foster application First Name *Last Name *Date of Birth *Tap/click on the year to changeEmail *Primary Phone *Secondary Phone Address *Address Line 1Address Line 2CityState / Province / RegionZip / Postal CodeEmergency ContactFirst Name Last Name Phone Living ArrangementsDo you: Own HomeOwn ApartmentRent HomeOtherLandlord's first & last name Landlord's Phone # Do you have a fenced in yard? YesNoType of fence: Are there any slats/openings that could allow a small dog in/out? Please list all persons living with you(if none, write n/a)Full name & age Full name & age Full name & age Full name & age Relationship Relationship Relationship Relationship Is everyone in your home aware that you have applied to foster? YesNoIs everyone agreeable to having a foster at home? YesNoIf no, please explain: Animal CarePlease list all animals living with you : (if none, write n/a)Name/Age/Breed Name/Age/Breed Name/Age/Breed Name/Age/Breed Date of last vaccinations: Veterinarian Name Veterinarian Phone Hours per day that foster(s) will be left alone:During the week: Less than 4 hours4-8 hours8-10 hoursMore than 10 hoursDuring the weekend: Less than 4 hours4-8 hours8-10 hoursMore than 10 hoursWhile left alone, foster(s) will be: Individual crateShared crateIn a restricted area of the homeFree to roamOther (please explain)Other: Do you understand that sometimes a complete history and temperament of a rescue dog may not be known? YesNoI only want a foster dog with a known historyAre you able to transport foster(s) to vet and adoption events? YesNoDo you have any concerns about fostering? AgreementBy submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. I understand that if I am accepted as a foster, that I am not the rightful owner of the dog and any medical decisions/rehoming decisions will be made by 2 Mutts Love, inc. I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in an immediate termination of the foster contract and the foster dog to be returned. 2 Mutts Love shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, including claims and damages arising in whole or part from the negligence of 2 Mutts Love. I agree to notify 2 Mutts Love of any injuries such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible. Signature Today's Date: Submit
