Foster Form - Healthy Hearts and Paws Project

If yes, what is the name?

How did you hear about the Healthy Hearts and Paws Project?

If other:

The following information is requested so that your foster counselor can assist you in the selection of a new foster pet. The animal's welfare is our foremost consideration. The animal available for foster come here from a variety of sources. All animals are examined by a veterinarian and routinely monitored while in our care, but there is always a chance that an animal is incubating a disease without showing any clinical signs.

Why do you want to Foster?

Is this your first experience fostering a pet?

Yes
No

What pets do you currently have? List your pets' names and what type of pet it is.

Are your pets spayed / neutered?

How old are your pets?

Who is your veterinarian, and what is their phone number?

Have you ever had to find another home for a pet? If so why?

List the pets you owned in the last 10 years other than those listed above and where they are now:

I agree to release veterinary records to The Healthy Hearts and Paws Project for the purposes of this foster.

Yes
No

Do you currently live in a:

If other:

Do you:

Own
Rent

If you rent, does your lease allow dogs?

Yes
No
Not sure

If yes, please provide a name and phone number of your landlord to confirm you are allowed to have pets.

How long have you lived in the above address?

How many people live in your household?

Do all of the adults know you plan to foster?

Yes
No

If there are children in the household, what are their ages?

Do you or anyone in the household have any allergies to animals?

Yes
No

Who will be the primary caregiver of this dog or cat?

Where will the dog or cat be kept during the day?

Where will the dog or cat be kept during the night?

How many hours will the dog spend without human companionship and where will they be kept during that time?

Please list one personal reference (not related to you) and their phone number:

What will you do if your dog chews/claws the furniture or shows other destructive behaviors?

Do you have a fenced-in yard?

Yes
No

If yes, how high?

If no, how will you confine the dog to your property?

Are you prepared to housetrain your new foster dog?

Yes
No

Are you familiar with leash and licensing laws in your community?

Yes
No

Are you familiar with crating?

Yes
No

How do you feel about crating?

Are you planning on crating your new foster dog?

Yes
No