Name *

Name

First Name

Last Name

Date of Birth *

Date of Birth

YYYY

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Driver's License Number and Issuing State *

Email Address *

Cell Phone Number *

Cell Phone Number

(###)

###

####

Home Phone Number

(###)

###

####

Work Phone Number

(###)

###

####

Person to contact in case of emergency:

Name *

Name

First Name

Last Name

Phone Number *

Phone Number

(###)

###

####

Living Arrangements

Do you *

If renting, please provide landlord's contact information

Landlord Name

First Name

Last Name

Landlord Phone Number

(###)

###

####

If "Other", please explain

Do you have a fenced in yard? *

Yes

Type of Fence

Are there any slats/openings that could allow a small dog to get in/out?

Yes

Please list all persons living with you: (if none, write n/a) *

Include Name, Age and Relationship

Is everyone in your home aware that you have applied to foster? *

Yes

Is everyone agreeable to having a foster at home? *

Yes

If no, please explain

Animal Care

Please list all animals living with you: (if none, write n/a) *

Include Name, Age, Breed, Date of Last Vaccinations

Are all pets in the home Spayed/Neutered? *

Yes

If not, please explain

Your Veterinarian's Name *

Vet's Phone Number *

Vet's Phone Number

(###)

###

####

Hours per day that foster(s) will be left alone during the week: *

Hours per day that foster(s) will be left alone during the weekend: *

While left alone, foster(s) will be: *

If Other, please explain

Do you understand that sometimes a complete history and temperament of a rescue dog may not be known? *

Yes

I only want to foster a dog with a known history

Are you able to transport foster to vet and adoption events? *

Yes

Do you have any concerns about fostering? If so, please explain:

Please provided two references (Non Family) including full name and phone number

Reference #1 *

Reference #1

First Name

Last Name

Reference #1 Phone Number *

Reference #1 Phone Number

(###)

###

####

Reference #2 *

Reference #2

First Name

Last Name

Reference #2 Phone Number *

Reference #2 Phone Number

(###)

###

####

By submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. I understand that if I am accepted as a foster, that I am not the rightful owner of the dog and any medical decisions/rehoming decisions will be made by Helping Paws, Inc. (HP). I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in an immediate termination of the foster contract and the foster dog to be returned. Helping Paws shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons and for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, including claims and damages arising in whole or part from the negligence of Helping Paws. I agree to notify Helping Paws of any injuries such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible.

Foster Applicant's Name

First Name

Last Name

Date

YYYY

Helping Paws fosters make our world go round!! A Helping Paws volunteer will be in touch with you within one week.

Thank you so much for your interest in fostering for Helping Paws, Inc

Helping Paws Foster Application