes
no

If no, please explain.

If applicable, are all current pets up to date on vaccinations?

yes
no
n/a

Is your yard fenced in?

yes
no
partially
n/a

If yes, what type of fence is it?

If yes, how high is the fence?

Any holes or gaps?

yes
no

Does the fence belong to you or your neighbor?

owned
neighbors
both

Please explain a circumstance where you would walk the dog on a leash. *

Please explain a circumstance where you would walk the dog off a leash. *

How often will you exercise the dog, and for how long? *

How often will the dog be left unattended for each day? *

When you are home, where will the dog be kept? *

Where will the dog sleep at night? *

When no one is home, where will the dog be kept? *

Do you intend to crate the dog? *

yes
no

How often do you travel? *

rarely
occasionally
often

While you are traveling, what will you do with the dog? *

By clicking the submit button, I hereby give permission to Yellow Brick Road Rescue to contact my veterinarian to obtain information about past and present pets. I also confirm that I am 21 years of age or older and authorize Yellow Brick Road Rescue to verify all of the above information. I agree to have the dog wear a Yellow Brick Road Rescue ID tag on its collar at all times when in public or outdoors. I have read and agree with these terms. *

yes