Your Full Name  
Address  
City  
Province  
Postal Code  
E-mail Address  
Home Phone Number  
Alternate Number  
Cell Number  
Are you older than 18?  

All About the Foster Dog


Why do you want to foster dogs?


What type and age of dog would you prefer to foster?

Do you have a time limit on fostering? If so, how long?

Where will the foster dog stay during the day if you are away?

Where will the foster dog sleep?

Do you have any experience: House-training?   Yes No

Crate-training?   Yes No

Behavior Training?   Yes No

Obedience Training?   Yes No

Other?


Do you agree to a home visit? Yes No





Home Information


Do you own or rent?  


If you need permission to foster, please provide contact info for landlord or
condo board:

Name  

Phone Number  


You live in a   Single Family Home Apartment or Condo Townhouse Farm Mobile Home Acreage Other

If other, please specify  


Do you have a fenced yard?   Yes No

If yes, how tall is the fence?  





About Your Family


How many adults and children are in your household?

What are the ages of the children?

Is anyone in the household allergic to animals?

Have all household members agreed to fostering animals?

Do you have transportation and are you willing to transport your foster animals
for vet appointments and to arrange for them to meet a potential adopter?

Do you currently have any pets?

If so, please list the animals in your household:


Species  
Breed  
Age  
Spayed/Neutered?   Yes No Not Applicable
Current on all vaccinations?   Yes No Not Applicable
Have kennel cough vaccine?   Yes No Not applicable
Have giardia vaccine?   Yes No Not applicable


Species  
Breed  
Age  
Spayed/Neutered?   Yes No Not Applicable
Current on all vaccinations?   Yes No Not Applicable
Have kennel cough vaccine?   Yes No Not applicable
Have giardia vaccine?   Yes No Not applicable


Species  
Breed  
Age  
Spayed/Neutered?   Yes No Not Applicable
Current on all vaccinations?   Yes No Not Applicable
Have kennel cough vaccine?   Yes No Not applicable
Have giardia vaccine?   Yes No Not applicable


Species  
Breed  
Age  
Spayed/Neutered?   Yes No Not Applicable
Current on all vaccinations?   Yes No Not Applicable
Have kennel cough vaccine?   Yes No Not applicable
Have giardia vaccine?  Yes No Not applicable


Species  
Breed  
Age  
Spayed/Neutered?   Yes No Not Applicable
Current on all vaccinations?   Yes No Not Applicable
Have kennel cough vaccine?   Yes No Not applicable
Have giardia vaccine?   Yes No Not applicable




Foster dogs may need some time to adjust to your home.  Do you have
a way to separate the dogs in your household if problems arise?



We appreciate you taking the time to complete this application.  We are committed
to our goal of making each foster placement as compatible as possible.

Pawsitive Match Rescue will supply food, bowls, leash and collar, and medical
care. Please let us know if you do not need the supplies.



Date  

Electronic Signature