Foster Application for Mason County Animal Shelter, Maysville, KY

Mandatory questions have a red * beside them. Please answer truthfully. If you have trouble with this form, please come to the shelter to apply in person. Your interest in fostering a dog is appreciated!

Your first name *
Your last name *
Street Address *
Apartment Number (if applicable)
City *
State *
Zip code *
Primary Phone Number * Please use format 555-555-1212
Alternate Phone Please use format 555-555-1212
Email Address
Date of Birth *
Your age *
Which dog or dogs are you interested in fostering? *
How many dogs are you able to foster at one time? *
How long do you wish to foster a dog? *	Short-term (less than a week) 1-3 weeks 1 month Until the dog is adopted
Are you able to foster dogs with medical needs (recovering from spay/neuter surgery or other needs)? *
Will you be able to get the animal(s) to Portable Adoption sites and/or the shelter? *
Would you be willing to volunteer at Portable Adoption sites and/or the shelter?
What type of home do you live in? *
Do you own the home you live in? *
If you do not own your home, what is the homeowner/landlord’s name? *
What is the homeowner/landlord's phone number? *
Are there any breed or size restrictions where you live? *
If there are any dog breed or size restrictions, please explain:
Does your home have room to keep fosters separate from your resident animals if needed due to illness or medical needs? Foster pets must be kept inside and not in outside kennels. *
Have you ever given up an animal? *
If you answered yes that you have given up an animal in the past, briefly explain why *
Have you ever been issued a citation for your pet or had to reclaim your pet from the animal control/shelter? *
Have you ever been convicted of a crime related to the neglect, abuse, or mistreatment of an animal? *
Are there children in your home? *
If there are children in the home, what are their ages?
List all current pets in your household including species (dog, cat, etc.), breed, age, and health). If there are none, answer N/A. *
Are all dogs and cats in your household spayed or neutered? (Proof from your veterinarian is required.) *	Yes No N/A
Are all dogs and cats in your household current on all vaccinations? (Proof of vaccinations for your pets is required; dogs require DA2PP, rabies and Bordetella; cats require FVRCP, rabies and feline leukemia.) *	Yes No N/A
Are all dogs and cats in your household dewormed?	Yes No N/A
Who is your veterinarian? *
Veterinarian Phone Number *
How many hours per day will the pet be left alone? *
Do you agree to crate your foster inside your home when you are away? *
Please briefly explain how you will contain the foster when you are not at home. *
Does your home have a pet/dog door? *
Do you have a fenced yard? *
If you have a fence, what type and size? *
If you do not have a fence, how do you plan to keep the dog in your yard? *
Please list at least 2 references names and phone numbers. *
Other Information or comments