Name:*
Address:*
Phone:*
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E-mail:*
Age:*
How did you hear about Take Me Home Dog Rescue:
Occupation/Employer:*
Employer Address/Phone number:*
Name of dog you would like to foster:
What are your reasons for wanting to foster:*
Have you ever fostered for another rescue group:*
If yes, please list the name(s) of the rescue and indicate how long ago:
Do you have any other pets:*
If yes please list:
If you have other dogs, please list their breed, age sex and personality:
Are all other pets spayed or neutered:*
Do you live in:*
Do you:*
If renting/leasing, do you have the landlord's permission to have a dog:*
If renting/leasing, what is the pet weight limit:
Are there any breed restrictions where you live:*
Please provide your landlord's or complex manager's name and office phone number:
Are you planning to move in the next six months:*
Do you have homeowners/renters insurance:*
How many hours during the average day will your foster dog be without a human:
Where will this dog be kept during the day:*
Where will this dog be kept at night:*
Where will this dog be kept when you are not home:*
Do you have a fully fenced yard with no fence gaps and a secure locking gate:*
If you have a fence how tall is the fence:
How many adults are in your household:*
Are there any children in your household:*
If yes, list name and their ages:
Do any family members have allergies to pets:*
Do you have any experience with dogs:*
If yes, please describe your experience:
Take Me Home Dog Rescue will do a home visit as a part of the foster evaluation. Is this agreeable to you:*
Word Verification: