ARIZONA CHIHUAHUA RESCUE FOSTER APPLICATION

Please fill out the application below.

    Name

    Email Address

    Address

    City

    State

    Zip

    Cross Streets

    Home Phone

    Cell Phone

    Alternate Phone

    Emergency Contact:
    Name:

    Phone #

    Any preference in dogs you want to foster?
    (ie: Age, Gender, Special Needs, etc)

    How many dogs are you willing/able to foster at one time?

    Have you had any foster experience?

    If yes, please describe, please include which groups and what type of animal fostered

    Have you adopted animals before?
    If yes, please give details

    Have you had animals before?

    What kind?

    What happened to them?

    How many animals do you currently have?

    Please list your current animals below:

    Animal #1:
    Kind
    Breed
    Age
    Gender
    Spayed/Neutered?
    Vaccinated?
    Next vaccines due date:

    Animal #2
    Kind
    Breed
    Age
    Gender
    Spayed/Neutered?
    Vaccinated?
    Next vaccines due date:

    For additional animals please add the requested information below:

    About your home and family:
    We Rent:

    If you rent does your landlord allow dogs?

    Are there any breed restrictions?

    Any restrictions on the number of dogs you may have?

    Please attach confirmation from landlord stating the number of dogs you are allowed

    We Own:

    If you have a homeowner association do the regulations allow dogs?

    Are there any breed restrictions?

    Any restrictions on the number of dogs you may have?

    Please attach confirmation from HO Assn stating the number of dogs you are allowed.

    Does your residence have a dog door?

    Is your yard fenced?

    If so, what type of fence?

    How tall is your fence?

    Does your home have a pool?

    If yes, will the foster dog(s) be blocked from pool access when unattended?

    How many children live in your home?

    List their ages

    How many adults live in your home?

    Is anyone in your home allergic to dogs?

    How often do children visit your home?

    How many hours per day would your foster dog(s) be unattended while your family
    is at work or school?
    Please give details:

    Where will foster dog(s) be kept during the day while you are away?

    Where will foster dog(s) be kept during the night?

    Our family's activity level is:

    The applicant agrees to be the primary caregiver, and any/all foster dog(s) will be cared for at the home address listed above. If for any reason that arrangement needs to change, prior approval is required.

    Please sign below:

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