Instructions: Copy and paste this application into an e-mail and send it to firstname.lastname@example.org or mail to S. Palmay, RR#3, Mansfield, Ontario, L0N 1M0
Street Address: ____________________
City/Prov. _________________________ Postal Code:____________
What can you foster? Sick _____ Injured _______ Healthy _________ Nursing Mothers /pups _____________
Can you deal with behavioral/temperament problems? Yes _____ No _____ If Yes please explain.
How many dogs can you foster at one time? _______
How long are you willing to take responsibility for this foster dog? ________________
Where do you live? Single family Home ______ Apartment _____ Mobile Home _____ Other _____
Do you rent or own your own home? __________________
Any covenants or restrictions that prevent you from having a pet? Yes _____ No _____ If yes please explain.
Do you have a totally enclosed, secure yard? _______________
Describe the fence- height, wood or chain link and area size. ___________________
How do you plan on exercising the dog? ___________________________________
Can we contact your vet? Yes______ No _______
Vet Name: ____________________________
Vet Phone: _____________________________
I acknowledge that all the information contained on this form is true and correct.
I understand that any misrepresentations of fact may result in the removal of the foster dog from my home.
Agree: ___________ Do Not Agree: ___________
Signed: ____________________ Date: ______________
CASPR Representative: _______________________ Date: ____________.