Foster Application Form - Cincinnati Lab Rescue

Today's Date: *

First Name *

Last Name *

Email *

Address 1 *

County *

City *

Zip / Post Code *

Home Phone *

Mobile Phone

Work Phone

Please list names and ages of all additional persons living in household: *

Has anyone in your family demonstrated an allergic reaction to animals? *

yes
no

Are ALL family members supportive of fostering a dog? *

yes
no

Part of our review process is a vet check, so please provide us with complete veterinarian information for your pets (dogs and cats)-past and present. If you have used more than one vet, please provide that information. Many vets require your permission to release medical information to CLR. Please notify their office.

Also, please be sure to provide us with the correct owner's name so your vet's office can access the information.

Veterinarian *

Vet Phone

Please provide the following information for all your present and former pets: NAME, BREED, AGE, AND GENDER: *

Are your present pets current on Vaccines/Annual Checkup? *

yes
no

Have all your pets been Spayed/Neutered? *

yes
no

If not, please explain:

Heart-worm test and prevention *

yes
no

Heart-worm prevention product: *

Flea/Tick prevention: *

yes
no

Flea prevention product: *

Rabies Vaccine *

yes
no

Fecal Test: *

yes
no

If you rent, does your landlord allow pets? Please provide your landlord's NAME, PHONE, and EMAIL:

Due to your family's working obligations, we would like to know how long your foster pet would be left alone on an average work day. *

0-4 hours
5-7 hours
8-10 hours
+ 10 hours

Please provide the type and height of your fence. *

Will your foster pet be kept inside or outside? *

inside
outside

Please specifiy where your foster pet be kept during the daytime hours and during the night. *

What are your plans for crate use? *

Where will your foster pet be kept when you are not home? *

Have you ever taken a dog through formalized obedience training?

Are you aware of the possible damage that a dog/puppy can cause to you or your possessions,including accidents, soiling, biting/scratching, chewing, etc.? *

How will you handle the situation if your foster causes any damage?

Would you consider fostering a dog over 5 years old?

yes
no
no preference

Please share with us why you are interested in fostering.

Have you previously fostered a dog?

yes
no

If you have previously fostered, would you please share that expereience?

Do you agree that you have read, understand and accept the above Pet Fostering Agreement? *

yes
no

Help us prevent spam. What is 3 + 5? *

Fostering is important. Thank you!

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