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Date:
Name(s):
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
EMail:
Dog(s) you are interested in fostering:
What makes you want to foster a dog at this time:
Who lives in your household?
Are all family memebers in agreement in fostering a dog or puppy?
What pets do you currently have? Ages:
Do you have a secured yard and fence / wall?
Select One:
Yes
No
How tall is your fence / wall?
Is the gate locked?
Select One:
Yes
No
When gate is unlocked/open, will dog be securely inside?
Where will the dog sleep?
Select One:
Inside
Outside
Inside / Outside
Garage
Other
If other, please explain:
Will the dog be living indoors and have access to the outdoors?
Select One:
Yes
No
How many hours per day would the dog be left alone?
Select One:
1-3
3-5
5-7
7-9
9+
I agree to contact Premier Pet Placement should any problems arise:
Select One:
Yes
No
Please list 2 personal references:
Name:
Relationship:
Cell Phone:
Name:
Relationship:
Cell Phone:
Date:
Foster(s) Signature:
THANK YOU FOR ANSWERING ALL OUT QUESTIONS TO ENSURE THE SAFETY OF OUR DOGS AND ALSO, THANK YOU FOR FOSTERING!
ADDENDUM:
I UNDERSTAND THAT PREMIER PET PLACEMENT DOES ITS BEST TO ASSESS A DOG'S
TEMPERAMENT AND HEALTH BUT CANNOT GUARANTEE THAT A DOG WILL NOT DEVELOP
BEHAVIOR OR HEALTH PROBLEMS. I AGREE NOT TO HOLD THIS AGENCY LIABLE FOR ANY
DAMAGE TO PERSON OR PROPERTY. I WILL ALLOW A REPRESENTATIVE TO PERFORM
HOME CHECKS IF WE REQUEST IT. IF IT IS SUSPECTED THAT A DOG IS BEING TREATED
INHUMANELY, NEGLECTED, EXPOSED TO CRUELTY, BEING KEPT OUTDOORS IN HARSH
WEATHER, BEING TIED DOWN TO ANYTHING OR DENIED ADEQUATE FOOD AND WATER, I
UNDERSTAND THAT LEGAL ACTION MAY BE TAKEN AGAINST ME, IF I AM NOT ABLE OR
WILLING TO COMMIT TO THE DOG AT ANY POINT, I UNDERSTAND THAT I MUST CONTACT
PREMIER PET PLACEMENT AND MAKE ARRANGGEMENTS TO RETURN DOG DIRECTLY TO US.
I AGREE THAT I MAY NOT "GIVE" THE DOG OR ADOPT THE DOG TO ANYONE THAT HAS NOT
BEEN PREAPPROVED BY PREMIER PET PLACEMENT
Initials:
Available Dogs
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