| * Name |
|
| Street Address |
|
| City, St, Zip |
|
| * Phone |
|
| * Email |
|
| Applicant’s Employer |
|
| Phone |
|
| * Explain why you would like to foster |
|
| What can you foster |
Sick
Injured Healthy
Nursing
Mothers/pups |
| Can you deal with behavioral/temperament
problems? Explain |
|
| How many dogs can you foster at one time? |
|
| * How long are you willing to take
responsibility for this pet |
|
| |
|
| Where do you live |
|
| What kind of residence |
|
| Other, Explanation |
|
| Any covenants or restrictions that prevent
you from having a pet? If so - explain |
|
| * Do you have a totally enclosed, secure
yard? |
|
| Describe the fence - height and size of area |
|
| * How do you plan to exercise the dog? |
|
* Can we contact
your vet |
|
| Vet name |
|
| Vet phone |
|
By submitting this form you acknowledge and agree to
the terms below
Foster Home agent or Volunteer being of lawful age, do now release,
acquit and forever discharge NASPR, its Agents and Assigns, from any and
all actions, claims, demands or damages accruing to me resulting from any
known or unknown injury, loss or damage, sustained by me as a result
of acting as a NASPR foster agent or volunteer.
I affirm that I have not been convicted of any crime
involving the mistreatment, neglect or abuse of any animal.
I
ACKNOWLEDGE THAT ALL THE INFORMATION CONTAINED ON THIS FORM IS TRUE AND
CORRECT. I UNDERSTAND THAT ANY
MISREPRESENTATIONS OF FACT MAY RESULT IN THE REMOVAL OF THE FOSTER DOG
FROM MY HOME |