| Your Name & Age: | |
| Spouses Name & Age: | |
| Address: | |
| E-Mail Address: | |
| Day Phone: | |
| Evening Phone: | |
| What is your Occupation? | |
| What is your spouse's occupation? | |
| What is your families work/school schedule | |
| Do you have children? Please list their names and ages. | |
| Do you live in city, suburb or rural? | |
| What type of housing? | |
| How long at this residence? | |
| Landlords Name & Telephone #: | |
| If renting, are dogs allowed? | |
| Do you have a fenced in yard? | |
| If yes, what are the approximate dimensions? | |
| If no, how will the dog be taken out? | |
| PET INFORMATION |
| Do you have Breed(s) preference, if so what Breed? | |
| Do you have a gender preference? | |
| What size dog suits your family? | |
| What age dog suits your family? | |
If you currently own a cat or dog please list their information including: - Name of current Pet(s)
- Type or Breed
- Male/Female
- Spayed/Neutered
- Age
| |
| In the past 6 years, how many dogs and/or cats have you owned? | |
| Please describe where these dogs and/or cats are today & why? | |
| Have you ever fostered for a rescue before? | |
If yes where/when? | |
| Who will be responsible for the dog's daily care? | |
| Will the foster be kept primarily inside or outside? | |
| Will the foster be kept during the day? | |
| Where will your companion be kept at night? | |
| Where will your foster be when you are not home? | |
| How do you plan to discipline your foster? | |
| Have you considered the damage that a dog/puppy can do? (Soiling, biting, chewing, etc) | |
| GENERAL INFORMATION |
| Do you agree to allow Destiny's Rescue to contact your veterinarian and listed individuals for personal references checks? | |
| Personal Reference Name & Telephone #: | |
| Personal Reference Name & Telephone #: | |
| Veterinarian Reference Name & Telephone #: | |
| If you have any comments or concerns about adopting a rescue dog or or about this program, please let us know. We are always interested and open to your viewpoint. | |
| We are always prepared to gratefully accept donations which help us to provide care to homeless dogs. |