Foster

Application

The Farm Dog Rescue, working hard to
make a difference in our community.
Even the smallest contribution becomes
part of a huge change.

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Foster Application

Name: *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number: *

Email: *

List all members of house and ages for all minors *

Employment Status: *

Please describe in detail your work schedule(s): *

Are you willing to attend safety training? *

Will you agree to a home visit? *

Do you own or rent? *

(Renters) Do you have permission from your landlord to foster a dog? *

Landlord First Name: *

Landlord Last Name: *

Landlord Phone Number: *

Do you have homeowners / renters insurance? *

Name of insurance company: *

Do you have medical insurance for all members of your household? *

Name of medical insurance company: *

What best describes your household? *

Where will the foster dog be kept during the day? *

Where will the foster dog be kept during the night?

Will you crate the dog? *

Is your yard fenced? *

Fence Height (ft.) *

If not fenced in, how will you exercise the dog? *

Have you ever attended Obedience Training Classes? *

If yes, where did you attend classes and for how long?

Have you ever had a dog before? *

How Many?

Size of Dog(s)

Small
Medium
Large

Have you ever had a dog with behavioral problems?

If so, how did you address them?

If you have children, have they had dogs? *

Are your children afraid of dogs? *

Are they or any member of your household allergic?

Describe any experience handling dogs: *

Please provide a description of how you would correct your foster dog if it showed destructive or inappropriate behavior such as digging, jumping, chewing, etc: *

List of Current Pets (Type, Age, Sex) *

Have they been spayed or neutered? *

Yes
No
Don't Know

Are they current on vaccinations? *

Yes
No
Don't Know

Do you give your pets heartworm preventative? *

Do you use flea/tick preventative? *

Veterinarian Name: *

First

Last

Veterinarian Phone Number: *

Do your pets have licenses/identification/microchips? *

Do your pets socialize with other dogs? *

How do your pets react around other dogs? *

Why are you interested in fostering a dog? *

Companion for other dog
Companion for children
Desire to help animals in need

Please Indicate Preferences: *

Adult Dogs
Older Puppies
Litters
Large Dogs
Medium Dogs
Small Dogs
No Preference

Are you willing to foster the dog until he/she is adopted? *

Anything else you would like us to know?

Please list references that can attest to how you are with animals.

Reference #1 Name (First of two references - non-family members). *

First

Last

Reference #1 Relationship: *

Reference #1 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference #1 Phone: *

Reference #2 Name (First of two references - non-family members) *

First

Last

Reference #2 Relationship: *

Reference #2 Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Reference #2 Phone: *

Signature of Applicant: *

Date / Time *

Name

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Why Adopt?

Adopting from a shelter helps weaken the pet overpopulation cycle. Each year millions of dogs, cats, puppies and kittens are euthanized because there are simply not enough homes for them. You help stop cruelty in mass breeding facilities.

An adopted pet is every bit as loving, intelligent, and loyal as a purchased pet, even if you get an adult or older dog.

The Farm Dog Rescue
PO Box 1542
Palm City, FL 34991
772-224-3323

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