First Name*

Last Name*

Email*

Street Address*

City*

State*

Zip Code*

Cell Phone Number*

Home Phone Number (Optional)

Please list the name AND age of EVERYONE currently living in your household (please include yourself):*

Have you, or anyone listed as living in the household ever been investigated for crimes involving an animal, including abuse and neglect? *

Does anyone listed as living in the household smoke inside the home?*

Do you currently own any pets? *

If yes, please list each pet's name, breed, age, and where they are kept/housed (inside or outside):

Are all of the pets listed above current on vaccinations (Rabies & Distemper at minimum)?

Are your current dogs on monthly flea/tick and heartworm prevention? *

Have all the pets listed above been spayed or neutered?

If ALL of your current pets are NOT spayed or neutered and current on vaccinations, why not?

Veterinarian Reference (Clinic Name, Doctor Name, & Phone Number):*

What type of housing do you live in?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent the place you live? *
Choose one: Rent Own

If you rent, does your landlord allow pets? *

Have you received permission from your landlord? *

Landlord’s Name

Landlord’s Phone Number

Do you have a fenced in yard? *

Type of Fence
Choose one: Privacy Wood Metal Chain Link Invisible

What is the height of the fence

How long will the foster dog be alone during the day?*

Where will the foster dog be kept when you are away?*

Do you have an in-home daycare?*

Please list 1-2 non-family references we could speak to. Please provide full name, phone number, and relationship for each reference:*

Why would you like to foster a rescue dog for Sioux Falls Canine Rescue?*

Do you have any specific skills, volunteer experience, or training pertaining to the care of dogs? If yes, please explain. *

What type of dogs would you be interested in fostering? (You may select multiple boxes/options)

Are you currently approved to foster for any other rescues/shelters?*

Are you willing & able to give your foster dog medication, if needed?*

What types of training/issues are you willing to work with?

Please describe the personalities of your current pets:

I agree the dog(s) is/are being fostered and will not be sold, adopted, or given to another party.*

I agree the dog(s) will not be allowed outdoors without proper supervision. When taking my foster dog outdoors, they will be leashed at all times or in a securely fenced in area, and be wearing proper ID.*

I agree that I will be fostering this dog for Sioux Falls Canine Rescue, and that I do not have any right of ownership over my foster dog. I further agree that SFCR's rights to my foster dog are superior to mine.*

I agree to keep my foster dog away from locations where unknown dogs frequent. (Example: dog parks, groomers, pet stores) without permission from the rescue.*

Do you understand that Sioux Falls Canine Rescues makes no guarantees about the dog's temperament or health status, and is not responsible for future damages or injuries caused by the foster dog?*

E-Signature:*