First Name*
Last Name*
Address*
City*
State/Province*
Zip/Postal Code* -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Text/Pager Email
How old are you? You must be at least 21 years old to adopt/foster.*
What are the names, relationships, and ages of other people living with you?*
Do you own or rent your home?* Choose one: Rent Own
If you own, we will verify property records. If you aren't listed as the owner, please provide the owner's name and contact information.
If you rent, please enter Landlord/Manager/Owner's name & number since we will be verifying pet policy.*
In what type of home do you live? Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing
If you live in a condo, townhouse, apartment, gated or age-restricted community, please provide the name of the community and contact information for the management company or association.
Do you currently have pets or have you had pets in the last 5 years? if yes, what type of pets?*
What are you looking to foster (Puppies, Kittens, Dog, Cat)?
How many are you willing to foster at one time?
Why do you want to foster?*
Does everyone work?*
How much time will the pet spend alone during the day?*
Will the pet be kept inside or outside?* Choose one: Inside Only Outside Only Inside and Outside
Where will the pet be kept when you are home?*
Where will the pet be kept when you are not home?*
Where will the pet sleep?*
For dogs: Is at least part of your yard completely fenced? Choose one: No Yard No Fence Completely-fenced area
What type of fence? Choose one: Privacy Chain Link Invisible
What is the height of the fence?
Please provide the name, breed, weight & ages of your current pets. *
Are current/previous pets up to date on core vaccines & receiving Yearly Wellness Exams? *
Previous or current pets spayed/neutered? *
About how much do your current pets weigh?
What is the name of your pets actively or previously seen by this vet?
Name & phone number of the vet where your current/previous cats/dogs were vaccinated & received Yearly Wellness Exams. *
What is the phone number of your vet?
What is the last name and phone number on your vet records? *
Is there any other vet that you have used for your pets?*
What is the name and phone number of any other vets you have used?
What is the name of your pets and the last name the pets would have been listed under at this vet's?
Anything else you'd like to tell us?
Provide the name & cell number of a Personal Reference (not a family member or significant other.)*
I certify that the information entered on this application is true. Wag On Inn Rescue may contact my references and I give my permission for my references to release information about my ability to care for an animal to Wag On Inn Rescue. The undersigned applicant does hereby release and covenant to hold harmless Wag On Inn Rescue, its Members and its Officers, and indemnify them from any claims, damages, costs or actions incurred as a result of the fostering or caused by the actions of the animal transferred herein. Enter your name and date:
