Foster Application | Dancers Bridge Dog Rescue

Personal Information

Full name

Address

City

State

Zip

Phone

Email

Household

Adults in household (and relationship to you.)

Number and age of children living in home?

Type of home

Single family Townhome Apartment

Other:

Please select one option.

Do you own or rent?

Time at this address

Pet restrictions (if renting)

Landlord name (required if renting)

Landlord phone (required if renting)

Other Pets & Experience

List other pets (type & age)

Are these pets spayed/neutered? If not, why?

Are these pets current on vaccines?

Yes No

Please select an option.

If not, please explain

Have your current pets shown aggression toward dogs in the past? Please explain.

Describe your experience with dogs

About the Dog

Types of dogs you're interested in fostering

Adult dog Puppies Mother with nursing puppies Unweaned puppies/Bottle babies Sick dog/puppy Injured dog/puppy Dog/puppy with behavioral issues Long-term hospice care

Please select at least one option.

What situations do you feel unprepared for?

Please select at least one option.

Availability to foster (dates / frequency)

Reliable transportation?

Final & Consent

Veterinarian / clinic (if any)

Emergency contact (name / phone)

Additional notes

I certify that the information I have given is true and complete.

Signature (type full name)

Date