Applicant Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Co-Applicant Name *

First Name

Last Name

Phone

(###)

###

####

Do all the adults work? *

Yes

No

Age Preference *

Please select all that apply

Puppy: Up to 12 months old

Young Dog: 1-2 years old

Adult Dog: 3-6 years old

Senior Dog: 7 years+

Gender Preference: *

Please indicate whether preferred or required

Male - Preferred

Male - Required

Female - Preferred

Female - Required

Please explain what level of activity suits you and your family *

Active/High

Moderate

Low

Couch Potato

Have you ever owned a dog as an adult? *

Yes

No

If "yes" does the dog still live with you? *

Yes

No

Have you ever sold, given away, returned a dog or surrendered a dog to a shelter? *

Yes

No

Have you ever had a pet who became lost, treated for disease, been poisoned or killed by a vehicle? *

Yes

No

Do you own your home? *

Yes

No

If you rent, is your landlord in agreement with you fostering a dog? *

Yes

No

Do you plan to move in the near future? *

Yes

No

Is your yard fenced? *

Yes

No

If your yard does not have a fence, would you be willing/able to install one? *

Yes

No

Do you have a tie-out for your dog? *

Yes

No

Do you understand that no Golden Huggs foster dog in your care will be allowed off leash unless in a contained area? *

Yes

No

Are you familiar with crate training? *

Yes

No

Do you own a crate? *

Yes

No

Do you understand that foster dogs should be crate trained, unless discussed with the foster coordinators? *

Yes

No

Do you understand that we request a volunteer conduct a home visit to meet with you and your family? *

Yes

No