MEET OUR DOGS Application FormFoster Form Step 1 of 7 14% Name of Dog*Date* Date Format: MM slash DD slash YYYY Full Name*Home Address*Home Number*Mobile Number*I live in a*I live in aHouseApartmentCondoMobile HomeHow long have you lived at your current address?*Do you own or rent your current home?* Rent Own Do you plan to relocate/move in the next 12 months?* Yes No Please list previous addresses going back 5 years:*If you RENT your home, are pets allowed?* Yes No Is there a weight limit?* Yes No What is the weight limit?*Is a pet deposit required?* Yes No What is the deposit amount?*Please provide landlord contactiInformation* What is your occupation?*Name of Employer*Employer Address*Work Number* Do you Plan on Traveling?* Yes No When you are away, who will care for the dog?*If you travel, how often and for how long?*How many hours per day will the dog be alone?*Where will the dog be kept during the day?*How long do you plan to keep this dog?* If you lost your job or had to move, what would you do with this dog?*If this dog grows larger than you expect, what will you do?*Where will this dog be kept during bad weather?*Where will this dog be kept during bad weather?*What percentage of time will this dog spend Indoors?*What percentage of time will this dog spend outdoors?*Where will the dog sleep at night?*How do you plan to housetrain this dog?* Paper/puppy pads Consistent praise for going outside Crate train If this dog develops behavioral problems such as chewing, digging, etc, what measures will you take?*Will you obedience train this dog? If so, how?*Do you plan to spank, swat, or in any way physically punish this dog?* Yes No Do you plan any physical alterations?* Yes-Ear cropping Yes-Tail docking Yes-Other No Please check all equipment below you plan to use for this dog:* ID tag Tattoo Microchip Crate Dog run Dog Collar Dog House Electric Fence Invisible Fence Chain Groung Tie-Out Doggy Door Dog Bed Bark Collar Would you agree to take your companion dog to the veterinarian for yearly check-ups and keep him or her on heartworm preventative for life?* Yes No May we contact your veterinarian for a reference?* Yes No Please provide veterinarian contact information (Clinic Name: Vet’s Name: CityPhone:)Have you ever surrendered, given away or given up an animal?* Yes No To whom did you give the animal?*If so, describe the circumstances in detail:*Why do you want to adopt a companion animal?* Companion for me Companion fora child Companion for other pet Protection Gift Other Why do you want to adopt a companion animal? If other, please explain:* Do you have a fenced yard?* Yes No Is your fence secure?* Yes No Which material is your fence made of?* Chain links Wooden Is your fence a common fence with neighboring dogs?* Yes No How high is the fence?* Total # of adults in household:*Total # of children in household:*Do children/grandchildren visit your home?* Yes No Do you have experience with Special Needs companion animals?* Yes No Please explain in detail the experience you have with Special Needs companion animals?*Have you previously had pets in the home?* Yes No Do you currently have any pets in the home?* Yes No Please provide additional details about any pets you have owned or cared for in the last five years:* Consent*I certify that the information provided on this application is true and correct. I understand that providing false information or withholding information on this application can be considered a violation of the adoption agreement and result in Straydog reclaiming this pet. I certify that the information provided is true and correct.CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Step 1 of 3 33% Full Name*Home Address*Home Number*Mobile Number* Are you over 18 years old?*YesNoI live in a*I live in aHouseApartmentCondoMobile HomeOtherOtherDo you own or rent your current residence?*RentOwnIf you rent or reside in another person’s home, provide their name and telephone number:If you RENT your home, are pets allowed?*YesNoIf there are restrictions on animals, explain:Number of children in your household:Do you have a fenced yard?*YesNoChoose the option that describes your normal day:*Home all dayOut part-timeGone 7-10 hrs daily Do you currently have any pets in the home?*YesNoType of Pets Dogs Cats Birds Other OtherName of your veterinarian:*What type of animals are you interested in fostering: Large dogs Small dogs Puppy(s) Pregnant or nursing dog Are you willing to foster more than one animal at a time:YesNoPlease share any additional experience of value (previous fostering experience, worked in animal welfare, animal training, etc.) Consent*I agree to the foster home standards: animals are indoors; a safe, clean environment; a fenced in yard if applicable; able to care for animals in multi-animal environment; a separate area for animals with specific medical issues. I agree to provide a Straydog representative access to all parts of my home and property for a home inspection before my application to foster is approved. I understand that all veterinary care must be approved by Straydog prior to treatment and agree to provide my foster animal with the proper veterinary care as authorized by Straydog. I understand that there are certain risks associated with fostering animals. I understand that Straydog will not be held liable or financially responsible for any damage or injury caused by the foster animal(s) to any property owned by myself or others; to any individual, whether related to me or not; or to any animal belonging to me or someone else. I understand that Straydog provides no guarantee as to the health of my foster animal and that my foster animal may have medical needs, socialization problems and may not be house trained. I understand that I am fostering this animal for Straydog, and that I do not have any right of ownership. I agree to provide a Straydog representative access to my home and property to check on my foster animal at any time that I am in possession of my foster. I understand that anyone interested in adopting my foster animal (including myself) must go through the standard Straydog adoption process and that it will include the usual adoption fee. I understand that certain materials may be loaned to me and will be returned to Straydog when the foster is adopted or returned. I agree to contact Straydog if at any time I cannot continue to care for the foster animal. I agree to use the Straydog contact numbers for all questions/emergencies about the foster animal. These will be provided upon approval of the foster application. Above all, I promise to treat the foster animal with love, respect, and patience and to never use any negative training or discipline techniques. I will never hurt or cause harm to the foster animal. I am fostering to improve the life of the animal in a safe home environment. I agree to the foster home standards.Consent*I certify that the information provided on this application is true and correct. I understand that providing false information or withholding information on this application can be considered a violation of the adoption agreement and result in Straydog reclaiming this pet. I certify that the information provided is true and correct.Date* Date Format: MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.