Foster Application Form

Foster Care for a rescue dog can last as long as 6 months-are you able to make that commitment? * Yes No Do you want to foster or adopt a pug? * Foster Adopt     If you want to adopt click here for our adoption application If undecided, please explain: Full Name * Date * Street Address * City, State and Zip * Daytime Phone * Evening Phone * Email Address * Number of adults in the household: * How many Men - Woman - Please list ages Of ALL: Number of children in the household: * Boys - Girls - Ages of each - Type of Dwelling: * House Apartment Trailer Condo/Town Duplex/Triplex If other explain * Own or Rent? * Own Rent If you rent, do you have the landlord's permission to keep a dog? * Yes No Age Preference * Sex Preference: * Male Female No preference Pet 1 Name and Age * Pet 1 sex and is if spayed or neutered? * Female spayed Male neutered Female not spayed Male not neutered Pet 1 Type and Breed (cat or dog and what breed) * Where is it housed? * Inside Outside Both Where is it now? * Pet 2 Name and Age Pet 2 sex and is if spayed or neutered? * Female spayed Male neutered Female not spayed Male not neutered Pet 2 Type and Breed (cat or dog and what breed) * Where is it housed? * Inside Outside Both Where is it now? * Pet 3 Name and Age * Pet 3 sex and is if spayed or neutered? * Female spayed Male neutered Female not spayed Male not neutered Pet 3 Type and Breed (cat or dog and what breed) * Where is it housed? * Inside Outside Both Where is it now? * Pet 4 Name and Age * Pet 4 sex and is if spayed or neutered? * Female spayed Male neutered Female not spayed Male not neutered Pet 4 Type and Breed (cat or dog and what breed) * Where is it housed? * Inside Outside Both Where is it now? * If you have any additional pets, list ALL of the above information for each one below Are all pets current on shots? * Yes No If your pets are not spayed or neutered, why not? * If you do not own a pug now are you familiar with the breed? Please elaborate: * Current Vet Name * Street Address * Phone * City, State and Zip * Comment box for additional pertinent information you would like to share * Signature * Date *