PAWS For Life

Foster Parent Application


Fill out the form below (circle items where appropriate) and mail to:

Name____________________________________        Date:_____________

Address:__________________________________________________________

City, State, Zip:_________________________________________________

Day Phone  (   )_____________  Work phone (   )___________________
                               if OK to contact you there

E-mail address:___________________________________________________

Do you rent or own your home?                   Rent      Own

If you rent, do you have permission from your landlord to have 
animals in the dwelling?                        Yes        No

Do you have a fenced yard?                      Yes        No

Type and height of fence:__________________________________________

How many people live in your household? 

     Adult__________     Children________

     Ages of Children:___________________

Do you currently own other pets?                Yes       No

Please list your Pets:
     Species                     Sex    Altered   Age
	
     ___________________________  M/F     Y/N    _________
	
     ___________________________  M/F     Y/N    _________
	
     ___________________________  M/F     Y/N    _________
	

If not altered, please explain why._________________________________

____________________________________________________________________

Are dogs and cats healthy and vaccinated?        Yes       No

Have you had any diseases such as parvo, 
FELV or FIV in your household?                   Yes       No
If yes, when:________________________________________________________

Where will you keep the foster animal when you're home?______________

_____________________________________________________________________

Where will you keep the foster animal when you're not home?__________

_____________________________________________________________________

How long can you foster an animal or litter?_________________________

Please check which animals you'd be willing to foster:

____  Adult Cats              ____  Kittens without mother
		
____  Adult Dogs              ____  Puppies without mother

____  Other (small animals)   ____  Kittens with mother

___________________________   ____  Puppies with mother

Have you fostered animals for any other organization? Yes   No

If yes, which organization:__________________________________________

May we do a home check?     Yes          No

Are you willing to attend a class to learn how to train a dog?  Yes No

Are you willing to housetrain a dog?                            Yes No

Why do you want to foster?____________________________________________

______________________________________________________________________

______________________________________________________________________


Vet name and phone No.:_______________________________________________

I understand that my participation as a foster parent for PAWS for Life 
is strictly on a volunteer basis. I agree to release PAWS for Life, Inc., 
a nonprofit organization, from any liability of injury, illness, or 
damage to person or property that I, my family, my pets, or visitors to 
my home may receive while volunteering as a foster parent for PAWS for 
Life, Inc.

Signature:_________________________________________  Date:______________