Please complete the following information to be considered as a foster home for Plain & Fancy Animal Rescue. Please answer all questions, as an incomplete questionnaire may automatically disqualify your application. Please note: A completed application DOES NOT guarantee acceptance as a foster home.
FOSTER HOME INFORMATION Name: Email: Address: City: State: Zip: Home Telephone: Work Telephone: Other Telephone: VETERINARY REFERENCE Veterinarian Practice Name: Veterinarian Name: Veterinarian Address: Veterinarian City: Veterinarian State: Veterinarian Zip: Veterinarian Telephone: Veterinarian Email: Under what name are your Vet records kept? PLEASE NOTE: Due to the new federal laws regarding the privacy act, you may need to contact your vet and give permission for Plain & Fancy Animal Rescue to contact them regarding your records and the status of your pets. HOME INFORMATION Where do you live? Single Family Home Multiple Family House Apartment Other Do you have a completely fenced-in yard? Yes No If yes, what type of fence? Chain Link Wood Plastic Barbed Wire Other How high is the fence? Do you own your home? Yes No If no, do you have permission from your landlord to keep animals? Yes No Name of landlord: Telephone number of landlord: How many adults are living in your home? How many children are living in your home? What are their ages? Does anyone in the household have allergies to any animals?Yes No Is anyone in the household fearful of animals?Yes No Do you presently own any pets? Yes No If yes, please list the name and kind for each pet (e.g. Tori - Pug dog; Lacey - domestic longhaired cat; Bella - MacCaw): Have you owned any pets in the past? Yes No If yes, please list the name and kind for each pet, and state why you no longer have them: Are your animals spayed/neutered? Yes No If no, why not? ANIMAL CARE INFORMATION Do you have a crate or cage to keep the animal in? Yes No How many hours will the animal be alone during the day? Where will you keep the animal at night? Where will you keep the animal while you are at work or out on errands? Where will you keep the animal while you are on vacation? If we were participating in a special event, would you be able to bring the animal to the event, and handle him/her during the event?Yes No Why are you interested in being a foster home? What types of animals would you consider fostering? Please give as much information as you can (including breed, size, special needs, and any other information that would help us find the proper animal for you): Anything additional you wish to say to us? Plain & Fancy Animal Rescue volunteers and foster homes accept liability for personal injury or damages caused by a rescue animal. If accepted, you agree that working with animals is unpredictable, and the utmost caution must be taken in caring for foster animals. While the animal is living with a foster family, it will remain the property of Plain & Fancy Animal Rescue and, therefore, all final decisions regarding the welfare of the animal will be the responsibility of Plain & Fancy Animal Rescue. By submitting this application for consideration, you agree to abide by the policies and procedures of Plain & Fancy Animal Rescue, and will accept all responsibilites for the animals while in my care: Yes No
Name: Email: Address: City: State: Zip: Home Telephone: Work Telephone: Other Telephone:
Veterinarian Practice Name: Veterinarian Name: Veterinarian Address: Veterinarian City: Veterinarian State: Veterinarian Zip: Veterinarian Telephone: Veterinarian Email: Under what name are your Vet records kept? PLEASE NOTE: Due to the new federal laws regarding the privacy act, you may need to contact your vet and give permission for Plain & Fancy Animal Rescue to contact them regarding your records and the status of your pets.
Where do you live? Single Family Home Multiple Family House Apartment Other
Do you have a completely fenced-in yard? Yes No
If yes, what type of fence? Chain Link Wood Plastic Barbed Wire Other
How high is the fence?
Do you own your home? Yes No
If no, do you have permission from your landlord to keep animals? Yes No
Name of landlord:
Telephone number of landlord:
How many adults are living in your home?
How many children are living in your home?
What are their ages?
Does anyone in the household have allergies to any animals?Yes No
Is anyone in the household fearful of animals?Yes No
Do you presently own any pets? Yes No
If yes, please list the name and kind for each pet (e.g. Tori - Pug dog; Lacey - domestic longhaired cat; Bella - MacCaw):
Have you owned any pets in the past? Yes No
If yes, please list the name and kind for each pet, and state why you no longer have them:
Are your animals spayed/neutered? Yes No
If no, why not?
Do you have a crate or cage to keep the animal in? Yes No
How many hours will the animal be alone during the day?
Where will you keep the animal at night?
Where will you keep the animal while you are at work or out on errands?
Where will you keep the animal while you are on vacation?
If we were participating in a special event, would you be able to bring the animal to the event, and handle him/her during the event?Yes No
What types of animals would you consider fostering? Please give as much information as you can (including breed, size, special needs, and any other information that would help us find the proper animal for you):
Anything additional you wish to say to us?
By submitting this application for consideration, you agree to abide by the policies and procedures of Plain & Fancy Animal Rescue, and will accept all responsibilites for the animals while in my care: Yes No