Foster Application – Carly's Way

Personal Information

First Name:*

Last Name:*

Date of Birth*

Date:

MM

DD

YYYY

Home Address:*

Street Address City State ZIP Code

Home/Cell Phone:*

Work Phone:*

Email*

Emergency Contact:*

First Name Last Name

Relationship*

Emergency Contact Phone:*

Household Information:

Please list all family members that will be living with the animal*

Name	Relationship	Age

Is anyone in your home allergic to animals?*

Yes
No

Please give us more detail about your pet allergies

What type of housing do you live in?*

Do you rent, lease, or own?*

Own
Rent
Lease

If renting/leasing, are there pet restrictions?

Yes
No

Please give us more details about the pet restrictions

Do you have written permission from the owner/manager to keep a foster animal?*

Yes
No

Do you have a yard?*

Yes
No

Is yard open or fenced?

Open
Fenced

Type of fence:

Height:

Do you have a pool?*

Yes
No

Current Household Pets:*

Type of Pet	Age	Sex	Spay/Neutered	Years owned	Inside/Outside Pet

If you have dogs, are they current on their vaccines? (Rabies,Bordatella, DHLPP)

Yes
No

If you have cats, are they current on their vaccines? (Rabies,FVRCP,FELV)

Yes
No

How many hours during the average day will this dog/cat spend without a human?*

Where will the foster dog/cat be when someone is home?*

Where will this foster dog/cat be when alone?*

Where will foster dog/cat sleep at night?*

Dog / Cat Experience Level

Have you ever owned a dog or cat as an adult?*

Dog
Cat
Both
Never owned dog or cat as an adult

Did you have a childhood dog or cat?*

Dog
Cat
Both
Never owned dog or cat as a child

Describe your level experience with dogs and/or cats? (Please check all that apply)*

Have experience working with on-going medical problems with personal dog/cat
Have experience working at a boarding/resort/pet sitting service
Have experience working with behavior problems with a personal dog/cat
Have experience working in a veterinary hospital
Am a professional dog trainer
Have experience with powerful breeds
Have previous foster/rescue experience

If you have previous foster/rescue experience, please explain

Please note any additional information that will assist us in the proper foster pet for you*

Carly’s Way Animal Rescue is a 501(c)(3) non-profit organization

Carly's Way Animal Rescue Foster Application

Personal Information

Household Information:

Dog / Cat Experience Level