PetPromise Foster Home Application Thank you for your interest in fostering one of the animals waiting to be placed in a permanent, loving home through PetPromise. Your anticipated participation in our foster program plays an integral part in rescuing homeless, neglected animals - - one by one.

Name Address City, State & Zip Phone Number Email address Number of persons in your household One Two Three or more. Children? Yes No If Yes, what are their ages? YOUR HOME Do you rent or own? Own Rent Does your lease or homeowner's association restrict pet ownership? Yes No Don't Know Is your yard fenced? Yes No REFERENCES Please provide the names and telephone numbers of three references INCLUDING: Your veterinarian and, if applicable, your landlord. Other references could include a friend, neighbor, employer, relative, etc. Name, Phone #, Relationship to Applicant CARE & RESPONSIBILITY If a pet is placed in a foster situation with you, PetPromise will provide routine and emergency veterinary care through designated veterinarians. Foster pets are not to be treated by unauthorized veterinarians except in cases of extreme emergency. Expenses resulting from unauthorized routine care will be the responsibility of the foster parent. Are you prepared to provide this dog/cat with indoor shelter, adequate food, water, and attention, and to make a commitment to care for this dog/cat until a permanent home can be located (usually 2-8 weeks)? Yes No Don't Know Approximately how many hours a day will your foster dog/cat be alone? Almost Never 1-3 hours 4-6 hours 7-8 hours 9-10 hours More than 10 hours Where will the dog/cat spend the day? Loose in the house Confined to certain rooms Confined to one room Confined to Basement In a crate Outdoors Other Where will your new dog/cat sleep? Who will have primary responsibility for the care of the dog/cat? Do you have the knowledge and time required to housebreak and/or obedience train the pet if necessary? Yes No HISTORY OF PET OWNERSHIP What animals currently live in your household? (Please list type of animal, sex, age and how long you have owned them) Are these pets housed inside or outside? (please explain) Would you prefer to foster a cat or a dog? (Please state any special restrictions on the type of pet you can foster.) How did you hear about PetPromise? i.e. Search Engine, Friend who fosters/adopted(please let us know who), Adoption Day (please let us know where)... All of the information that I have provided above is true and complete to the best of my knowledge. Should a dog or cat be placed with me, it will reside in my home as a pet. I agree to provide the dog or cat with adequate food, water, shelter, affection, and medical care. Signature of Applicant: Date of Application: How would you like us to contact you? Via E-Mail Call during the day Call during the evening Thank you for taking the time to complete this questionaire fully. Home