Foster Care Application Step 1 of 6 16% Agree to begin application* I agree that all statements in this application are made based on personal knowledge and are made for purposes of my application to foster one or more animals through Back The Blue Pet Rescue's foster care program. I understand that Back The Blue Pet Rescue is very concerned about the security and safety of my foster animal and all the animals in its custody, as well as its ability to keep track of all animals rescued. Back The Blue Pet Rescue will not share any information contained in this application for any reasons not connected to the foster care program. Name* First Last Spouse/Partner/Roommate'sName(s) Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Facebook name(we use facebook for coordinating events and foster needs) Live in a:*Please select:HouseApartmentCondo/TownhomeMobile HomeOtherIf live in is "Other"describe below:Do you Own or Rent?*Please select:OwnRentOtherIf own/rent is Other describe:If renting, are pets allowed?*Select OneYesNo(We will need a copy of landlord's approval of addition of pet)Landlord's name and phone:Do you have a fenced-in yard?*Select OneYesNoWhat type of fence? Block Chain Link Overall height of the fence?(in feet)0 of 96 max charactersHeight at lowest point of fence:(in feet)0 of 96 max charactersDescribe ground cover below any gate(s):If no fence, what arrangement will you make for potty duties?Describe yard overall and coverage:Do you have a doggy door?*Select OneYesNoDo you have a swimming pool or spa?*YesNoIs your swimming pool or spa fenced? Yes No Are you able & willing to work with your foster on how to get out of the pool/spa? Yes No Number of adults in home:Please enter a number from 0 to 99.Number of children in home:Please enter a number from 0 to 99.full-time or part-timeNumber of children potential to visit:Please enter a number from 0 to 99.Age(s) of children: (range)Have allergies to animals been a problem to any household members? Yes No Are all family members aware that you are wanting to foster a pet? Yes No Have you ever fostered for another rescue? Yes No If yes, what rescue? Do you have any other pets?*Select OneYesNoTotal number of animals:Please enter a number from 0 to 99.Are all animals up to date on vaccinations?Please selectYesNoPet DetailsNameBreedMale / FemaleAgeSpayed / NeuteredYears owned Have your pets or former fosters ever had the following: Parvo Distemper Feline Leukemia FIV Dates of the above:Which do you prefer to foster? (check all that apply): Adult Dogs Puppies Nursing Dog Moms with Puppies Bottle Puppies (with no mother) Female Male Will someone be home with your foster during the day?* Yes No What is the greatest number of hours the foster(s) will spend alone daily / nightly?Where will the foster(s) spend most of its time? (check one) Crate Indoors Outdoors Garage Basement Dog Run Describe where the foster(s) main sleeping quarters will be?Is there someone home at night? Yes No Veterinarian InformationAll BTBPR fosters will be vetted appropriately, rescue to pay costs; any Emergency (ER) visits not previously authorized cannot be reimbursed. Every effort is made to schedule vet visits with a vet nearest to foster. In the case where this is not possible, foster may need to meet rescue to transport.Name of current Veterinarian / Animal Hospital: Foster Requirements to submit* Travel: With the exception of transport to groomer, pet store, or other appropriate place where dogs are allowed, BTBPR expects no foster to leave your premises. If travel plans arise and you have your foster, you will notify BTBPR so your foster can be placed with another BTBPR approved foster. You will abide by your town's leash law; you will never have a BTBPR foster dog off-leash when outside a secured area. You will return the animal to BTBPR if you feel for any reason you can no longer foster him/her. You must not sell or otherwise rehome the animal, or transfer to an unapproved foster for any reason. You are responsible for providing proper shelter, feeding, water, exercise, and humane treatment at all times for your foster animal. I understand a representative from Back The Blue Pet Rescue may visit my home for a home inspection before my foster application is approved. I understand that if I am approved for fostering, I will also need to carefully read the "Foster Care Agreement", which is a separate document from this "Foster Care Application". The foster Care Agreement represents the legal contract between a foster caregiver and Back The Blue Pet Rescue. I understand that if I am approved to foster an animal, I must review and sign the Foster Care Agreement before I can take my foster animal home. I have read this application in its entirety, and I agree that all statements contained in this document are made by me, and are truthful. I make this statement under penalty of perjury under the laws of the state of Arizona. Foster Application PDF Volunteer Apply Online Donate Wish List How to Help Become a Foster Learn More Volunteer Learn More Donate Learn More
