Personal Information

First Name *

Last Name *

Home Phone *

Cell Phone *

Email Address *

Date of Birth *

Partner's Name

Partner's Date of Birth

Street Address *

City *

State *

How long have you lived at this address? *

Please provide your occupation and company name. *

Driver's License Number *

Driver's License Issuing State *

Please list all occupants in your home. (Name, Age, and Relation to You) *

Do you have children who visit your home? *

Please provide their ages. *

Animal Section

Do you have other pets? *

Please list their Name, Species, Age, Sex and if they are Spayed/Neutered. *

Who will be responsible for this animal while in foster care? *

What type of residence do you have? *

Do you rent your home? *

Please provide you lanlords Name and Phone Number. *

What type of animals are you willing to foster? *

How many animals are you willing to foster at one time? *

Have you ever fostered shelter animals before? *

Please describe.

Have you ever cared for sick/injured or bottle fed animals before? *

Please describe the situation.

Where will this animal be kept while in your home? *

How many hours per day will this animal be alone? *

How do you plan to discipline this animal? *

Are you willing to housebreak this animal? *

Please describe your backyard and what kind of enclosure you have. *

References and Disclaimers

Please provide a personal reference - NOT related to you. (Name, Phone #, Relationship) *

Please provide the name and phone # of your current veterinarian. *

I have called my veterinarian's office and given authorization for them to speak with Dutchess County SPCA about my care of my pets. *

I understand that this application does not guarantee approval. Approval is contingent on the results of DCSPCA's review process. DCSPCA has the right to reject any application if it is considered not to be in the best interests of the animal. *

For the purpose of fostering, the undersigned certifies that the above statements are true and complete. The DCSPCA retains the right to deny any adoption due to false information, or if the staff believes that it is in the best interest of the animal. *

Dog Foster Application

Personal Information

Animal Section

References and Disclaimers