Dog Foster Application

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First Name*
Last Name*
Age*
eMail Address*
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Cell Phone Number*
Employment & Schooling
Are You Employed?*
- Yes
- No
- Retired
Are You In School?*
- Yes
- No
- How Did You Hear About Us?*

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	Actions

There are no Adults.

Are There Children In The Home?*
- Yes
- No

Add Children

Age	Previous Experience with Dogs	Actions

There are no Children.

Do You Now or Have You Ever Had a Dog?*
- Yes
- No
Have you ever taken care of a dog before (ie dog walker, dog sitter, etc) or have any other dog experience?*
Please Describe*

Add Dogs

Dog's Name	Breed	Age Range	Gender	Actions

There are no Dogs.

Are There Other Pets In The Home?*
- Yes
- No

Add Pets

Pet's Name	Animal Type	Actions

There are no Pets.

Would You Consider:
Select all that apply.
A Mixed Breed Dog*
A Pregnant Dog*
Fostering Bottle Babies*
An Entire Litter Of Puppies?*
Two Dogs*
A Dog That Can Be An Only Pet?*
- A Dog That Has Special Needs?*
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
- Select Gender*
Select Age Range*
Select All That Apply
Select Temperament*
Select All That Apply
Do You Have A Preferred Dog?
List Other Dogs You Are Interested In
When Will You Be Ready To Foster?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products
- Yes
- No
Authorization
Authorization:*
All dogs placed through the Wags Rescue & Referral will be up to date on vaccinations, as is age appropriate. Some dogs available may or may not be spayed/neutered. As a foster you will aid the animal in getting to appointments to get and stay up to date on all vetting. I understand that this is a preliminary application and that if applying for a specific dog, they may no longer be available. If that is the case and I'm approved, I will receive a General approval with or without possible restrictions to foster. If Wags finds that the application responses are not truthful or as honset as possible, the application will be declined. If you have pets and we get a less than satisfactory vet reference showing that your pets are not properly vaccinated, up to date and spayed/neutered, we will decline your application. This includes cats who by Pa state law are required vaccines. Please let your vet know to release information to us. If you do not have a vet reference we require a minimum of 2 personal references.*
- I agree
Email
This field is for validation purposes and should be left unchanged.

Employment & Schooling

Yard Information

Family & History

Feeding & Exercise

Sleep & Alone Time

Behavior & Training

Personal Reference 1

Personal Reference 2

Personal Reference 3

Veterinarian Information

Trainer Information

Foster Care

Would You Consider:

Authorization

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