Please email completed applications to
Date:
Foster Dog of interest (if any):
Applicant Information
Name:
Address:
City, State, Zip:
Phone #:
Date of Birth:
Driver’s License #:
Driver’s License State:
Email:
Employer:
Occupation:
Work #:
Spouse/Partner Name:
Phone #:
Date of Birth:
Email:
Please describe yourself and family members who reside in the home – including energy level, interests, favorite activities, etc:
Do you have a preference on the type of dogs you foster (size, gender, age, coat color, eye color, temperament, etc.):
Number of adults in the house:
Number of children in the house:
Ages:
Type of residence (House, apartment, Duplex, Condominium, other):
Do you rent or own your own place?
If you rent do you have consent from your landlord to bring an additional dog on the property?
If applicable please provide landlords contact information:
Do you have a backyard?
What type of fencing (Chain Link, Wooden, Iron, other) and height:
Will you allow a home visit from a TMAR rescue representative?
Are you willing tomeet andgreet potential adopters?
Are you willing to attend training classeswith your foster dog?
Do you have past foster experience with a rescue? If so pleaseprovidethe rescue’s name and length of time?
Are you open to crate training a foster dog in your care? If not explain:
Personal Reference
- Name:
Phone:
Email:
Relationship:
- Name:
Phone:
Email:
Relationship:
Current pets in your household
List all current pets in your home and Include type of animal, breed, age, gender, as well as Vaccination status and spayed/neutered/intact and veterinarian or clinic contact information for each animal. Please copy & paste & use as much space as needed:
Name:
Type of Animal:
Breed:
Age:
Gender:
Spayed/Neutered:
Date of last Vaccinations:
(Dog’s) Date of Last Heart Worm Test:
Dog’s) Date of Last Heart Worm Prevention provided to dog:
Please provide the contact information for the Veterinarian(s) or animal clinic who can verify your animals spay/neuter, vaccinations and Heart Worm status:
Name:
Type of Animal:
Breed:
Age:
Gender:
Spayed/Neutered:
Date of last Vaccinations:
(Dog’s) Date of Last Heart Worm Test:
Dog’s) Date of Last Heart Worm Prevention provided to dog:
Please provide the contact information for the Veterinarian(s) or animal clinic(s)reference that can verify your animals spay/neuter, vaccinations and Heart Worm status:
Do you have any restrictions on the type of dog you can foster due to the personal pets or others who reside in your home? If so please explain (use as much space as needed):
*Please provide your current Veterinarians contact information if different that listed for you pets above.
Veterinarian Name/Clinic/Hospital:
Address:
City, State, Zip:
Phone #:
Animals who previously resided in a shelter are often exposed to unknown, and various illnesses such as kennel cough that do not present themselves for several days. We do not always know the full history of an animal, so it is important for any existing animals in your care to be current on their yearly vaccinations.
Are All, Some, or None of your animals vaccinated?
Animals that are not spayed or neutered may display dominance over their home and/or owners. As a rescue, we believe in spaying and neutering all animals in an effort to reduce the population of unwanted animals and to protect dominance in the home.
Are All, Some, or None of your animals spayed/neutered?
If any of your animals are not spayed/neutered please indicatewhy?
Have you reviewed the Foster Home Contract Agreement and do you agree to its terms?
Thisagreement made between Texas Mini Aussie Rescueand the following individual(s)hereinafter“FOSTER” is valid for any future animals in the foster’s care on behalf ofTMAR.Please initial, sign and date the indicated places below that you have read, understand and agree to the following terms:
*Primary and Secondary applicants must initial beside each Term.
______Foster understands and accepts that TMAR makes no representations or warranties concerning the health, temperament, behavior, and/or previous ownership of the dog. Foster agrees to indemnify and hold harmless TMAR from any direct or consequential damages arising from this Foster Care Agreement. This includes any and all manner of actions and causes of actions, suits, debts, dues, accounts, bonds, covenants, agreements, judgments, claims, and demands whatsoever arising from or relating to the adoption, placement, and /or possession of the dog.
Primary Signature: ______Date: ______
Secondary Signature: ______Date: ______