Name:	Date:
Address:
City:	State:   Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon   Zip:
Day Phone:	Evening Phone:
Email:

Do you live in a:     House   Apartment   Duplex   Townhouse/condo   Mobile

Do you own or rent:     Own   Rent  Name and phone of landlord:

I authorize the landlord, if any, and their agents to release to Hound Rescue any information in my rental agreement that pertains to pet owning and keeping.

I accept the above terms:     Yes   No

Number of adults in household:    Number of children:    Ages:

Is anyone in your family allergic to dogs:     Yes   No  How will they accommodate:

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What pets are currently in your household?
TYPE	NAME	SPAYED NEUTERED?	KEPT WHERE?	BREED/SEX	AGE	YEARS HAD?
DogCat		YesNo	InOut	FemaleMale
DogCat		YesNo	InOut	FemaleMale
DogCat		YesNo	InOut	FemaleMale
DogCat		YesNo	InOut	FemaleMale
Do any of your current pets have behavioral issues that may affect a foster placement with your family (e.g. dominance, scared of other animals, good with males and females (or one or the other only), not housetrained or crate-trained?)  Yes   No If yes, please describe. This will allow Hound Rescue to try to accommodate these issues.
List your previous pets and describe why you no longer have them.
TYPE	NAME	SPAYED NEUTERED?	KEPT WHERE?	BREED/SEX	AGE	YEARS HAD?
DogCat		YesNo	InOut	FemaleMale
Explanation:
DogCat		YesNo	InOut	FemaleMale
Explanation:
DogCat		YesNo	InOut	FemaleMale
Explanation:
DogCat		YesNo	In   Out	Female   Male
Explanation:

Name and phone of veterinarian:

Name of record holder:

I authorize the veterarinarian listed above and their agents to release to Hound Rescue any information pertinent to evaluating my history of pet ownership, if any.

I accept the above terms:     Yes   No

Why do you want to foster this particular pet/breed:

Do you have any preferences or restrictions for animals that you can/will foster (i.e., beagles only, M/F only, etc.):

Do you agree to keep a collar with ID tags, including your contact info, on the pet at all times:     Yes   No

To provide food, medical care, registration and grooming for this pet how much do you anticipate spending yearly:    $100   $200   $300   $400   $500   $600 or more

How will you exercise and interact with your foster pet:

How may hours per day will this pet spend alone:    Why:

Where will you keep your foster pet at night:

Where will you keep your foster pet when you are at work:

How will you confine your foster pet outdoors (check all that apply):     Fence, type and height    Kennel Run   Patio   Garage   Leash   Chain/Tie out/Runner   Other

Where will you keep your foster pet when you travel away from home:

What will you do if your foster pet is destructive (digs, chews, etc.):

Do you know you may have to discipline and/or housetrain your foster pet, which may require time and patience. Are you willing to commit to any necessary training:     Yes   No

How will you prevent your dog from getting heartworms:

Do you agree to make sure that all fosters are spayed or neutered before placing them? (Note that HR and/or the adoption fee will cover the cost of this surgery.):     Yes   No

Would you object to a follow-up call/visit from Hound Rescue:     Yes   No

I accept the above terms:     Yes   No