Foster Application What type of animal are you interested in fostering?*CatDogName* First Last Date of Birth* Date Format: MM slash DD slash YYYY Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County*Primary Phone*Secondary Phone (if applicable)Email* Enter Email Confirm Email Do you rent, lease or own your home? (We will verify your residency.)*OwnRentLeaseIf you are not the legally listed property owner, select Rent or Lease and we will need to contact your landlord.Landlord Name* First Last Landlord Phone*Have you ever given up an animal? If yes please explain below*YesNoReason for giving up an animal*Are there children in the home? If yes, please list children below and their age*YesNoChildren in the household and their ages*Where will your foster dog be kept when you are NOT home?*InsideOutsideInside/OutsidePlease give further details on where your dog will be kept when you are not home.*Do you currently have any pets?*Yes, dog(s)Yes, cat(s)Yes, dog(s) and cat(s)NoDo you crate your dog(s)?*YesNoWhere in the house do you keep your dog's crate?*Where do your dogs stay when you are NOT home?*If you are fostering a dog, will they be kept outside?YesNoDo you have a fence?*YesNoFence Type and Size*How will you keep the foster dog in your yard?*Are you prepared to foster a dog that may not be housebroken?*YesNoWould you be willing to foster a litter of puppies?YesNoWould you foster a pregnant dog until the litter is weaned? This is generally a 2-3 month commitment.*YesNoWould you be willing to foster a litter of kittens?YesNoWould you foster a pregnant cat until the litter is weaned?*YesNoList any previous and current pets including their sex, age, current health condition or cause of death and if they were/are spayed or neutered. Please give number and name of vet that spay/neutered pet for verification.*Are your current dogs/cats spayed/neutered?YesNoAre your current dogs/cats current on all vaccines?*YesNoIf yes, please list where and when they were doneOther information or comments This iframe contains the logic required to handle Ajax powered Gravity Forms.