If you're interested in fostering a pet, please complete the form below and someone will review your information shortly.

First Name *

Last Name *

Home Address *

City *

State *

Zipcode/Postcode *

Country * -- Select Country -- AFGHANISTAN ALAND ISLANDS ALBANIA ALGERIA AMERICAN SAMOA ANDORRA ANGOLA ANGUILLA ANTARCTICA ANTIGUA AND BARBUDA ARGENTINA ARMENIA ARUBA AUSTRALIA AUSTRIA AZERBAIJAN BAHAMAS BAHRAIN BANGLADESH BARBADOS BELARUS BELGIUM BELIZE BENIN BERMUDA BHUTAN BOLIVIA BOSNIA AND HERZEGOVINA BOTSWANA BOUVET ISLAND BRAZIL BRITISH INDIAN OCEAN TERRITORY BRUNEI DARUSSALAM BULGARIA BURKINA FASO BURUNDI CAMBODIA CAMEROON CANADA CAPE VERDE CAYMAN ISLANDS CENTRAL AFRICAN REPUBLIC CHAD CHILE CHINA CHRISTMAS ISLAND COCOS (KEELING) ISLANDS COLOMBIA COMOROS CONGO CONGO, THE DEMOCRATIC REPUBLIC OF THE COOK ISLANDS COSTA RICA CÔTE D'IVOIRE CROATIA CUBA CYPRUS CZECH REPUBLIC DENMARK DJIBOUTI DOMINICA DOMINICAN REPUBLIC ECUADOR EGYPT EL SALVADOR EQUATORIAL GUINEA ERITREA ESTONIA ETHIOPIA FALKLAND ISLANDS (MALVINAS) FAROE ISLANDS FIJI FINLAND FRANCE FRENCH GUIANA FRENCH POLYNESIA FRENCH SOUTHERN TERRITORIES GABON GAMBIA GEORGIA GERMANY GHANA GIBRALTAR GREECE GREENLAND GRENADA GUADELOUPE GUAM GUATEMALA GUERNSEY GUINEA GUINEA-BISSAU GUYANA HAITI HEARD ISLAND AND MCDONALD ISLANDS HOLY SEE (VATICAN CITY STATE) HONDURAS HONG KONG HUNGARY ICELAND INDIA INDONESIA IRAN, ISLAMIC REPUBLIC OF IRAQ IRELAND ISRAEL ITALY JAMAICA JAPAN JERSEY JORDAN KAZAKHSTAN KENYA KIRIBATI KOREA, DEMOCRATIC PEOPLE'S REPUBLIC OF KOREA, REPUBLIC OF KUWAIT KYRGYZSTAN LAO PEOPLE'S DEMOCRATIC REPUBLIC LATVIA LEBANON LESOTHO LIBERIA LIBYAN ARAB JAMAHIRIYA LIECHTENSTEIN LITHUANIA LUXEMBOURG MACAO MACEDONIA, THE FORMER YUGOSLAV REPUBLIC OF MADAGASCAR MALAWI MALAYSIA MALDIVES MALI MALTA MARSHALL ISLANDS MARTINIQUE MAURITANIA MAURITIUS MAYOTTE MEXICO MICRONESIA, FEDERATED STATES OF MOLDOVA, REPUBLIC OF MONACO MONGOLIA MONTENEGRO MONTSERRAT MOROCCO MOZAMBIQUE MYANMAR NAMIBIA NAURU NEPAL NETHERLANDS NETHERLANDS ANTILLES NEW CALEDONIA NEW ZEALAND NICARAGUA NIGER NIGERIA NIUE NORFOLK ISLAND NORTHERN MARIANA ISLANDS NORWAY OMAN PAKISTAN PALAU PALESTINIAN TERRITORY, OCCUPIED PANAMA PAPUA NEW GUINEA PARAGUAY PERU PHILIPPINES PITCAIRN POLAND PORTUGAL PUERTO RICO QATAR REUNION ROMANIA RUSSIAN FEDERATION RWANDA SAINT BARTHÉLEMY SAINT HELENA SAINT KITTS AND NEVIS SAINT LUCIA SAINT MARTIN SAINT PIERRE AND MIQUELON SAINT VINCENT AND THE GRENADINES SAMOA SAN MARINO SAO TOME AND PRINCIPE SAUDI ARABIA SENEGAL SERBIA SERBIA AND MONTENEGRO SEYCHELLES SIERRA LEONE SINGAPORE SLOVAKIA SLOVENIA SOLOMON ISLANDS SOMALIA SOUTH AFRICA SOUTH GEORGIA AND THE SOUTH SANDWICH ISLANDS SPAIN SRI LANKA SUDAN SURINAME SVALBARD AND JAN MAYEN SWAZILAND SWEDEN SWITZERLAND SYRIAN ARAB REPUBLIC TAIWAN TAJIKISTAN TANZANIA, UNITED REPUBLIC OF THAILAND TIMOR-LESTE TOGO TOKELAU TONGA TRINIDAD AND TOBAGO TUNISIA TURKEY TURKMENISTAN TURKS AND CAICOS ISLANDS TUVALU UGANDA UKRAINE UNITED ARAB EMIRATES UNITED KINGDOM UNITED STATES UNITED STATES MINOR OUTLYING ISLANDS URUGUAY UZBEKISTAN VANUATU VENEZUELA VIETNAM VIRGIN ISLANDS, BRITISH VIRGIN ISLANDS, U.S. WALLIS AND FUTUNA WESTERN SAHARA YEMEN ZAMBIA ZIMBABWE

Drivers License: *

Home Phone Number: *

Email Address *

What motivates you to be a foster parent? *

What type of dwelling? * -- Please select -- House Apartment Condo Other

Do you own or lease? * -- Please select -- Own Lease Other

How many pets are allowed by your landlord or HOA? *

How many adults live in the home? *

How many children live in the home? *

Child 1 name and age?

Child 2 name and age?

Child 3 name and age?

Child 4 name and age?

Please list exposure and experience your children have had with pets *

Is anyone in your home allergic to dogs or cats? If so, please explain. *

Is everyone in your home in agreement to foster a pet? *

Who will be the primary caretaker of a foster pet? *

Please list any previous foster experience you have and the organization(s) you fostered for: *

Do you have a fenced yard? If so, how high and what type (wood, chain, etc.) *

What other pets live in the home? (please list breed and age) *

Are they spayed/neutered? * -- Please select -- Yes No Not sure

Are they current on shots and vaccinations? * -- Please select -- Yes No Not sure

Are they friendly with other pets? * -- Please select -- Yes No Not sure

Please list your vet's contact information:

What type of pet would you like to foster? * -- Please select -- Dog Cat

What age would you prefer to foster? * -- Please select -- Newborn 1-3 years 3-5 years 5-7 years 7+ years

Where will the foster pet be kept during the day/night? *

How many hours a day will the foster pet be alone or unsupervised? *

What behavior types are you willing to work with, if any? (check all that apply) * Chewing Digging Barking Crate Training Separation Anxiety Potty Accidents Clawing/Scratching Furniture Litter Box Training Getting on Furniture Socializing

What medical conditions are you experienced or willing to handle, if any? (check all that apply) * Spay/Neuter Recovery Bottle Feeding Newborns Upper Respiratory/Kennel Cough Ringworm Heartworm Treatment Recovery Injuries Mange Parvovirus Other

Do you have experience with mothers and newborns? If so, please explain *

Do you have experience giving medications? If so, please explain *

Are you able to provide walks on a leash and/or leash training? * -- Please select -- Yes No

If you must travel, what arrangements will be made for your pets/foster? *

If your foster pet needs to be isolated from your existing pets, where will it stay? *

Are you able to attend a one-time training class for further training and review of Habitat 4 Paws foster guidelines? * -- Please select -- Yes No

Are you willing to follow Habitat 4 Paws policies and veterinarian recommendations regarding the care of your foster pet whether or not you agree with such policies or recommendations? * -- Please select -- Yes No

Enter Word Verification in box below *