Foster Application Thank you for your interest in fostering an SA R.O.C.K.S. dog! Please fill out all required fields.1 About You2 Household and Pet Info3 About Your Potential Foster Dog4 Foster ContractToday's Date* Animal to foster:*Interested in fostering a specific animalOpen to being matched up with a foster petIf interested in fostering a specific animal, please list name and/or ID#Where did you see this animal?*Name* First Middle Last Date of Birth*Phone*Email Address* Driver's License Number / Issuing State*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Previous Address*If none please enter N/A Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer Information (Company Name and Phone)*Criminal history?*YesNoPlease explain.How did you hear about us?*This helps us know where to increase our marketing!Family / FriendI've adopted or fostered with you beforeWent to an eventFlyer / Print MediaFacebookTwitterInstagramPersonal Reference (unrelated to you)*Phone Number*How do you know this person?* Current residency type:*HouseDuplex4-PlexTownhome / CondoApartmentTrailer HomeOwn/Rent/Live with family or friend?*OwnRentLive with family or friendIf you DO NOT OWN, please list property owner / landlord name and phoneHousehold Members (Name / Age / Relationship to you)*Pets in Household (Name / Breed / Age)*Are your current pets spayed or neutered?*YesNoIf not, why?Are your current pets up to date on vaccinations?*YesNoIf not, why?Are your current pets on monthly heartworm preventatives?*YesNoIf not, why?Your daily time away from home:*Home all dayOut part-timeAway 5-7 hours a dayAway 7-10 hours a dayAway 10+ hours a dayWhere do your current pets sleep?*InsideOutsideWherever they want Your foster dog will live:*IndoorsOutdoorsBothIf outdoors, how many hours a day?Do you have a fenced yard or enclosed area?*YesNoWould you allow a home visit to ensure that your home is appropriate for adopting?*YesNoPlease indicate any requirements of your foster dog.*Good with other dogsGood with catsGood with kidsDescribe the area where your foster dog will be kept.*Please indicate any size, weight, or breed limitations.*Describe the type of dog you would like to foster (ex: size, temperament, breed, a dog to run with, etc.)*Describe the circumstances in which you would no longer be able to care for your foster pet and return the dog before an adopter is found.*Why do you want to become an SA R.O.C.K.S. foster parent?*Are you willing to promote your foster dog and meet with potential adopters? (this means attending some SA R.O.C.K.S. events)*YesNoWhen will you be ready to take in your first foster pet?*TodayWithin the next 3 daysLonger than 3 daysIf longer than 3 days, when will you be available?When your pet is ready, will you be able to pick up your foster or will you need assistance with transport?*No, I am available during this time to pick up my foster petYes, I will need help with transport Please read through the following statements and check 'Yes' to each one to indicate you understand them and agree to comply:Once you have been matched with your foster dog the animal is placed on a medical workup schedule where they will be spayed/neutered, vaccinated and microchipped. This can take at least a day or two before your foster is ready to go home. We will notify you when your foster pet is ready for pickup from Animal Care Services. Your pet can be picked up that day anytime between 4:30 PM and 7 PM.* YesYour foster dog comes from a shelter environment and may take a while to learn and/or adjust to a new house-training schedule. You understand he/she may have accidents in your home and are willing to work with this behavior.* YesYour foster dog may not be accustomed to living indoors and may scratch, or chew on objects. You understand the foster home is responsible for any damage and you are comfortable working with this behavior.* YesYour foster dog might take a little while to adjust to new situations, people, and animals. You understand your foster is not allowed to go to any off-leash dog parks, and you will exercise caution around your own animals.* YesYou understand your foster dog is not to be left unattended with any children.* YesYou agree to keep your foster on a leash or in an enclosed area at all times and understand that your foster is not allowed to be outside unattended or unrestrained.* YesYou will exercise caution around your personal pets and understand that SA ROCKS will not be responsible for your personal pet’s medical treatment.* YesYou will not take your foster dog to an outside veterinarian or administer medications unless directed to do so by an SA ROCKS representative. You understand SA ROCKS will not reimburse you for any unapproved costs.* YesYou agree to not leave your foster dog in any care other than your own, including potential fosters or adopters, unless you have received approval to do so.* YesYou understand S.A. R.O.C.K.S. is the legal guardian of your foster dog and will have the final decision in regards to the adoptive home, treatment and well-being.* YesIf you feel the animal is an imminent risk to you, your family, or pets safety, you can return your foster dog immediately otherwise we require a 7 day notice for all returns.* YesSometimes adoptions do not work out for many reasons. In the event that your foster dog is returned, you agree to take the dog back and foster until a new home is found.* YesPlease type your FIRST AND LAST NAME to be used as your electronic signature and attesting all answers above are true and correct to the best of your knowledge.****SA ROCKS recommends all fosters introduce crate training to all foster pets. A crate training document will be included in your foster packet. The transition to a new home can be stressful on a dog and may increase the chance of your pet chewing or damaging objects. ***Please Note: A 7 day notice is required for all returns, so that we may attempt to place the pet in a new foster home.