Date:

Applicant's Full Name:

Address:     

City/State/Zip:

Email Address:     

Home Phone:     Work Phone:     Cell Phone:

Work Location:

1. Which would you prefer to foster? (Choose all that apply) Puppy Dog Younger Adult Senior   Small Medium Large     Specific breed:

2. How many fosters are you willing to have at any given time?

3. Are you willing to paper-train and/or house-break a puppy? Yes  No

4. What is your method of paper-training and/or house-breaking?

5. Are you willing to foster the dog/puppy until it is successfully adopted? Yes No

6. Sometimes a foster can remain with a family for several months. Do you have a time limit on how long the foster may remain with you? Yes No    If there is a set time limit, please explain.

7. Do you own a crate to house the dog/puppy while unattended? Yes No

8. Do you agree to hold LAAR harmless from any damages to your home that may occur due to not keeping the animal crated when unattended? (Note: It will be assumed if the damage is substantial, the dog was not crated while unattended.) Yes No

9. Please describe your experience with handling dogs with respect to behavioral discipline (such as chewing, loud barking, etc.)

10. Are you willing to continue fostering the dog/puppy if it becomes ill? Yes No

11. Are you willing to make any necessary medical office visits, administer medications and/or provide special diet to a foster dog if necessary? (Foster families are required to supply food, toys and items of comfort for a foster dog. LAAR will cover only those medical expenses that have been pre-approved prior to an office visit and must be rendered by an approved LAAR veterinarian.) Yes No

12. In case of illness, are you able to separate pets in the household? Yes No

13. Do you agree to hold LAAR harmless from infections and diseases to your pet(s) that are spread by a foster dog? (LAAR will only cover the medical costs for a LAAR foster.) Yes No

14. In which type of dwelling do you live? Apartment Duplex Condo Town Home            Single Family House Single Family Mobile Home Other

15. Do you rent or own your dwelling? Rent Own

16. If you rent, please provide the name, address and phone number of your landlord. (Please attach proof to this application that you are allowed to have animals in your rented dwelling. If submitted online, proof can be submitted via email to LAAR.)

Landlord Name Phone

Street Address, City/State, Zip

17. Do you have a fenced in yard? Yes No

18. If yes, what type of fencing: Wood Chain Link Brick Wall Other

19. How high is fencing: 4 feet 5 feet 6 feet Other    

20. If you do not have a fenced-in yard, do you agree to walk the dog only on leash?                             Yes No N/A

21. Will the foster dog ever be outdoors unattended? Yes No

22. Do you own a pet(s)? Yes No

23. If yes, please list names and breeds.

24. Is your pet(s) spayed or neutered? Yes No    If not, please explain.

25. Is your pet(s) current on the following?

    Heartworm preventative Yes No    Type of heartworm preventative:                                           

    Parasite (worm) control Yes No  Type of parasite (worm) control:

    Flea control Yes No  Type of flea control:

    DHLPP Boosters Yes No

    Bordetella (kennel cough) Yes No

26. What is the name of your current veterinarian:

27. Clinic Name: Phone:

28. Has your pet(s) had experience with dogs in the household? Yes No

29. If not, please explain how you will handle the introduction and/or problems that may arise:

31. Does anyone in the house have any known allergies to dogs? Yes No

32. How many hours per day will the foster dog be alone?

33. Have you ever applied for or adopted a dog from LAAR? Yes No    If yes, what was the animal's name at time of adoption?

34. Are you prepared to bring the foster dog to all adoption opportunities? Yes No

35. Do all appropriate family members agree to this foster program? (Their signature will be required below.) Yes No

36. Do you agree to unannounced visit(s) from a LAAR Director to your home Yes No

37. Do you agree to notify LAAR in advance of needing to have the foster dog/puppy placed elsewhere and to allow sufficient time, which may take several weeks, to locate a new foster home?                    Yes No

38. Do you agree to not place the foster animal with anyone other than a person who has been pre-approved by a LAAR Director? Yes No

39. Do you agree to surrender the foster dog if requested to by a LAAR Director? Yes No

40. Most of these dogs come from histories of abuse or neglect. If accepted, you will be given Foster Guidelines that recommend the fostered dog be watched initially for signs of destructive behavior. If destructive behavior is noticed, there are steps to take such as verbal and physical praise but only verbal disapproval, etc. Do you agree to isolate or otherwise handle any destructive behavior appropriately without the use of physical discipline? Yes No

41. By checking this box I understand that, if approved, this is considered a signed contract.

Signature

Signature

Promise to Foster Families: Lost Angels Animal Rescue will never knowingly place an ill dog or a poorly socialized dog in a foster family without first apprising the foster family of the situation. Thank you for your application.

       
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