Foster Home Application

C.U.R.S. Foster Home Application

Please fill out ALL of the information requested.
An incomplete application will be discarded.

**Note: Hitting ENTER will forward the form to CURS complete or not!!

Please provide the following contact information:

Name
Street address
Address (cont.)
City
State
Zip code
Work Phone
Home Phone
E-mail

How long have you been involved with dogs?

List breeds you've had experience with:

Do you have any special training or experience that you wish to mention?

Dogs already in your household (List breed, sex, altered):

Other pets in household:

Are your pets spayed/neutered?

Yes No

If no, why?

Are your dogs/cats on heartworm & flea preventative?

Yes No

If no, why?

How many children are in your household?

What are their ages & sex?

Other people & animals with whom the dog must interact:

Do you have a fenced yard?

Yes No

What is the height of the fence?

4 feet
5 feet
6 feet
N/A

Describe your fence (type, construction, etc.)

If you don't have a fence, where and how will the dog be exercised and allowed to eliminate?

How many & what sex of dogs will you foster at one time?

Length of time you are willing to foster?

Will the dog live in the home?

Yes No

Crates or kennels (describe):

References:

Veterinarian:

Name
Business Name
Phone

Referred by:

Name
Home Phone

Additional Comments:

I agree to foster for:
Rescue Reps Name:

Any C.U.R.S. Rep: Yes No

Signed:

Date:

Please feel free to email us with any questions.

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