Your Name (required)
Your Email (required)
Name and ages of all household members (including children/babies and renters):
Street Address where dog will be kept:
City & Province:
Postal Code:
Home Phone:
Work Phone:
Mobile Phone:
Do you currently have any pets? If so, please list their name, breed, age, sex and if they are fixed or intact:
Do your current animal(s) get along with new dogs they meet? Please explain:
How long are you willing to keep a foster dog?: Foster OnlyFoster to Adopt
Are there any dates you CANNOT foster?:
If you are not interested in a specific dog, what size dog is ideal for you?: Extra small (under 10 lbs)Small (10-20 lbs)Medium (20-45 lbs)Large (50-75 lbs)Extra large (80 lbs +)
What dog(s) are you interested in fostering?:
Are there any specific breeds you would not be interested in fostering or adopting?:
If interested in a "power breed" (i.e. pit bull, presa canario, cane corso, bulldog, etc.), do you have any previous experience?: YesNo
If so, what is your level of experience?: No experience, but willing to learn!Some experience, have had a pet or twoLOTS of experience, consider me an expert!
Would you be willing to foster: Senior dogSpecial needs dog (deaf, epileptic, heart murmur, etc.)Recovering from surgeryBehavior issues; reactivity with other dogs, separation anxiety, etc.)
What energy level are you looking for in a foster dog?: HIGH energy - likes to go on very long walks or runs dailyMEDIUM energy - Daily walks, moderate excerciseLOW energy - Couch potato where yard time is sufficient
What qualities would you look for in a foster dog?:
What qualities would you AVOID in a foster dog?:
Are you aware of any restrictions or rules from your landlord, condo association, etc. that would prevent you from fostering a pet? (*It is YOUR responsibility to ensure you are allowed pets at your place of dwelling*): NONESize restrictionsLimited number of petsBreed restrictions
How would you describe your household?: Very quiet - only a few residents and not too many guestsAverage - Not too quiet, but not party animals eitherVERY busy - Lots of people coming and going
Explain a typical weekday in your household:
Explain a typical weekend in your household:
How many hours a day are you able to devote to your foster dog?:
How will you exercise your dog:
How many hours a day would your foster dog be left alone?:
Where will your foster dog be when you are not home?:
Do you have a separate room or area to keep your foster dog(s) away from your animals if necessary?: YESNO
Where will your foster dog be at night when you are sleeping?:
Why are you interested in fostering?:
Shelter dogs have sometimes been in neglectful and/or abusive situations before and therefore, may experience difficulty making the transition to a new foster hohe. Are you willing to be patient while the animal adjusts to the new foster home?: YESNO
Is there any information you need on dog training?: Basic obedience trainingCrate trainingBarking and chewingIntroduction to new animals/pets or peopleSeparation anxietyDogs and children
Are you able to take your foster dog in for routine vet visits at one of our paired up vets if necessary? **PB&Chi covers all vet costs during fostering**: YESNO
If so, which vet be most suitable?: SurreyNorth VancouverLadnerChilliwackAbbotsford
Where is the nearest 24 hour emergency vet in your area?:
If an emergency arose with your foster dog, would you be able to take it to the vet immediately?: YESNO
Are you willing to let a staff member of PB&Chi do a home check?: YESNO
Are you willing to help promote your foster dog while in your care in any way you can, including having the dog wear our ADOPT ME harness while out?: YESNO
Do you agree that if your foster dog is injured, or causes injury, due to your negligence that you will personally cover the costs of all medical treatment?: YESNO
Please print your full name to sign this form:
Date:
