Full Name * Date of Birth * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year19211922192319241925192619271928192919301931193219331934193519361937193819391940194119421943194419451946194719481949195019511952195319541955195619571958195919601961196219631964196519661967196819691970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Year Address * City * State * Zip * Phone # * Preferred Contact * Text Call Email * Current Pets (Please list the type of animal, their breed, age and whether they are spayed/neutered) * Are all the animals in your home up-to-date on vaccinations? * Yes No Do you have a current Veterinarian? If yes, please provide the practices name. * Veterinarian # Have you fostered before? * Yes No Please describe the gerenal area your foster animal would be kept. * How many adults are in your home? * How many children are in your home? (Please list ages) * Do you currently live in a: * ApartmentHomeCondoMobile HomeDuplexOther Do you rent or own your home? * Rent Own If renting, does your landlord allow you to house animals? Yes No With restrictions Please list any restrictions (Breeds, sizes, etc.) Do you have a fenced in backyard? * Yes No If yes, how tall? My foster animal would be left alone for: * 4-8 hours8-12 hoursless than 4 hoursmore than 10 hours If you attend school or work, please describe your typical schedule. * What type of fostering are you interested in? * Weekend Foster (Friday evening - Sunday evening/Monday morning) Two-week Foster Both If interested in weekend fostering, what time is best for you to pick up your foster dog from WBF? 4:00pm4:30pm5:00pm5:30pm If interested in weekend fostering, what time is best for you to return your foster dog to WBF on Sundays? 3:00pm-4:00pm4:0pm-5:00pmI would prefer to return the dog on Monday mornings If interested in weekend fostering, what time is best for you to return your foster dog to WBF on Mondays? * 7:30am-8:00am8:00am-8:30amI would prefer to return the dog on Sunday evenings Leave this field blank Submit
