Your Home Address

Family & Housing

List names & ages of all members of your household

What type of home do you live in single family, town home, apartment, farm, etc.?

Please describe your household:
ActiveNoisyQuietAverage

If you rent, please give the rules governing pets and the landlord’s name and number:

*By providing this information, you are allowing Doggie Bonez, Inc. to contact your landlord. Please inform them of this call so they will speak with us.

Is everyone in your home in agreement with the decision to foster a dog?
YESNO

Do you have time to provide adequate love and attention to a new dog or puppy?
YESNO

Other Pets in the Home

What other pets do you currently have? (Specify type and number)

Have you ever surrendered a pet? If so, why?

Have you ever had a pet euthanized? If so, why?

How do you discipline your pets and why?

About the Dog you are Interested In

Which dog(s) are you interested in meeting?

Desired Sex of Dog
Spayed FemaleNeutered MaleNo Preference

Willing to Foster
Outgoing/hyper DogDog that needs regular medicationShy dogDog that needs trainingNone of these

Where will the dog spend the day? How many hours alone? (Describe)

Where will the dog spend the night? (Describe)

Who will have primary responsibility for this dog's daily care?

When the dog goes out, how do you plan to supervise it? Fenced Yard?

Do you agree to contact Doggie Bonez, Inc. if you can no longer keep this dog?
YESNO

Are you willing to let a representative od Doggie Bonez, Inc. visit your home by appointment?
YESNO

Personal References

All of the information I have given is true and complete. This dog will reside in my home as a pet. I will provide it with quality dog food, plenty of fresh water, indoor shelter, affection, annual physical examination and vaccinations under the supervision of a licensed Veterinarian.

Please type your full name

Using your mouse or finger, please sign your name in the box below

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