First Name:

Initial

Last Name:

Email address:

Street Address:

City

State

Zip

Name of each adult in household:

Day Phone:

Eve Phone:

Cell Phone:

Number of Adults (over age 18) in household:

Other pets in the home:

Are other pets current on vaccinations?

Are other pets Neutered or Spayed?

Veterinarian Name & Contact Information:

Ages of any children in the home:

Type of food and access to water & shelter:

Preferred animal type:

Preferred size of animal:

Can you take puppies?

an adult dog?

a quarantined dog?

non-housebroken?

cat kitten dog puppy other

large medium small

yes no

yes no

yes no

yes no

Have you fostered before?

For whom / what animals / when?

May we contact?

Previous foster contact info and telephone

yes no

yes no

How long can you foster?

Why do you want to foster?

May we make unscheduled house checks with short notice appointments?:

yes no

Home:

If renting the name and phone number of the owner:

own rent

Foster home provisions

doggy door

pool

pool fenced?

yard

yard fenced?

fence height

yes no

yes no

yes no

yes no

yes no

Where will foster stay:

Will someone be home:

inside outside both inside and outside

daytime night time both daytime and night time

Do you have the time and skills to house train?

Do you have the time and skills to obedience train?

yes no

yes no

Describe the fosters sleeping and living area.
Include if it is covered in the day and if it can function as an isolated area of home or yard for quarantining, etc.

Name

Date

Yes. I submit this application in full agreement with your Foster Liability Release and foster policy.

Foster Liability Release: Golden Bone recommends that the fostered animal(s) be isolated from you personal pets and children as a precaution until health and behavior is confirmed (14 days). If this recommendation is not implemented, I will not hold Golden Bone liable for any veterinary expenses for my personal animals either during the time I am fostering or at any time thereafter. I, nor any person or party acquainted with myself, will hold Golden Bone’s representatives or affiliates responsible for any damages done to my property, any property, or myself whether or not in my care or residence, or any damages done to any person or persons or other animals that the animal(s) I am fostering may come in contact with while I am under contract to foster.