Name:                                                                  Occupation:

Spouse's Name:                                                    Spouse's Occupation:

Name(s) and Age(s) of children:

If you have children, please describe their previous experience with dogs:

Any other occupants in home?

Does anyone in your household have allergies?

 

Home Address                                                                                                 Contact

Street:                                              Day Phone:

City:                                                 Evening Phone:

Province:                                           Email:

Postal Code:                                      

 

Type of Dwelling

If other, please specify:

Do you rent or own?

If you rent, do you have your landlord's permission to have a dog? Yes No

Landlord's name & phone number:

If you own an apartment, do you have the strata corporation’s permission to have a dog? Yes No

Strata corporation's phone number:

 

Pet Info

Please explain why you want a foster dog:

Are you willing to care for a special needs dog? Yes No

If yes, select all that apply:

Senior Medical behavioural

Is there a particular dog you would like to foster? Yes No

If yes, please give dog’s name and brief description:

Will this be your first foster dog? Yes No

Your first pet? Yes No

 

 

Current Pets

Do you have pets now? Yes No

If yes, how many?

Type of pets?

If dog, please list breed:

Age & Sex:

Are your pets spayed or neutered?

Are your pets current on all vaccinations?

If you have pets, how will they adjust to a foster dog?

Have you ever allowed an animal to breed? Yes No

Have you ever euthanized a pet? Yes No

If yes, please explain:

Have you ever been convicted of abuse or neglect of a child or an animal? Yes No

Have you ever surrendered a pet to a shelter? Yes No

If yes, please explain:

 

Where will the dog stay?

When home alone: Run ofHouse Crate Specific Room Garage Other

In another room or other please explain where:

Sleep at night: Run of House Crate Your Bed Garage Dog Bed Other

In dog bed or other please explain where:

Is there anyone home during the day? If so, who?

How many hours per day will the dog be left alone?

When will the dog be outside?

When will the dog be inside?

What rooms are off limits to the dog?

What outside areas are available to the dog?

Fenced Yard Enclosed Patio Garage Balcony Unfenced Area Other

If other, please specify:

 

Access to yard

Gardener Pool Maintenance Utility Neighbour Other

If other, please specify:

Do you have a doggie door? Yes No

Where does it lead to?

Type of fencing?

Height of fence?

Are there gates? How many?

Type of locks?

I have recently inspected my fence and it is in good condition: Yes No

Are you willing to take the time and put in the effort necessary to care for the dog’s needs? Yes No

Are you willing to follow The Penny Foundation’s guidelines as to the best way to work with the dog? Yes No

Are you willing to have a Penny Foundation representative perform a home check? Yes No

Are you willing to give up the dog if an adoptive home is found? Yes No

How long will you be able to foster?

 

References
Please provide two references:

Name   Phone #   Relationship

Name   Phone #   Relationship