Foster Application
Foster parents save lives! Become a PHR foster parent today!
Name
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Email Address
Your answer
Occupation
Your answer
Do you OWN your home or RENT?
Your answer
Landlord NAME, ADDRESS & PHONE NUMBER
Your answer
How many adults are in your home?
Your answer
How many children are in your home?
Your answer
Ages of Children
Your answer
What is the activity level in your home?
Is your yard completely fenced?
Your answer
What type of fencing?
Your answer
How many pets are in your home?
Your answer
Type of Pet (s); BREED & AGE
Your answer
Are your pets on Heartworm/Flea/Tick Prevention? If so, what brand?
Your answer
Are your pet(s) spay/neutered? If not, please explain.
Your answer
Veterinarian NAME, NUMBER & ADDRESS
Your answer
How much time do your dogs spend outside?
Your answer
How much time do your dogs spend outside alone?
Your answer
Where do your dogs stay when nobody is home?
Your answer
What is your feeding routine for animals in the home?
Your answer
Tell us about your experience with animals: (owned, fostered, volunteered, etc.)
Your answer
Are you willing to foster pets with medical needs?
Your answer
Pets that aren't housebroken?
Your answer
Pets needing socialization?
Your answer
Adult dogs?
Your answer
Large Breeds?
Your answer
Small Breeds?
Your answer
Puppies?
Your answer
Nursing Moms & Puppies?
Your answer
Cats?
Your answer
Thank you for your interest in fostering for us. Please understand that we do try to fit all of our fosters with the best match possible. By filling out this application, you do not hold Pure Hearts Rescue accountable for any damage or destruction that your foster may incur while his/her stay at your home.
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