Pet’s name:

Address:

City: 

State:

Zip Code:

Cell:

Employer:

Living Circumstances: 

Housing Type: 

Do you:

If rent, please provide Landlords Name: 

Landlords Phone Number:

Is there a deposit for pets:

How many people live with you:

Ages: 

Do all members support fostering?

Does anyone in the household have pet allergies?

Have you ever fostered an animal before?

If so, please explain:

Do you have a fenced-in yard: 

Where will the pet be kept during the day and night?

Release of Liability

I, _________________________, will not hold Pet Savers liable if the dog or cat harms anyone while in my care, including other pets or animals. I will keep the shelter pet as safe as possible, and I understand that Pet Savers does not guarantee anything about the pet’s personality or health other than it has had reasonable vaccinations, rabies, parvo/distemper and feline distemper for cats, if the animal is old enough.