Rotts 'n Pups Rescue, Inc.
A 501(c)(3) Public Charity
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19. If fostering a puppy:
20. If fostering an adult dog:
22. How many dogs and/or cats have you owned in the past five years?
Full Name
Street Address
City
State
Zip Code
Home Phone
Cell Phone
Email Address
1. How long have you lived at the above address?
2. Do you live in a:
House
Apartment
Condo
Townhouse
Duplex
Mobile Home
Please explain in comments
If other housing, please explain
3. Do you own your home?
Yes
No
4. If not, does your lease allow pets?
Yes
No
Please list landlord/leasing company name and phone number.
5. What type of dogs are you able to foster?
Adult
Puppy
6. Are you able to foster (select all that apply)
Small Size
Medium Size
Large Size
7. Have you ever fostered for another organization in the past?
Yes
No
If yes, which one?
8. Are you 18 years of age or older?
Yes
No
9. Do you live with your parents or other relatives?
Yes
No
10. Are you in active military service?
Yes
No
11. Are you in college?
Yes
No
If yes,
Full Time
Part Time
12. Are you or your spouse currently employed
Yes
No
If yes,
Full Time
Part Time
13. How many people live in your household?
14. What are the ages of household members? (excluding yourself)
15. Does any member of the household have allergies to pets?
Yes
No
16. How many hours are you/your family out of the house during a typical work day?
17. Will an adult be home during the day?
Yes
No
18. Who will be responsible for taking care of the foster pet?
a) What procedures will you use for housebreaking?
b) How will you handle chewing or destructive behavior?
a) How will you handle any behavioral issues that may arise?
b) What kind of exercise will this dog get?
21. Have you ever adopted from one of the following?
Humane Society
Rescue
Shelter
dogs
cats
Where are these pets now?
23. Have you ever turned in an animal to a shelter?
Yes
No
If yes, under what circumstances?
24. Have you ever had to give up one of your own pets?
Yes
No
If yes, under what circumstances?
25. Has an animal died on your premises of distemper, parvo or unknown causes in the past twelve months?
Yes
No
If yes, please explain.
27. List any pets that you currently own (name, age, sex and breed of each).
27. Do your pets live:
indoors
outdoors
28. Are/were their shots up to date?
Yes
No
29. Are/were all spayed or neutered?
Yes
No
30. Are/were your dogs on heartworm preventative?
Yes
No
If yes, which one?
31. What is the name and phone number of the vet clinic you currently use (or used to use)?
32. Why do you want to foster for our group?
33. Are you able to provide good quality food for your foster?
Yes
No
34. Are you able to provide flea/tick and heartworm preventative (for adult) foster dogs?
Yes
No
35. Will your foster pet live
indoors
outdoors
Where will your foster pet sleep?
36. Is there a yard available?
Yes
No
If yes, is it completely fenced in?
Yes
No
If yes, how tall is the fence?
What type of fencing?
chain link
privacy
cattle wire
other
Is there a dog house?
Yes
No
37. What will you do with your foster if/when you go on vacation?
38. Please list any specific breeds which you will NOT foster.
39. Please list any breeds you or any members of your family afraid of.
40. Is there an area in your home which can be used to isolate your foster in case he/she breaks with kennel cough or other contagious condition?
Yes
No
If yes, please describe.
41. Would you object to an authorized representative of Rotts 'n Pups Rescue to inspect your home?
Yes
No
42. Please provide two personal references (name, phone number, relation to you) who are NOT members of your household.
I authorize a representaive of Rotts 'n Pups Rescue to contact the veterinarian office named above to confirm the medical records/history of my pets.
(checking indicates authorization)
Do you agree with the above statement?
Yes
No
Submit
Thank you for contacting us. We will get back to you as soon as possible
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