First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Will you permit a representative for A Buddy for Life, Inc. to conduct a home visit prior to fostering an animal(s)?

Why do you want to foster a rescue dog/cat?*

How did you hear about us?*

Please list the names and ages of everyone living in the household*

Does any member of your household have pet allergies?*
Choose one: Dog Cat Both None

What type(s) of animals are you able to foster? Select all that apply

If needed, are you able to keep your foster animal(s) in a separate area of your house, away from your own pets?

What type of home do you live in?*
Choose one: House Apartment Condo Mobile Home Duplex Townhouse Military Housing

Do you own or rent your home?

If you rent, what is the property owners name and phone number?*

List all animals currently living in your home... Provide name, type/breed, age, sex, if spayed/neutered and how long you have owned them*

Have you ever given an animal away? If so, explain the circumstances and where the animal went*

List your Veterinarian and their contact information*

Please provide 2 personal references and contact information*

Is your yard fenced?
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

When do you feel it is ok for dogs to be off leash outside of the home? (check all that apply)

Please describe your relationship with your pets, be as detailed as possible*

Do you have experience with disabled or sick animals?

If you have cats, where do they usually stay?
Choose one: Inside Only Outside Only Inside and Outside

Have you ever trained a dog?

Will you work with your foster dog on obedience training?

Are you willing to housetrain a dog?

Even though we provide supplies, are you willing to provide any as a donation?

Are you willing to make the commitment to foster knowing that we do not know how long it may take to find a forever home?

Do you have any comments for us?