Foster Application
Questions marked by * are required.
1.	Your Name (first and last): *
2.	Address (include Apt. Number, if applicable). *
3.	City *
4.	State *
5.	ZipCode *
6.	Home Phone *
7.	Daytime Phone *
8.	Cell Phone *
9.	Email *
10.	What is the best way to contact you? Home phone, daytime phone, cell phone, email, text? What is the best time to reach you? *
11.	Emergency contact (someone other than yourself) - list name, phone number and email address. (Relationship to you, i.e., friend, relative?) *
12.	Current age? Fosters must be 21 years old, due to liability insurance. Minors are welcome and encouraged to assist in the fostering process, guided by the adult foster parent. * 21 - 30 31 - 45 46 - 60 Over 60
13.	Are you a foster, volunteer or employee with any other animal rescue organization(s)? If so, name(s) of organization(s). *
14.	When are you ready to foster? * Now Within the next 30 Days In a few months
15.	Occupation/Work Hours:
16.	What pets do you currently own? List age, breed, sex, spayed or neutered, lives inside or outside and last vacc date. *
17.	Do you have a regular veterinarian? If so, please list name, and complete address for the veterinarian/clinic. PLEASE CALL THE CLINIC TO GIVE YOUR PERMISSION TO RELEASE INFORMATION TO DFW PUG RESCUE AFTER SUBMITTING THIS APPLICATION. *
18.	Phone number for your veterinarian/clinic *
19.	Have you owned dogs in the past? Yes No
20.	Do you have children at home? * Yes No
21.	If yes, what are their ages?
22.	Do children/grandchildren visit your home frequently? Yes No
23.	In what type of home do you live? House Apt. Condo Mobile Home Other
24.	Is someone home during the day? Yes No
25.	Do you have a fenced yard? Yes No
26.	Where would the foster dog(s) be kept?
27.	Are you available to transport your foster dog(s) in the Dallas-Ft. Worth area for vet clinic appointments, if needed, meet and greets with approved applicants, etc.? * Yes No
28.	Can you provide food for the foster dog? Yes No
29.	Are you aware that pugs are FULL-TIME INSIDE DOGS and will you be able to accommodate the foster pug in this manner?
30.	How long can you foster? a few days a few weeks as long as needed vacation and respite care only
31.	What ages of pugs will you foster? Puppies(under 1 yr) Adult Senior
32.	Are you aware that pugs snore? Yes No
33.	Are you aware pugs shed A LOT? Yes No
34.	Heartworm preventative will be provided. Are you willing to administer the HW preventative each month? Are you able to adminster any other medication provided by the vet clinic? * Yes No Need to Discuss
35.	Have you ever cared for an animal through the following? Kennel Cough/Upper Respirator Infection Ringworm Eye infections and or ear infections Broken bones/surgeries on hips or knees Undersocilization Separation anxiety
36.	Please list 1 personal reference who is NOT related to you and NOT living at your residence. List full name, complete address, phone number and email address. *
37.	Have you ever been convicted of a crime (misdemeanor or felony) other than a minor traffic violation? * Yes No
38.	Include any additional information you feel may be important.
39.	I understand and agree that I release DFW Pug Rescue of any and all liability from injury, including a dog bite, in the course of my duties as a volunteer. *
40.	By Submitting this Foster Application I affirm that all information is true and correct. * Yes No