Foster Application

Thank you for offering your time, once submitted you will be contacted to set up a home visit and discuss which Pitty Paw is perfect for your situation.

I am over 18 Years old *	NoYes
Name - First *
Name - Last *
Address *
City *
State *
ZIP *
Cell Phone *
Email *
Last 4 of Social Security Number (this is kept private and for background check only) *
Do you have a criminal conviction in the last 10 years?	NoYes
Are you willing to undergo a background check?	NoYes
Emergency contact name
Emergency contact number
Do you have dog care experience?	NoYes
Type of Dog Care Experience
Do you own other pets at this time?	NoYes
If yes, please list their names, breeds and ages.
Are all of your pets spayed/neutered?	NoYes
Are your pets current on their vaccinations?	Yes No N/A
Fostering - Short Term	NoYes
Fostering - Long Term	NoYes
Do you own or rent your home?	Own Rent Someone else owns the home Someone else rents the home
Do you have a completely fenced yard?	Wood Chain Link Electric Plastic Iron I do not have a fenced yard
If you do not have a fenced yard, how will you let the dog out to potty and exercise?
Will the dog be predominantly inside or outside?	Inside Outside Both
Do you have reliable transportation?	NoYes
Are you able to drive the dog to vet appointments, Adoption Events, etc.	NoYes
Please provide 2 references, please include name, relationship, phone number and email address *
Date *