Dog Foster Application

Facebook
This field is for validation purposes and should be left unchanged.
This field is hidden when viewing the form
Default Status
First Name*
Last Name*
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Work Phone Number
Cell Phone Number*
- Preferred Method of Contact
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
  - Retired
- Full or Part Time?*
- Name of Employer*
- How Long Employed There?*
- Are You In School?*
  - Yes
  - No
- Full or Part Time?*
- How Did You Hear About Us?*
- What Is Your Friend's Name?*
- Which Shelter?*
- Which Rescue?*
- Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Are There Other Adults In The Home?*
- Yes
- No

Add Adults

First Name	Last Name	Age Range	Are They Employed?	Actions

There are no Adults.

Are There Children In The Home?*
- Yes
- No

Add Children

Name	Age	Gender	Previous Experience with Dogs	Actions

There are no Children.

Are There Other Dogs In The Home?*
- Yes
- No

Add Dogs

Dog's Name	Breed	Age Range	Gender	Actions

There are no Dogs.

Are There Other Pets In The Home?*
- Yes
- No

Add Pets

Pet's Name	Animal Type	Sleeping Quarters	Actions

There are no Pets.

Would You Consider:
Select all that apply.
A Mixed Breed Dog*
A Pregnant Dog*
Fostering Bottle Babies*
Two Dogs*
A Dog That Can Be An Only Pet?*
A Dog That Is Afraid Of Small Children*
- A Dog That Needs Medications?*
- A Dog That Has a Serious Health Condition?*
- Please Select All Health Condition(s) You Would Accept:*
- A Dog Who Needs Training For A Behavior Issue?*
- Please Select All Behavior Issue(s) You Would Accept*
- A Dog That Has Special Needs?
- Please Select All Special Needs(s) You Would Accept:*
  Select All That Apply
A Dog That is Not Completely Housebroken?*
Select Gender*
Select Age Range*
Select All That Apply
Select Temperament*
Select All That Apply
Select Color*
Do You Have A Preferred Dog?
List Other Dogs You Are Interested In
When Will You Be Ready To Foster?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products
- Yes
- No
Authorization
Authorization:*
All dogs placed through the Rogers' Rescues will have health checks, personality and temperament evaluations, and will be spayed or neutered prior to placement unless a medical condition exists, diagnosed by a veterinarian, that would prevent this surgery. I understand that this is a preliminary application and that there may be no Dog available in rescue at this time. I understand that if a Dog should become available, that I will be required to provide further information including, but not limited to, personal and veterinary references. I further understand that all information on my Preliminary Rescue Foster Application will be kept confidential; that my application will be kept on file until I notify the Rogers' Rescues that I am no longer interested in a rescue; and that I will not be contacted unless an appropriate Dog becomes available. I understand and agree *
- I agree

DOGS

ADOPT

FOSTER

HELP US

HELP FOR YOU

Foster

Employment & Schooling

Yard Information

Family & History

Feeding & Exercise

Sleep & Alone Time

Behavior & Training

What Behaviors Can You Tolerate (AND WORK ON)?

Personal Reference

Veterinarian Information

Trainer Information

Groomer Information

Boarding Facility Information

Foster Care

Would You Consider:

Authorization

Sign Up For Our Newsletter

Let's Get Social

Contact Us