PUTNAM PET PALS

FOSTER HOME APPLICATION

NAME:

STREET ADDRESS:

CITY STATE   ZIP

E-MAIL ADDRESS

HOME PHONE CELL PHONE

NAMES AND RELATIONSHIPS OF OTHERS IN THE HOUSEHOLD (INCLUDE AGES OF CHILDREN)

Does anyone in the household have allergies to animals? Yes   No

Type of housing (check all that apply):

 Own Rent Live with parents House Condo Apartment Mobile Home

 Landlord’s name and telephone number

 Where will the dog stay when you are not at home?

Where will the dog stay at night?

Describe the dog's play area:

Do you have a fenced yard? Yes No  If yes, how tall is the fence?

On average, how long will the dog be left alone each day?

Are you familiar with crate training? Yes No

How will you exercise the dog and how often?

Please describe all current pets:

Type &Name of pet          Age   Sex      Spayed/Neutered     Vaccinated   Kept (In/Out)

 Are the above animals friendly with other dogs?Yes  No

Have you received any formal obedience training with your dogs?   Yes       NO

About how much time each day will you have to spend with the dog?

Are you willing and able to pay for the feed and basic care of the dog?   Yes       No

Are you able and willing to transport the dog to the veterinarian, groomer… Yes       No

Are you willing to housebreak a dog?    Yes     No

Do you have any physical limitations?      Yes     No

What size and breeds of a dog are you willing to foster?

How long would you be willing to keep your foster dog?

Who is your veterinarian?

Type the following word into the box before submitting - pets