Foster – Healing Tails Service & Therapy Dogs

Foster Application

First Name

Last Name

Age & DOB

Phone

Address Line 1

Address Line 2

City

State

ZIP Code

Do you live in a...

Do you own or rent your home?

If renting, do you have approval to foster a dog? Please provide contact information for your landlord.

How many people live in your household? (ages of children if applicable)

Does anyone in your household have allergies to dogs?

Is everyone in your household in agreement to bring a foster dog into your home?

Do you have other pets? If yes, please list their species, size, breed, age, sex, and any behavioral concerns.

Are they spayed/neutered?

Are they up to date on vaccines?

Have you ever fostered before? If yes, please explain

How long are you willing and able to foster a dog?

Are you able and willing to attend vet appointments and weekly training with your foster dog to assist in their training for future placement as a service or therapy dog?

Are you willing to participate in training and follow the all training guidelines with your foster?

Do you have access to a vehicle you can drive to bring your foster dog to events and appointments?

If no, please explain

Have you ever or are you currently fostering with any other rescue organization?

If yes, which one(s)?

Do you have preference in sex of foster?

What size dog are you willing to foster? (check all that apply)

Small Medium Large

Are you able and willing to medicate your foster, even if just a regular preventative?

We cannot guarantee a dog to be housebroken, are you equipped to train with love and patience?

How many hours in a day would your foster be left alone?

Character Reference #1 Name & Phone

Character Reference #2 Name & Phone

Character Reference #3 Name & Phone

By submitting this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Healing Tails animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Healing Tails and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog. I accept full responsibility for the dog(s) actions at all times, and release Healing Tails from any liabilities or damages that may be incurred because of fostering such dog(s). I agree to have Healing Tails complete reference call checks and conduct a home visit inspection to be able to approve my foster application. I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Healing Tails and try to give Healing Tails a 2 week period to try and find another suitable foster for the dog(s).

Anything Additional you would like to share about yourself or your experience?

Upload image of Driver License or other photo ID

Electronic Signature (type your name below)

Foster Application

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