ALL ABOUT DOGS

Coastal Rescue

P.O. Box 476,Magnolia Springs, AL 36555

Thank you for your interest in fostering a Rescue Pet from All About Dogs Coastal Rescue, a new non-profit corporation (501C3 status applied) which operatesan Adoption Program for Homeless Canines.

Please take the time to complete this Application and the short Agreement, and return it to the address above. After we review your information, one of our volunteers will contact you regarding your adoption request, and the availability of an appropriate pet.

Foster Application

Thanks for printing all informationToday’s Date

Applicant’s Name ______Spouse

Address______City State

(zip)______E-mail address

Telephone (h)______(c)______(w)

Occupation & Employer

Please list two references, plusyour veterinarian, if you now have a dog or cat or have had pets within the past 3 years. (List vet even if he/she is not local). Phone number MUST be supplied for each person listed for application to be processed.

NamePhoneRelationship

1)

2)

3) Veterinarian:

4) Groomer (if applicable:

List all dogs and cats you presently own. Are all of them current on vaccinations?

(Please use reverse side if you have more than three pets.)

Cat Dog Breed/MixName S/N?SexAgeWhere obtained?

1.   ______

2.   ______

3.   ______

Do/did you use Heartworm preventative on your current pets or previous pets?

It is our intent that our dogs will be companion pets; as such, they will be indoors at night, they will not be left outdoors unattended and they will be included in the activities of the household while their guardians are at home. Given these minimum expectations, please answer the following questions:

In a few words, why do you want to fostera dog at this time?

Do you have a yard? ____ Is it fenced? ____ What kind of fence? Where will the dog sleep? ______Where will the dog spend all day?

If the dog is crated, how many hours during the day will it be in a crate?

Do you live in a ___ house ___ mobile home ___ apartment? If you rent, list name and phone number of owner or manager. Name ______Phone

Is there someone home during the day? ______

List the ages of all children under age 19

Will you agree to a Home Visit? ______

If you are interested in a specific animal, list the pet’s name and location, if known.

Pet’s name Location

If you do not have a specific pet in mind, please indicate preferences as follows:

Prefer: Small____ Medium ___ Large___Male___ Female___ Hair L__ M__ S__

Breed Preference:Mixed? Yes___ No

Qualities required (i.e., age, temperament, housetrained, good w/other pets, etc.)

I agree to take full responsibility for the safe care of a foster pet, and to make sure that he/she is kept on monthly heartworm and flea prevention, to always have fresh water and foodavailable.

To never leave pet unattended in the yard and to keep on a leash at all times if no fencing is available.

I agree to hold harmless and release from liability, All About Dogs CoastalRescue and The DogHouse, (including its Officers, Board of Directors, Members, Employees, Volunteers, Agents, Representatives and Assignees) should I become sick or injured from any animal as a result of my volunteer work.

I give my consent for a representative from All About Dogs to contact the listed references. Any information obtained by All About Dogs will remain confidential.

______

Applicant Signature

Pets Name: ______

Date: ______