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Foster Home Application
To be considered for Foster Care you must meet the following:
Be at least 18 years of age
Have legal identification with current address (we will confirm)
Be able to verify you are allowed to have pets where you live
Be willing and able to bring the foster to adoption clinics when held
Be willing and able to meet with P2LR representatives in order to transfer the dog
Be willing to surrender the dog upon request
P2LR has the right to refuse any person at any time
P2LR will pay for veterinary expenses previously approved by Laura Hegge or her designee
Contact and Background Information
*
Indicates required field
Applicant's Name
*
First
Last
Applicant's Birthdate
*
Number of adults in the household?
*
Number of children living in home or visiting on a regular basis?
*
Have these children been exposed to animals before?
*
Yes
No
Does anyone in your household have any known allergies to animals?
*
Yes
No
Valid ID
*
Expiration Date
*
Applicant's Occupation
*
Applicant's Employer
*
Applicant's Primary Phone
*
Applicant's Secondary Phone
*
Applicant's Email
*
Applicant's Address
*
Line 1
Line 2
City
State
Zip Code
Country
How long have you lived at this address?
*
Type of home you live in
*
Choose an item.
House
Apartment
Military
Mobile Home
Condo
Other
Do you own or rent?
*
Choose an item.
Own
Rent
Are there any neighborhood homeowner restrictions that need to be considered, and if so, what?
*
If renting or leasing, please indicate the landlord's contact information below.
Landlord's Name
*
First
Last
Landlord's Phone
*
If renting or leasing, will you provide permission from the landlord to have pets?
*
Yes
No
Preferences
Animal desired
*
Senior Dog
Adult Dog
Puppy
Description of dog(s) preferred to foster (i.e. size, type/breed, number of dogs able to foster, etc.)
*
Experience
Have you had any pets in the past?
*
Yes
No
How long did you have the pet?
*
What happened to the pet?
*
Do you have any pets now?
*
Yes
No
If Yes, please list.
*
Are they Spayed/Neutered?
*
Yes
No
Accommodations
Do you have a fenced yard?
*
Yes
No
Type
*
Height
*
How many hours a day will the new foster be left alone?
*
Where will the new foster stay during the day?
*
Where will the new foster stay during the night?
*
How will your new foster be confined on the property? Check all that apply:
*
In House
Kennel
Fenced Yard
Chained
Garage/Patio
Do you realize you may need to housebreak your new foster?
*
Yes
No
How will you exercise your foster?
*
Would you be able to take your foster to obedience classes if we determine that the animal may need to go? (When approved and paid for by P2LR)
*
Yes
No
Are you willing to have a P2LR representative to do a home visit prior to fostering?
*
Yes
No
References
Please list 3 personal references with names, contact information, their relation to you, and how long they've known you. We prefer it not to be all relatives.
*
PLEASE LIST YOUR CURRENT VETERINARIAN'S INFORMATION AND CALL THEM TO GIVE THEM PERMISSION TO DISCUSS YOUR PET'S FILES WITH US.
Veterinarian Name
*
Veterinarian Phone
*
Veterinarian Address
*
Line 1
Line 2
City
State
Zip Code
Country
P2LR CANNOT GUARANTEE THE HEALTH, TEMPERAMENT, OR TRAINING OF THE DOG. P2LR DOES NOT KNOW THE COMPLETE HISTORY OF THIS DOG AND THUS OFFERS NO WARRANTY OR REPRESENTATION OF ANY KIND REGARDING THE HEALTH, DISPOSITION OR SUITABILITY AS A DOMESTIC PET. FURTHER, THE ADOPTING PARTY AGREES TO RELEASE P2LR OF ANY LIABILITY FOR ANY HAZARD OR DAMAGE IT MAY PRESENT TO ADULTS, CHILDREN, OTHER ANIMALS OR PROPERTY ONCE THE DOG IS IN HIS/HER POSSESSION.
By clicking, "I Agree", you are certifying that the answers to this questionnaire are true and that any false information may result in nullifying the foster agreement.
Signature Name
*
First
Last
Signature Date
*
Signature Agreement
*
I Agree
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