Have you ever been convicted of animal cruelty, neglect, or abandonment?*
Type of animal you are willing to foster:
(Please include species, breed, age, sex, coat length, personality traits, etc)
Why do you want to foster an animal?*
Will you be able to take the animal to vet appointments and allow potential adopters to visit the animal?*
Are you willing and able to medicate an animal if necessary, even if it is only monthly heartworm pills?*
Do you have the consent of all individuals in your household to foster an animal?*
Are you willing to housetrain a dog or litter box train a cat?*
Are you willing to use a crate for a dog if recommended? *
What will you do if the animal soils the floor or chews/claws the furniture?*
Describe your home’s activity level: Busy/noisy,
moderate comings/goings, or quiet/occasional guests.*
Please list the ages of all children residing in your household*
Is anyone in the house allergic to dogs or cats?
Does anyone in your household have a fear of dogs or cats?*
PETS CURRENTLY OWNED (name, dog/cat, breed, age, sex of each, Spayed/Neutered, Vaccines Y/N, Length of ownership, indoor/outdoor) Example: Buster, Dog, Lab Mix, 8 years, Female, Spayed, Yes, 5 years, both.*
List previously owned pets, dates owned, and what happened to that pet:*
Have your current pets been exposed to and are tolerable of other pets?
Under what circumstances would you consider giving up your foster pet?
Choose all that apply:
Scratching or climbing on furniture
none: I am committed to working with the animal
Other, Please specify in the space below
Animal experience, activities, or any other information you think it would be helpful for us to know about:*
Where will the animal be kept when you are home?*
Will the animal be kept inside or outside*
Inside and Outside
How much time will the animal spend alone during the day?*
Where will the animal be kept when you are not at home?*
Where will the animal sleep?*
List at least one reference (who is not a family member) including first/last name and a phone number.*
Veterinarian's Name and Phone Number*
Do you have a fenced yard?
What is the height of the fence?*
What type of fence?
In what type of home do you live?
Do you own or rent your home?
Who in the household will care for the pet?*
How many total people reside in your household (including children listed above)? *
RENTERS ONLY: Have you received the approval of your landlord to have an animal?
RENTERS ONLY: Please enter your landlord's name and phone number
By submitting this form to Surry Animal Rescue, I attest that the information entered above is true and accurate. Please enter your name and date:*