Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Joint Applicant
First Name
Last Name
Joint Applicant Phone
(###)
###
####
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone
*
(###)
###
####
Landlords Name
Landlords Name
First Name
Last Name
Landlords Number
(###)
###
####
Are there any breed restrictions where you live that would prevent you from fostering?
*
No
Yes
Possibly
Are you currently employed?
*
Employed Full-Time
Employed Part-Time
Retired
Student
Unemployed
How long have you been employed/unemployed?
*
How many hours a day are you away?
*
1-4
4-8
8-12
12+
Where will your foster be kept when you are not home?
*
How many adults currently live at your home?
*
1
2
3
4+
How many children (under 18) live at your home?
*
0
1
2
3
4+
If you have children, what are their ages?
Check all that apply
Are all adults knowledgeable and accepting of adopting a “Pit-Bull Type Dog”?
*
Yes
No
What forms of exercise will your foster dog get?
*
What forms of training/correction do or will you use with the foster dog(s)?
*
Do you have any experience with the American Pit Bull Terrier breed?
*
Yes
No
I'm applying for a different breed of foster
If you answered No above, are you willing to go through Educational Responsible Owner courses?
Yes
No
Do you currently have any pets?
*
Check all that apply. If yes, please provide details in the next section.
List Pet Details Below: Species (dog/cat/etc.), Breed, Age, Gender (M/F), Spayed/Neutered?
Have you recently lost any pets?
*
Yes
No
Do you have a fenced yard?
*
Yes
No
Will you be taking your foster to a dog park?
*
Yes
No
Possibly
Have you ever been arrested for animal cruelty or negligence?
*
Yes
No
Name of your Primary Veterinarian
*
If you do not currently have one, put "N/A" below.
First Name
Last Name
Veterinarians Office Phone
(###)
###
####
Veterinarians Website
How many years have you been taking your pets to this Veterinarian?
0-1
1-2
3-4
4+
Do you give Rugaz Rescue, Inc permission to contact your veterinarian to verify this information?
*
Yes
No
How did you hear about Rugaz Rescue, Inc?
*
Facebook/Twitter
Web Search
Word of Mouth
Local Event
TV/Radio
Flyer/Poster/Newsletter/E-Mail
Is there a specific dog(s) you are interested in fostering?
What type of dog(s) are you interested in fostering? Are there any specific breeds/sizes/etc. that you are unable to foster at this time?
*
What are your expectations of a foster dog and why are you choosing to foster?
*
Please leave any comments or questions you may have below:
