First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Cell Phone*

Alt Email

What is the best phone number to reach you?*

Best Time to Call*

Re-Enter Email*

Are you looking to adopt if you fostered a dog who fit into your home?*

How did you hear about Crops & Flops Rescue?

If Other, please enter source

What type of fostering is right for you?

Occupation*

Age*

Facebook Page (if applies)

Instagram Page (if applies)

How many people reside in your household (including yourself)?*

How many adults (21 and older) in the household? *

How many individuals under 21 in the household? *

What are the ages of the individual(s) under 21? *

If other children visit often, please list ages.*

Are there any changes planned to your household? If so, please describe.*

Are you looking to adopt/foster a *

Do you prefer a*

Is there a dog you saw on our social media page that you are interested in fostering?

How much time will the dog spend alone during the day?*

Where will the dog be kept when you are not home?*

Where will the dog sleep at night?*

In what type of home do you live: *

Is your home located in: *

Do you own or rent your home *

If you do not own your home, please enter the owner or your landlord's name and phone number. *

If you rent, have you received the approval of your landlord to adopt/foster a pit bull type dog?

If you own a townhouse or condo, do the bylaws state you are able to have a pit bull type dog without bias?

Is your yard fenced? *

If so, what type of fencing?

If so, what is the height of the fence?

If so, will the dog be left alone outside unsupervised?

Foster dog living situation (Check all that apply)

How will you exercise the foster dog? (Please check all that apply)

Other or Additional Details:

Do you have other DOGS currently? (Check all that apply)

Please specify breed(s) and age(s) of ALL other current dogs: *

If you had other dogs in the past, what happened to those dogs: *

Please specify what happened:

What kind of other animals do you own? *

Why are you looking to foster a pit bull type dog specifically? *

What prior experience have you had with dogs/pit bull type dogs:*

What type of walking equipment do you typically use? Please list any collars, harnesses, or leashes that you use or have used for walking or training.*

How do you approach dog training and discipline? Please give a few specific examples of how you address behaviors like jumping, mouthing, barking, leash pulling. *

Name a behavioral issue you have encountered with a past animal and how you handled it.*

Veterinarian's Name and Phone Number: Please supply the name and phone number of your current veterinarian or the one who saw your previous pet(s), and their title identification. If you have never had a vet, please provide the name of your employer or clergyman who can attest to your character. *Please contact your veterinarian to give them permission to speak with us.*

List at least one additional reference and phone number (who is not a family member).*

Do you have any travel scheduled in the next 3 months? *

What behavior(s) would cause you to return your foster dog? For example: barking or not sleeping through the night, potty mistakes, jumpy or mouthy behavior, growling, whining, not affectionate with family, destructive, nervous, resident pet doesn't like new dog (or vice versa), etc.*

Additional information you would like to provide about yourself and/or the type of dog you would like to foster: