Date
MM
DD
YYYY
Name
*
First Name
Last Name
Mailing Address
Email
*
Phone Number
*
Is this Address
*
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Permanent
Seasonal
If seasonal, when are you in Arizona?
If Own, do you have an HOA?
*
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Yes
No
If yes, what is the limit of how many animals you may have:?
How many adults live in the home?
*
Do you have children in the home? If yes, how many, and what ages?
*
Do you currently have pets?
*
If yes, list gender, approximate age, whether spayed/neutered and how long you have had the pet.
If you have dogs, are they currently licensed?
*
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Yes
No
N/A
Are your pets current on Rabies vaccination?
*
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Yes
No
N/A
Are your pets microchipped?
*
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Yes
No
N/A
Please select any diseases your household pets may have had:
*
Is everyone in the home in favor of accepting the extra responsibility of fostering
*
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Yes
No
Please select the type of animal you would like to foster
*
Check all that apply
Please select the preferred age
Check all the apply
Are you willing to foster an animal that needs training?
*
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Yes
No
Are you willing to foster an animal with medical issues?
*
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Yes
No
Are you willing to foster an animal that required medication?
*
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Yes
No
If Yes, please detail your prior experience with administering medications
May we contact the clinic for a reference?
*
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Yes
No
N/A
Is your yard fenced? If yes, please describe fencing.
*
Please describe height and type of fence (ie, concrete block, chain link, etc)
Does your yard have a pool? If yes, is it fenced? If yes, please describe the fencing.
Do you have a spare bedroom, bathroom, laundry room (or otherwise temperature controlled room) that could be used to house your new foster? (We recommend quarantining fosters for the first 7-10 days, keeping them separate from your other animals and limiting their access to your home until such time has passed to assess health and behavior.)
*
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Yes
No
Are you willing to foster an animal or litter until they are adopted?
*
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Yes
No
How long are you willing to foster?
*
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On call as needed
Up to two weeks
Up to a month
2 - 3 months
As long as needed
Is someone available to transport the foster to the vet as needed?
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Yes
No
Depends on the time of day
Where would your foster dog/puppy be kept when you are not home?
*
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Indoors Only
Outdoors Only
Indoors with access to outdoors
Confined to a room
Do you plan to crate your foster(s)?
*
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Yes
No
If yes, when and for how long?
How many hours would your foster dog be home alone (no human supervision) during the day?
If not home during the day, is someone available to come by during the day to check on dog?
