Foster Form – Spike’s Rescue

Contact Information

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email *

Employer

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Emergency Contact Information *

First

Last

Emergency Contact Phone

About Your Home

Do you own or rent your residence?

Own
Rent

Do you have a fenced in yard?

Yes
No

How many adults live in your household?

How many childred live in your household

Age range of the children

3 and under
4-12
13-17

Has everyone agreed to take responsibility for this animal

Yes
No

Is anyone in the household allergic to pets?

Yes
No

Existing/Previous Pets

Do you currently have any pets

Yes
No

Where will your foster animals live?

Indoors
Outdoors
Porch
All of the above

Who is or will be your pet's veterinarian?

Veterinarian's Phone Number

What kind of animal are you hoping to foster?

Cat
Dog
Puppy

Do you know the name of the animal you wish to foster?

Is there a particular breed you would prefer to foster?

Do you have an age preference for the animal you wish to foster?

Is there anything you would like to add regarding the type or temperament of the animal you wish to foster?