Foster Application About YouYou must be 21 to fill out this form and adopt.Your Name* First Last Your Address* Street Address Address Line 2 City State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Email* Enter Email Confirm Email Best Phone number*Confirm Best Phone number*Additional phone numberWhy do you want to foster?What type of dog are you interested in fostering? Please check all that apply. Small dogs up to 20 pounds Medium dogs 20-40 pounds Big dogs 40+ pounds puppies 8 weeks to 1 year old Young dogs Senior dogs Medical cases Hospice Have your fostered dogs before?*Select oneYesNoIf yes, please list group(s) and location About Your HomeFirst and Last names and AGES of everyone living in the home (including yourself):*Do you live in a:*Select oneHouseApartmentTownhomeCondoMobile homeHow long have you lived at this address?* Do you:*Select oneOwnRentLive with familyDoes your HOA, landlord or apartment allow pets?*Select oneYesNoIf renting, does your lease show the pet restrictions ie: breed, weight and/or age? Is the rental thru a property management company or individual. Property management companies almost always require prior approval before the dog is in the home .*Please send a copy of the lease (the pet section) showing the restrictions or ask for the pet addendum from the office to show your restrictions.*Accepted file types: doc, docx, pdf, jpg, jpeg, png, Max. file size: 300 MB.doc, docx, pdf,jpg, jpeg,pngHow many?*Size and weight limit/restrictions* If renting, landlord name* If renting, landlord phone*Do you have a fenced yard?*Select oneYesNoFence height* Block, wood, or chain link?* Do you have a lock on your gate?*Select oneYesNoDo you have a pool?*Select oneYesNoDo you have a secure fence around the entire pool?*Select oneYesNoDo you have a doggy door?*Select oneYesNoDo you have a crate?*Select oneYesNoAre you familiar with the use of a dog crate to train and/or confine the dog when you are not home and are you willing to use it?*Select oneYesNowill need instructionsDo you have a dedicated dog run in your backyard?*Select oneYesNoIf you have a dog run, please explain when you plan to use it and why*Have you ever had a dog or puppy with Parvo/Distemper or other contagious diseases at your home?*Select oneYesNoIf you have had had any of the diseases listed above at your home, please explain and give the date.*Do you have a dog house?*Select oneYesNoIf you have a dog house, please explain when you plan to use it and why*About Your PetsDo you currently have pets?*Select oneYesNoList species, breed and age for pet 1:*Sex of pet 1* male female Are they spayed or neutered?* yes no List species, breed and age for pet 2 (or N/A if not applicable):*Sex of pet 2* Male Female Not applicable Are they spayed or neutered?* yes no Not applicable List species, breed and age for pet 3 (or N/A if not applicable):*Sex of pet 3* Male Female Not Applicable Are they spayed or neutered?* yes no Not Applicable List sex, species and breed for any other pets you own (or N/A if not applicable):*Are your dogs current on vaccines? Please check all that apply.* Rabies not current on rabies Parvo/Distemper not current on Parvo/Distemper Bordetello not current on Bordetello Who is your current Veterinarian?* How many pets have you owned in the last 10 years?*Please enter a number from 0 to 9999.List the names, breed/kind, and what happened to all of the pets you no longer have:*Are your current pets:*Select oneInsideOutsideBoth with dog doorOutside when I'm not homeWhere will the foster dog stay?*Select oneInsideOutsideWhere do/will your dog/and foster dog spend the majority of their time?*Select oneInsideOutsideHow many hours a day will the foster dog be home alone?* How do you intend on exercising your foster dog?* Bringing a foster dog into your home can be stressful for the foster dog and your dog(s). Are you willing to provide an adjustment period? How long do you expect the adjustment period for your foster dog to be?* Are you willing to work on house training the foster dog?* Are you willing to transport the foster dog to/from vet appointments, located in the northwest Las Vegas area, during the week, if needed? We will accommodate your schedule as much as possible.* If no, please explain You will be required to transport dog to and from adoption events on Saturday and Sundays. Drop off time is between 8:30-9:30am and pick-up time is between 3:30-4:00pm. Our adoption center is located at 232 N. Jones Blvd, suite 170. Will you abide by this?* If no, please explain We ask that you foster the dog until adopted, which could be a week, a few weeks, or longer. Do you agree?*Select oneyesnomaybeDo you have any special training or certifications that would be useful to fostering dogs?Additional commentsConsent* By checking this box I agree that all of this information I provided is true and understand if any of the information I provided is false that I will be denied to adopt and any future adoptions?CAPTCHAEmailThis field is for validation purposes and should be left unchanged.