Foster Application - Ontario Canine Rescue

Foster Application - Ontario Canine Rescue
Please note that all fields followed by an asterisk must be filled in.
First Name* First Name*
Last Name* Last Name*
E-mail Address* E-mail Address*
Street Address* Street Address*
City* City*
State/Prov* State/Prov*
Zip/Postal Code* Zip/Postal Code*
Home Phone* Home Phone*
Business Phone
Age* Age*

Who will be the primary foster care provider* Who will be the primary foster care provider*

How long will the dog(s) be without human companionship on a daily basis* How long will the dog(s) be without human companionship on a daily basis*

Where will the dog(s) be kept during the day* Where will the dog(s) be kept during the day*

Where will the dog(s) be kept during the night* Where will the dog(s) be kept during the night*

What type of dwelling do you live in* What type of dwelling do you live in*

Do you rent or own* Do you rent or own*

If renting, please provide landlord's name and number

Do you have a fenced yard* Do you have a fenced yard*

If yes, please describe height, material etc

Number of adults in your household* Number of adults in your household*

Number of children in your household* Number of children in your household*

Ages of household members* Ages of household members*

Are all members of your family aware of your decision to foster* Are all members of your family aware of your decision to foster*

Please describe the dog experience the members of your household have* Please describe the dog experience the members of your household have*

Is anyone in your family allergic to animals, please describe* Is anyone in your family allergic to animals, please describe*

Would you be willing to allow a representative from our organization to visit your home prior to begining to foster:* Would you be willing to allow a representative from our organization to visit your home prior to begining to foster:*

Please list the pets you currently own* Please list the pets you currently own*

Name and number of vet for above animals* Name and number of vet for above animals*

If you currently own other pets are they up to date with their vaccinations* If you currently own other pets are they up to date with their vaccinations*

If you currently own other dogs are they on heartworm prevention* If you currently own other dogs are they on heartworm prevention*

How many dogs do you feel you can foster at one time (1 is perfectly acceptable)* How many dogs do you feel you can foster at one time (1 is perfectly acceptable)*

Are you able to foster special needs dogs who may require special medical treatment (costs paid for my rescue)* Are you able to foster special needs dogs who may require special medical treatment (costs paid for my rescue)*

Are you able to foster a dog that may have been abused and requires extra support* Are you able to foster a dog that may have been abused and requires extra support*

Are you able to foster a senior dog* Are you able to foster a senior dog*

Are you able to foster a puppy or puppies* Are you able to foster a puppy or puppies*

Is there any additional information you would like to share with us?

Please enter the word that you see below.

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