First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Country*

Email*

Cell Phone*

Alt Email

Is there a Co-Applicant (IE: romantic partner, spouse, roommate, etc)?*

If Yes, what is the name of the Co-Applicant?

What is your relationship to the Co-Applicant?*

What is your co-applicant's phone number? (if applicable)

What is your co-applicant email address? (if applicable)

Name of dog you'd like to foster (if applicable) or breeds/ages of dogs you are interested in fostering:*

Date of Birth:*

Do you live in a house, condo or apartment? *

Do you currently Own or Rent*

How long have you lived at your current residence?*

Are pets allowed? *

If you are not the property owner, Rescue City will need verify your residence's current pet policy. If you are the sole property owner, please type N/A in the fields below. Landlord's Name/Phone Number/Email: *

Does anyone in your household have allergies to animals? *

How many adults live in your home? *

How many children live in your home? *

List the age of every person in the home including yourself:*

How many hours will your foster pet be alone each day?*

Where will the foster pet be kept at night?*

Where will the foster pet be kept when no one is home? *

Do you have a fenced yard? *

If so, how high is your fence/what type of fence? (Please enter N/A if not applicable)

Do you currently own any animals? *

Species: Dogs? Cats? Other Animals? (Enter N/A if you do not own other animals) *

Name/Gender/Age/Breed/Size*

General temperament toward other animals:*

If you have more than one pet please list your other pets all of their: names/ages/breeds/sizes/temperaments: *

Are they current on their vaccinations - rabies, distemper, etc?*

Are they spayed/neutered?*

What is the name of your animal's veterinarian?*

What is your veterinarian's phone number?*

Will you be able to take your foster dog to our vet in South Brooklyn?*

How do you plan to socialize and train your foster dog?*

Would you consider a pet with special needs, such as a medical or behavioral problem?*

Are you prepared to foster for at least one month if necessary? *

Do you own or have access a car?*

How did you hear about Rescue City?*

If you have any upcoming travel plans for the next two months, please let us know NOW. My travel plans are (Please write N/A if not applicable): *

Is there any additional information you'd like to mention? *

By typing my name, I am providing an electronic signature certifying that all the above information is correct*