Animal Foster Form     Name: Address: City: State: West Virginia Alabama Alaska Arizona Arkansas California Canada Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. Wisconsin Wyoming Zip Code: Home Phone: Work Phone: E-mail:     Have you fostered dogs before? Yes No   If yes, please give us a brief history. Do you have dogs of your own? Yes No Yes No If yes, how are they with other dogs? If no, have you ever had dogs before? Yes No What age/breed/gender (if yes to either of above)? If you have had dogs before, but no longer do, what happened to the dogs? Do you have cats? Please choose one Yes No Yes No If yes, how are they with dogs? What other pets do you have, and how are they with other animals? Do you have children? Yes No If yes, what are their ages? When would be a good time to schedule a home visit for you? Do you have a crate or would you be willing to purchase one? Yes No Do you have a fenced yard? Yes No If yes, how tall is the fence? How will you handle exercise and toilet needs? How long would the dog be left alone every day? Where would the dog be when you are not home? Where would the dog be when you are home? Where would the dog spend the night? How many dogs would you be willing to foster at a time? Do you own or rent your home? Own Rent Please provide your Vet Name and number: Do you have any special issues/preferences for foster dogs (e.g., sex, age, etc.)? Would you be willing to act as a safe-house (when a dog cannot be placed at a kennel or with a foster immediately, to keep the dog until this is possible)? Please list three personal references with phone numbers. Also please specify how you know them. Additional Comments: