First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone*
Cell Phone
Facebook name (we use facebook for coordinating events and foster needs)*
In what type of home do you live* Choose one: House Apartment Condominium Mobile Home Townhome
Do you own or rent your home?* Choose one: Own Rent Live with parents
If you rent, have you received the approval of your landlord to have an animal* Choose one: Yes No
What type of yard* Choose one: Patio area only Pavers or cement Mostly gravel Desert landscape Area(s) of real grass Area(s) of artificial turf Other *explain in comments
Do you have a fenced-in yard?* Choose one: Yard Completely Fenced Yard Partially Fenced Unfenced Yard No Yard
What type of fence and how high is it?* Choose one: Block Wall Block Wall & View View Fencing Chain Link Other *explain in comments
What is the height of the fence*
Do you have a swimming pool* Choose one: No pool Fenced pool Unfenced pool
Do you have a doggy door Choose all that apply: No, we do not have a doggy door. Other Yes, and we do not use it/it is closed off. Yes, and we use it. Yes, but there is a safety outdoor enclosure around it.
How many children live in your home and what are their ages*
Describe other pets in home - name, breed, sex, age, spayed/neutered*
Employment type and schedule (work, retired or otherwise home & normal work schedule)*
Where will the dog's main sleeping quarters be*
Additional Comments
I certify that the information entered on this applicant is true. Enter your name and date*