Apply to Foster a Dog

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First Name*
Last Name*
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Work Phone Number
Cell Phone Number*
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
- Full or Part Time?*
- Employer's Phone number*
- Are you Retired?*
  - Yes
  - No
- Are You In School?*
  - Yes
  - No
- Full or Part Time?*
- How Did You Hear About Us?*
- What Is Your Friend's Name?*
- Which Shelter?*
- Which Rescue?*
- Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Are There Other Adults In The Home?*
- Yes
- No

Add Adults

First Name	Last Name	Age Range	Are You Employed?	Actions

There are no Adults.

Add Children

Name	Age	Gender	Previous Experience with Dogs	Actions

There are no Children.

Add Dogs

Dog's Name	Breed	Age Range	Gender	Actions

There are no Dogs.

Add Pets

Pet's Name	Animal Type	Sleeping Quarters	Actions

There are no Pets.

Would You Consider:
Select all that apply.
A Mixed Breed Dog*
Two Dogs*
A Dog That Can Be An Only Pet?*
A Dog That Is Afraid Of Small Children*
- A Dog That Needs Medications?*
- A Dog That Has a Serious Health Condition?*
- Please Select All Health Condition(s) You Would Accept:*
- A Dog Who Needs Training For A Behavior Issue?*
- Please Select All Behavior Issue(s) You Would Accept*
- A Dog That Has Special Needs?
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
A Dog That is Not Completely Housebroken?*
Select Gender*
Select Age Range*
Select All That Apply
Select Temperament*
Select All That Apply
Select Color*
Do You Have A Preferred Dog?
When Will You Be Ready To Foster?*
Is There Anything Else You Would Like to Let Us Know?
Authorization
Authorization:*
All dogs placed through the LIFE House for Animals will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. As a foster parent, I agree to care for my assigned pet including, but not limited to; food, water, sheter, exercise. If I decide to adopt this foster pet, I understand I will have priority but must fill out a seperate adoption application and go through the regular adoption process. I understand and agree *
- I agree
Comments
This field is for validation purposes and should be left unchanged.

Dog Foster Application