Dog Foster Care Application and Agreement Personal InformationName *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodePhone *Email Address *Driver's License *Date of Birth *Family InformationList all children in your household under 18 years of age.NameAgeExperience with AnimalsNameAgeExperience with AnimalsNameAgeExperience with AnimalsNameAgeExperience with AnimalsNameAgeExperience with AnimalsList any other adults living in the homeNameAgeExperience with AnimalsNameAgeExperience with AnimalsNameAgeExperience with AnimalsNameAgeExperience with AnimalsHome InformationIn which do you live *In which do you liveCondoSingle Family HomeApartmentMobile HomeDo you Own or Rent? *Do you Own or Rent?OwnRentLandlord/Park Contact Name *Landlord/Park Phone Number *EmploymentDo you work: *Do you work:Full TimePart TimeWork From HomeTravel FrequentlyRetiredNot EmployedHow many hours are you away from home during the day? *Where will the animal stay when you are away from home? *Current Pet InformationPlease list any pets currently living in the home with their breeds, names, ages, spayed/neutered status, and vaccination status.Dogs Information *Cats Information *Please list any animals that you have had in the past 5 years not listed above including their status (deceased, rehomed, etc and were they spayed/neutered and up to date on vaccines)Dogs Information *Cats Information *VeterinarianCurrent VeterinarianName *Phone *Previous VeterinarianName *Phone *Fostering ExperienceDo you have fostering experience? *Do you have fostering experience?YesNoIf yes, through what organization? *Fostering PreferencesCare Level for DogsDogs Healthy and Waiting for a HomePregnant DogsPuppies that Require Bottle FeedingSick, Injured, or Needing a Break DogsPuppies that are able to Eat on their OwnDogs Size PreferenceSmall (under 20 pounds)Medium (21-45 pounds)Large (46-75 pounds)Extra Large (over 75 pounds)Select all the applyOther AnimalsCatsBirdsFerretsRabbitsPocket Pets (hamsters, rat, etc)Do you have any specific requirements for a foster animal to be placed in your home?ReferencesPlease provide three references that are not related to you, and their phone numbers. Please let them know we will be calling. *I have read the Foster Care Agreement and agree to the terms contained therein. I have accurately completed this Foster Care Agreement. I agree to a background check and home visit. *I agree and consent.Submit Application Subscribe to Our Newsletter Fill out the information below to receive quarterly virtual updates from the HSBC! Success! Email Subscribe FollowFollow
