Dog Foster Application

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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*
Are You Planning to Move In The Near Future?*
- Yes
- No
Home Phone Number
Work Phone Number
Cell Phone Number*
Emergency Contact Number*
Preferred Method of Contact
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
  - Retired
- Full or Part Time?*
- Name of Employer*
- How Long Employed There?*
- 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*

Pet's Name	Animal Type	Sleeping Quarters	Actions

There are no Pets.

Would You Consider:
Select all that apply.
A Mixed Breed Dog*
A Pregnant Dog*
Fostering Bottle Babies? Unweaned puppies?*
Two Dogs*
An adult dog?*
A puppy?*
A mother with nursing puppies?*
Sick or in Need of Medical Attention?*
Injured dog?*
Long term hospice care?*
A bully breed (i.e. Pit Bull)?*
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?*
- 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
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:*
Chez Malinois, Inc. dba Rescue Garage (and ultimately the Board of the aforementioned) determines the eligibility criteria for the foster care program, decides which animals are eligible for foster care, and authorizes fosters from an approved list of applicants. Rescue Garage requires all interested parties to complete and submit a foster application and may deny any application for any reason. All dogs placed through the {RescueGroupName} will have health checks, personality and temperament evaluations. I understand that Rescue Garage may not know everything about the dog, including behavior, past history and hidden health issues. , and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Dog available in rescue at this time. I understand that if a Dog should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; that my application will be kept on file until I notify the [RecueGroupName] that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree *
- I agree
Email
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Foster

Employment & Schooling

Yard Information

Family & History

Sleep & Alone Time

Behavior & Training

What Behaviors are you UNPREPARED for in FOSTERING an animal?

Personal Reference 1

Personal Reference 2

Veterinarian Reference

Foster Care

Would You Consider:

Authorization

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First Name	Last Name	Age Range	Are They Employed?	Actions

There are no Adults.

Name	Age	Gender	Previous Experience with Dogs	Actions

There are no Children.

Dog's Name	Breed	Age Range	Gender	Actions

There are no Dogs.