*Name: 

*Address:

*City:

*Zip:

*Home Phone:

Alternate Phone:

*Email:

Full Time Part Time AtHome

******Month:

*Day:

*Year:

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Dog with Puppies
Puppies
Sick Dog or Puppy
Adult Dog
Pre-wean Puppies

• *Do you or have you ever owned a pet?    No Yes Select One

• *How many animals do you currently have in your home (if any)?
  Dog(s)  0 1 2 3 4 5 5+      Cat(s) 0 1 2 3 4 5 5+      Other  0 1 2 3 4 5 5+

• *Are all the animals currently in your home spayed or neutered?
   No   Yes

• *If you own a pet, please provide your current veterinarian:

Vet Name: 
Vet Phone:

May we call him/her for a reference? No   Yes

• *Do you own or rent your home?  Own     Rent

If you rent, please provide your landlord�s contact information:

Landlord's Name:

Landlord's Number:

• *Please describe the general area where the foster animals(s) will be kept:
  

• *Are there any children living in the household?   No  Yes  

If yes, what are their ages?

• *Have you ever fostered animals before with this or any other organization?   No  Yes  

If yes, what organization? 

• *Are you willing to allow Magnificent Mutts staff visit the animals(s) at your home to take digital photos for our website,  or to check on the animals?    No  Yes  

• *May a prospective adopter call you regarding your foster animal?
     No  Yes  

• *May a prospective adopter visit your home to see the animal?       
    No  Yes  

• *Are you willing to be responsible for the animals in your foster care, such as providing food, bedding, water, grooming, training and veterinary care as needed?     No  Yes  

• *Can you provide transportation to/from one of our participating vets (Elmhurst, Wheaton, Naperville Locations)?   No  Yes  

• *Do you have a fenced yard?  No  Yes  
  • If so, how tall?  1-3 Feet 4-6 Feet 6-8 Feet 8+ Feet
  • What type of fence?

• *Please List three references (non-relatives) who can vouch for your ability to care for foster animals:

• As a foster parent, I understand that I will be required to keep foster dog(s) on a leash while walking them.  I understand that foster dogs must be kept indoors when they are not being walked, and that foster cats must be kept indoors at all times. *Initial:   
• As a foster parent, I understand that I may have an animal in my care for a short period of time (1 week) or an extended period of time (as many as 3 months or more), and that the amount of time is subject to change depending on circumstances of the Magnificent Mutts Rescue.  I understand that if I will be on vacation during the period of time I am being asked to foster, I am obliged to inform the Rescue to allow the shelter to find the most suitable temporary accommodations for the foster animal(s). *Initial:   
• I understand that, although a foster animal from the Magnificent Mutts Rescue is in my care, the foster animal is the sole property of the Magnificent Mutts Rescue, and that the animal(s) shall be returned to the Magnificent Mutts Rescue upon request, or if I am no longer able to adequately care for the animal(s). *Initial:   
• I understand that as a foster parent, I do not have any right or authority to keep the foster animal(s), to place foster animal(s) in other homes, or to place animals with other individuals unless permission is given in writing from the Magnificent Mutts Rescue Foster Program Administrator.  *Initial:   
• I understand that I must get permission from the Magnificent Mutts Rescue for any expenses as a result of fostering an animal(s) including, but not limited to, food, veterinary care, grooming, training, and medication.  *Initial:   
• I understand and accept that while I am caring for foster animals, the Magnificent Mutts Rescue may call me from time to time to check on the animals� progress and to address any concerns I may have. 
   *Initial:   
• I understand that it is occasionally necessary to euthanize animals that have been in foster care, and that this is at the discretion of the Magnificent Mutts Rescue, although it is an option of last resort.
  *Initial:   
• As a foster parent, I agree to abide by all animal control laws with regard to the foster animals in my care.  *Initial:   
• I am not taking a foster animal for any purpose other than to provide temporary care for the animal.  *Initial:   

Signature:

Date: