Date
Your Name
Your Age
Street Address
City
State
Zip Code
Home Phone
Cell Phone
Work Phone
Email Address
Types of dogs you would be interested in fostering: (check all that apply)	Puppies Adults Pregnant or Female with Pups Abandoned or Bottle Feeding Pups
Type of Dwelling	HouseApartmentOther
Do you own or rent your dwelling?	Own Your HomeRent
If renting, Landlord's Name and Phone Number
Do you have a fenced yard?	YesNo
If fenced, what type and height is your fence?
Number of Adults in Home
Number of Children in Home
List Ages of Children
Veterinarian's Name
Clinic Name
Clinic Address
Veterinarian / Clinic Phone
Names of animals taken there
Are all of your current pets up-to-date with vaccinations and either spay or neutered?	YesNo
Do you have any previous foster experience?	YesNo
If you have previous foster experience - please describe below
Please let us know why you are interested in fostering
List name, breed, gender, age, spayed/neutered status for each of your current pets
Have you had pets in the past?	YesNo
List type, how obtained, how long kept, what happened to pet for each of your past pets
Are you willing to allow for an adjustment period when your foster dog arrives?	YesNo

Foster Agreement
We are looking for permanent, responsible homes for the animals leaving our care. Every year millions of animals are surrendered to animal shelters because owners allow them to breed indiscriminately or decide they no longer want the responsibility of caring for a pet. Dogs are not disposable objects. We realize that adopting a pet is a LIFETIME COMMITMENT. It is our hope that prospective owners are aware of this also. Therefore, our policies are strict for the sake of our animals.

　
　

Hanover Veterinary Hospital
12515 Wicker Ave.
(Route 41)
Cedar Lake, IN
(219) 374-9443

Dr. Coyne
Forest South Animal Hospital
24341 Western Ave.
University Park, IL 60466
(708) 672-6166

Dr. Reed
Westchester Animal Clinic
Porter, IN
(219) 926-1194
(near Splash Down Dunes)