Avada Form Test

date *

First Name *

Last Name

Street Address *

Address Line 2

City *

State / Province / Region *

ZIP / Postal Code *

Country *

Driver License Number

Expiration Date *

Daytime Phone *

Evening Phone

Email *

Are you at least 18 years of age? *

Yes

Please indicate which types of dogs you wish to foster. *

Medical – recovering dogs whose injuries or illnesses require that they receive more attentive and personalized care than the shelter can provide

Behavioral – dogs with mild behavioral issues, such as unsociability, barrier frustration, shyness, or excitability, who require behavior modification

Postnatal – recovering mothers and unweaned puppies who often require bottle feeding and very gentle care

Why are you interested in fostering a dog? *

What dog experience do you have? *

What animals do you currently have in your home? *

Are all of the animals in your home spayed or neutered? *

Yes

Have you ever fostered animals before? *

Yes

Do you have children? *

Yes

Child 1 Age

Child 2 Age

Child 3 Age

We often use your current veterinarian as a reference. Please list the name and phone number below.

Do you own or rent your home? *

If you rent, who is your landlord?

First Name

Last Name

Phone Number

We do home visits on every applicant who passes the initial screening. Are you willing to let a representative of FUPI visit your home? *

Yes

Please read the following statements about the Canine Foster Program and check the boxes next to them to indicate that you understand and agree to abide by them. *

Like most shelter dogs, your foster dog may not be housetrained. You understand that he/she may have accidents in your home.

Like many dogs, your foster dog may chew on furniture, clothing, or other objects. You are comfortable working with this behavior.

You agree to keep your foster dog on a leash or enclosed in a fenced in yard or home at all times.

Representatives of FUPI may need to contact or visit you to discuss the dog. You understand that you may be asked to complete evaluation forms on the dog. You agree to be entirely honest and forthright regarding the dog’s behavior, be it positive or negative.

FUPI is the legal guardian of your foster dog. You understand that FUPI has the final authority in regards to the dog’s adoption, treatment, or disposition.

Signature

All foster parents must complete an orientation. We prefer to do these during our home visits to create the least hassle for your family. When your application is approved, you will be contacted to schedule the orientation. Please sign below to indicate that everything on this form is true and as complete as possible

FIRST *

LAST *

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