Foster Application - Grand Rivers Humane

Foster Person's Name*

First Last

Phone*

Email*

Foster Person's Age*

Residence Address*

Street Address Address Line 2 City State ZIP Code

Mailing Address*

Same as Residence Address
Different Address

Mailing Address

Residence Type

House
Apartment
Trailer

Do you own or rent*

Own
Rent

If you rent, provide name and phone number if landlord

Employer

Home Phone

Work Phone

Cell Phone

Why do you want to foster?*

Where will you keep the foster pet?*

Indoors
Outdoors
Both

Do you have a yard?*

Yes
No

Is the yard fenced?

Yes
No

How high is the fence?

If no fence, how will the foster pet get exercise and potty breaks?

Please list all cats and/or dogs that presently live with you

Species	Breed	Sex	Age	Rabies Current?	License Current?

Number and ages of everyone in your household

Child	Age of child

Is everyone in your household aware that you are considering fostering?*

Yes
No

If no, please explain

Is anyone in the home allergic to pets?*

Yes
No

Where will the pet be while you are away for a few hours?*

Where will the pet be while you are home?*

Who will be responsible for feeding, housetraining and obedience?*

Is anyone home during the day?

Yes
No

Where will the pet sleep?

Household accidents?*

Fence Jumping?*

Growling/Showing Teeth?*

Biting?*

Chewing*

Being too active?*

Incompatibility with other pets?*

Illness in foster pet?*

Foster Person's Signature

I verify that I have answered the above questions truthfully and accurately.

Date