Foster Application

First Name

Last Name

Age

Email Address

Re-enter Email Address

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number(Home)

Phone Number(Cellular)

Phone Number(Work)

Do you live in a:

Do you:

Own

Rent

Live with Parents

Other

If Renting: Please indicate landlord contact information

Household Setting

Rural

Suburban

Urban

Describe your Homes Activity Level

Busy/Noisy

Moderate Comings/Goings

Quiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

Yes

Are all members of your Family agreeable to Fostering a Dog?

Yes

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)

Are you willing to give your foster 3-4 weeks to adjust to their new environment?

Yes

Are you willing to take your foster dog to vet appointments at a convenient time for you?

Yes

Do you drive or have access to a vehicle to bring your foster to events and appointments?

Yes

If No please explain:

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?

Yes

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

Yes

Have you had any experience with with an emotionally or physically neglected or abused dog?

Yes

If Yes please explain

Do you have a fenced yard?

Yes

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the foster be left alone?

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.

Please list 3 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives. Are you ok with this?

Yes

Vet Reference: Full Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Reference#1

First Name

Last Name

Relation to applicant(s):

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Reference#2

First Name

Last Name

Relation to applicant(s):

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

Reference#3

First Name

Last Name

Relation to applicant(s):

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone Number

By sending this electronically, I acknowledge that I have completely read this questionnaire and
comprehend it fully.
I understand that applying does not ensure approval and that untruthful answers or failure to comply with
the requirements of this application can result in the forfeiture of any Stand Up Pups RESCUE animal
fostered by me.
I certify that the above information is correct, and I understand that the information will be verified.
I understand that by submitting this form electronically, I agree to release and covenant to hold harmless

Stand Up Pups RESCUE and it's members from any claims, damages, costs, or actions incurred because
of the care or actions of the foster dog.
I accept full responsibility for the dog(s) actions at all times, and release Stand Up Pups RESCUE from any
liabilities or damages that may be incurred because of fostering such dog(s).
I agree to have Stand Up Pups RESCUE complete reference call checks and conduct a home visit
inspection to be able to approve my foster application.
I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Stand Up Pups
RESCUE and try to give Stand Up Pups RESCUE a 2 week period to try and find another suitable foster for
the dog(s).

Date / Time

Name

Foster Application

Vet Reference: Full Name

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