First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone

How did you find out about Small Dog Rescue of New England?*

Why are you interested in fostering?*

Have you ever fostered a dog in the past?*
Choose one: Yes No

Which rescue?*

What is the maximum length of time you would consider fostering?*

Will you foster any pet regardless of breed or age?*

Are you willing to attend adoption events and make a weekly update to us about your foster?*
Choose one: Yes No

Are you interested in fostering a particular dog?*

Please list the number of adults in the home (including yourself) and the ages: *

Do all adults work outside the home?*
Choose one: Yes No

Please list how many children in the home and their ages:*

Do you own or rent your home?

Landlord name and phone number is required if renting. If you own a condo or townhouse we need the association name and number.*

Do you or anyone you live with have an allergy to dogs?

Where will your dog primarily spend its time?*

What is the average number of hours your dog will be left alone at any given time?*

Where will you keep your dog when it's home alone?*

Is your yard fenced in?

How high is the fence?
Choose one: 1-3 3-4 feet 5-6 feet 6+ NA

Do you have any other pets?*
Choose one: Yes No

Please list types of pets, age, size, breed & gender:*

Are they all spayed and/or neutered? (dogs and cats) *
Choose one: Yes No NA

If you answered no, please explain why:

Are all of your pets current on vaccinations including but not limited to: Bordatella, Rabies and Parvo/Distemper?*
Choose one: Yes No NA

Current veterinarian's name:*

Veterinarian's phone number:*

No member of our household has ever been convicted of cruelty to animals.*
Choose one: Yes No

I have read the above information carefully and have filled out this application honestly.*
Choose one: Yes No