First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone
x

Cell Phone*

Which dog are you interested in fostering? *

Are you married? *

Are there children in the home? *

What are the ages of ALL persons living in the home?*

Do you currently have pets living in your household? Please list name, age and breed

Are the animals in your home currently, spayed and/or neutered? *

Is your yard fenced

Do you give your pets heartworm prevention consistently? *

Are all the pets in your home currently, up-to-date on vaccinations? *

I understand that I may be asked for proof of vaccinations, heartworm prevention and spay/neuter if discrepancy with vet reference.*

I understand and agree that a representative from Tired Dog Rescue WILL CALL my vet(s) to acess my current and past pet's medical history. I agree to call my vet in advance and give permission for a Tired Dog Rescue to obtain my pets records pertaining to spay/neuter, shots, and Heartworm prevention. *

List ALL VET CLINICS that you have used in the past or are currently using PLEASE INCLUDE PHONE NUMBERS. SPECIFICALLY the vet's who have done vaccinations and prescribed heartworm medicine. If no pets please write N/A *

What type of fence
Choose one: Privacy Chain Link Invisible

Will the animal be kept inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

Would you be willing to foster dogs with health issues?

What age preference? Senior (8 and older) adult (4-8) young (0-4)

What gender do you prefer? Male or Female or doesn't matter

I understand and agree that the current rescue makes no guarantees about the animals temperament and is not responsible for future damages or injuries cause by the animal. "TDR will provide guidance on any known behavioral issues upon receiving an animal for fostering. However, TDR does not guarantee the behavior of current or future fosters. The foster agrees to hold TDR harmless in case of adverse behavioral issues with any current or future animals." *