Reggie's Friends Foster Application
All potential foster homes are screened for suitable placement of animals. By submitting this application, you give permission for Reggie’s Friends to investigate and confirm the information provided. All forms become the property of Reggie’s Friends. Pleases note that Reggie’s Friends may refuse placement of an animal for any reason.
Applicant First Name *
Your answer
Applicant Last Name *
Your answer
Applicant Age *
Your answer
Applicant Occupation *
Your answer
Spouse/Partner's First Name (if applicable) *
Your answer
Spouse/Partner's Last Name (if applicable) *
Your answer
Email Address *
Your answer
Drivers License Number *
Your answer
Drivers License State *
i.e. TX
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Which phone number do you prefer to use? *
Can your preferred phone receive text messages?
Street Address *
i.e. 1234 Fake Street
Your answer
City *
i.e. Houston
Your answer
State *
i.e. TX
Your answer
Zip Code *
i.e. 77079
Your answer
How long have you lived at your current residence? *
Your answer
Do you own or rent your home? *
If you rent your home, please give us the name and telephone number of the homeowner, landlord or other property management entity. *
If you own your home please write "NA"
Your answer
Have you contacted your landlord or rental property management regarding fostering dogs? *
Does your landlord or rental property management have any breed, size, age, or quantity restrictions regarding pets? *
If your situation is not described here, please select "other" and tell us about your specific restrictions.
Required
Does your lease require a pet deposit? *
If a pet deposit is required, has it been paid? *
Veterinary Information
Please list your current personal veterinarian's information *
i.e. Houston Veterinary Services, 1234 Fake Street, Houston, TX 77079, (713) 555-4260
Your answer
I hereby give permission for any veterinarian providing service to me to release medical information on any and all of my animals to a representative of Reggie’s Friends *
Please sign your name
Your answer
About You and Your Household
Have you fostered before? *
If you answered "Yes" above, for which organization did you foster? *
If you answered "No", please write "NA" below.
Your answer
What are your expectations of Reggie’s Friends? *
Your answer
What responsibilities, if any, are you NOT willing to accept? *
Your answer
Are you willing to commit to fostering the animal until it is adopted? *
If not, please tell us why.
Your answer
Do you understand that Reggie’s Friends is unable to project how long the animal may need to be fostered? *
Your answer
Are there other adults in your household? *
If you answered "Yes" above, give their names, ages, occupations, and indicate if each is committed to becoming a foster family. *
If you answered "No", please write "NA" below.
Your answer
Are there children in your household? *
If you answered "Yes" above, give their names and ages. *
If you answered "No", please write "NA" below.
Your answer
Will any of your children be responsible for caring for your foster dog? *
If you answered "Yes" above, please explain those responsibilities. *
If you answered "No" or "NA", please write "NA" below.
Your answer
Is anyone in your household allergic to animals? *
If you answered "Yes" above, please explain those allergies. *
If you answered "No", please write "NA" below.
Your answer
Are there a lot of children in the neighborhood and/or are you frequently visited by children? *
If you answered "Yes" above, do any of them have access to your yard / kennel / house when you are not at home? *
If you answered "Yes" to either of the last two questions please explain, taking care to indicate how you intend to prevent them from teasing a dog, letting a dog out either intentionally or by accident, or doing any other thing that might be detrimental to the welfare of a foster dog *
If you answered "No" to both questions please write NA.
Your answer
How many pets do you currently have in your household? *
Please provide the ages, sexes, and breeds of each current pet. *
If you do not have any pets, please write "NA" below.
Your answer
Are your current pets spayed/neutered? *
If you do not have any pets, please write "NA" below.
Your answer
Are your current pets up to date on vaccinations and heartworm preventative? *
If you do not have any pets, please write "NA" below.
Your answer
Are you able to keep the foster separated from your personal pets if necessary? *
Your History with Dogs
How many years have you been involved with dogs? *
Your answer
Have you ever been bitten or attacked by a dog? *
If you answered "Yes" above, please explain the circumstances. *
If you answered "No", please write "NA" below.
Your answer
Are you comfortable approaching dogs that you do not know? *
If you answered "No" above, please explain. *
If you answered "No", please write "NA" below.
Your answer
Are you willing to assume the risks involved with working with animals that are sometimes frightened and in unfamiliar surroundings may become responsive/fear aggressive? *
If you answered "No" above, please explain. *
If you answered "Yes", please write "NA" below.
Your answer
When discipline is necessary, please describe the techniques you will use. *
Your answer
Please check the areas of evaluation you are able to provide: *
Required
Please check the level of training you are able to provide: *
Required
Do you have the experience to handle dogs with severe behavioral problems (such as aggression, separation anxiety, fear biting, etc.)? *
Your answer
About Your Home
What type of home do you live in? *
Required
Do you have a yard? *
Is your yard fenced? *
If you do have fenced yard, how high is the fence? *
If you answered "NA (no yard)" then please write NA below.
Your answer
Does your yard have a covered patio area or shaded areas? *
Do you have a pool? *
Is your pool fenced off? *
Your Lifestyle
Is there anyone home during the day? *
Your answer
How many hours (approximately) would the foster(s) be alone? *
Your answer
Where will the foster stay during the day? *
Your answer
Where will the foster stay at night? *
Your answer
How often do you travel? Will you be able to let Reggie's Friends know about travel plans ahead of time? *
Your answer
Digital Signatures
I understand and agree that adoption of your foster pet MUST go through Reggie’s Friends’ adoption process and may not be placed solely by you? *
Please Initial
Your answer
I agree and understand that if you do find a possible permanent home for your foster pet, you will contact Reggie’s Friends so that a Reggie’s Friends representative can contact the potential adopter? *
Please Initial
Your answer
I understand and agree that if at any time I am no longer able to foster, the dog(s) must be immediately returned to Reggie’s Friends (I am not allowed to find new placement for the dog) *
Please Initial
Your answer
I understand and agree that all major medical decisions must be made by a representative of Reggie’s Friends. *
Please Initial
Your answer
By typing my name below I, Applicant, hereby authorize this organization to check all the provided information. I certify that all information provided by me in connection with my application whether on this document or not, is true and complete, and I understand that any misstatement, falsification, or omission of information shall be grounds for termination of this application. I acknowledge that Reggie's Friends reserves the right to refuse any foster application. *
Please sign your name
Your answer
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