Foster Application - Back The Blue Pet Rescue

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's
Name(s)
Address*
Street Address City State ZIP Code
Phone*
Email*
Facebook name

(we use facebook for coordinating events and foster needs)

Do you have any other pets?*
Total number of animals:
Please enter a number from 0 to 99.
Are all animals up to date on vaccinations?
Pet Details
Name Breed Male / Female Age Spayed / Neutered Years 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

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 Care Application

Step 1 of 6

Veterinarian Information

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Name(s)

Name	Breed	Male / Female	Age	Spayed / Neutered	Years owned