Animal Shelter
Foster Program Application
Name: ________________________________________________________________________
Address: ___________________________________ City, State, Zip: ______________________
Phone Number: ____________________________ or __________________________________
E-mail Address _________________________________________________________________
DL #: _________________________________ State: _______________ D.O.B. _____________
How many pets do you currently have? (please list name, age, breed for each):
______________________________________________________________________________
Do you currently have any foster pets? Y ___ N___
If yes, how many and for which group are you fostering for? _______________________
Are there any children in your household? Y ___ N ___
If yes, what are their ages? _________________________________________________
Are the pets within your home current on all vaccinations? Y ___ N ___
Please explain any restrictions on your ability to foster (time limit, dog breeds, etc.)
______________________________________________________________________________
How many hours a day would your foster pet (s) be alone?
Less than 2 hours ___ 2-3 hours ___ 4-8 hours ___ 9+ hours ___
Describe the noise activity in your home (mark ‘X’ for all that apply):
Quiet ___ Mid-level ___ Active/Loud ___
Describe the physical activity in your home (mark ‘X’ for all that apply):
Low activity ___ Moderate ___ Active/athletic ___
