Ages of Children at Home:
Vet Name:
Vet Address:
Vet Phone:
1. Why
do you want to provide a foster home?
2. Please
check the ways you can help:
Adult dogs:
small
large
male
female
Adult cats:
male
female
3. What animals do you
presently have?
# of dogs:
# of cats:
Other Animals
(specify):
Give breed
or description, sex, and ages of all pets:
Spayed/Neutered?
Yes
No
4. Have
you ever cared for young kittens/puppies before?
Yes
No
5. Do
you have a fenced yard?
Yes
No If yes, how high is it?
6. Type
of fence:
Same height all around?
Yes
No
If not, lowest height?
7. Do
you:
Own
Rent
House
Condo
Apt.
Mobile Home
If renting, please give name and telephone number of landlord:
8. Do
you have screens on all of your windows?
Yes
No
9. How
will you transport your foster pet(s)? Type of vehicle(s):
Small Car
Med. Car
Large Car
Van
Closed Truck
Open Truck
Other (specify)
10. Do you have a pet carrier?
Yes
No
What size?
11. How many hours a day will your foster pet(s) be left
alone?
12. Where will your foster pet(s) be at this time?
13. Describe the area where you intend to house the foster
pet(s). Please be specific. Outside: (e.g. fenced yard, dog run, kennel, enclosure,
etc.). Inside: (specify room):
ALL FOSTER PETS
MUST BE KEPT INDOORS!
14. Is anyone in your home allergic to animals?
Yes
No If yes, please explain:
15. If on vacation, who will be responsible for your pet(s)?
16. How would you deal with a potential problem, such
as housetraining, barking, digging, scratching, or chewing?
17. Under what circumstances would you not keep these
foster pet(s)?
18. Would you object to a visit on your property with
an Autumn Acres representative?
Yes
No
19. Are you willing to network the foster pet(s), interview
prospective adopters, and bring foster pet(s) to adoption events?
Yes
No
What is the best time to telephone you?
In order to protect your own pets pets, it is essential
that they be up to date on the following vaccinations:
DOGS: DHLPP, BORDETELLA & RABIES
CATS: FVRCP, RABIES, & FELV
Your Signature and Date