First Name*
Last Name*
Email*
Cell Phone*
What is your foster dog's name?*
What was the arrival date of your foster?*
Please describe the general appearance of your foster dog upon arrival:*
Does your foster dog show any signs of illness? Please describe:*
Is your foster dog spayed/neutered?*
What type of stitches does your foster dog have (wire, staple, silk)?*
What is the condition of your foster dog's ears?
What is the condition of your foster dog's eyes?*
What is the condition of your foster dog's fur?*
What is the condition of your foster dog's paws?*
What is the condition of your foster dog's teeth?
Please describe any behavioral observations:*
Please describe any other health issues you are noticing (weight, physical injuries, skeletal issues):*