Foster Application

Full Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Type of Residence?*

House
Apartment.Condo
Moible Home
Other

Do you Own or Rent?*

Own
Rent
Other

How long have you lived at your current address?*

Animal you are interested in adopting? (name)

Please list name and age of all members of your household:*

Please list all current pets:*

Are all pets current on vaccines?*

Yes
No

Are all current dogs on heart worm preventative?*

Yes
No
I do not currently have a dog

Other than those listed, have you owned any other pets in the last 5 years?*

Yes
No

If yes, where are they now?

Do you have a fenced yard?*

Yes
No

How many hours per day will the dog be left alone?*

Do you agree to a Tender Heart Representative visiting your home prior to and/or after adoption?*

Yes
No

Does anyone in your home suffer from allergies or asthma?*

Yes
No

Why are you interested in adopting this particular dog?*

Do you have a preference for sex, color or age? If so please describe:*

By clicking submit, I agree that I have read the above information carefully and have filled out this application honestly. I understand that any omission of information and/or failure to answer all questions can result in this application being denied. If falsification or an omission of information is discovered after an adoption takes place, I understand that Tender Heart Charities Inc., reserve the right to annul the adoption and reclaim the animal. I give the Tender Heart Charities permission to investigate all information provided, including conducting a background check, as well as contacting my references. I understand that it is the goal of Tender Heart Charities is to place animals in loving forever homes, best suited to the animal’s needs, and as such, my application can be denied at any time for any reason.

Signature*

FOSTER APPLICATION