West TN Animal Rescue
Foster Care Application
Name or Pet ID:
Title:
*First Name:
*Last Name:
Suffix:
*Address:
*City: *State: *Zip:
*Best Contact Number   (xxx-xxx-xxxx)
Alternate Phone:
*E-Mail Address:
*Verify E-Mail:
Companion Animals
In the table below please list all companion animals you currently have at your home. If more than 6, list them in the Additional Comments section. (Altered = Spayed or Neutered)

Name Age Breed Gender Altered What/When happened to this pet?
Additional Questions
Please check all that apply.
I am at least 21 years of age.
I have never been convicted or officially accused of a crime against an animal.
I currently or have previously fostered for (Enter Name)
I was referred by: (Enter Name)
* List any rescue groups or animal welfare groups you are associated with or have fostered for in the past.
* Please list all people living in the house and/or who will have regular contact with your animal(s), including their ages.
* Do you own your home or rent your home?
* Do you have a fenced-in yard? If yes, please describe type of fencing, approximate size of the fenced area, and locking mechanism on the gate.
* Where do/will your animals stay during the day when you are home and how long are they left alone?
* Where do/will your animals stay during the day when you are not home?
* Where do/will your animals sleep at night?
* Do you or have you ever bred animals? If yes, please explain.
* How do you plan to introduce your new foster pet to your current pets?
* How will you keep your pets separated if necessary?
* Are your pets altered and up to date on vaccines (parvo/distemper, rabies, bordetella)?
* Are you willing to incur the cost of feeding your foster pet a quality food while in your care?
References
Veterinarian References:
Please list your primary vet and secondary if needed. If more than two veterinarians treat your pets please list them in Additional Comments.
Primary Vet:
Name on Account:
*Practice Name:
*Address:
*City: *State: *Zip:
*Phone with area code:   (xxx-xxx-xxxx)
*Animals treated by this vet:
Contact Person:
 
Secondary Vet:
Name on Account:
Practice Name:
Address:
City: State: Zip:
Phone with area code:   (xxx-xxx-xxxx)
Animals treated by this vet:
Contact Person:
 
Personal References:
Please list 2 people other than family members as references. They must be people who know you and your companion animals and have been to your home.
Reference 1
*First Name:
*Last Name:
*Address:
*City: *State: *Zip:
*Phone with area code:   (xxx-xxx-xxxx)
 
Reference 2
*First Name:
*Last Name:
*Address:
*City: *State: *Zip:
*Phone with area code:   (xxx-xxx-xxxx)
 
Employer:(or business, if self-employed)
*Employer Name:
*Address:
*City: *State: *Zip:
*Phone with area code:   (xxx-xxx-xxxx)
 
Landlord(if you do not own your home)
If you are currently renting please provide landlord name and best phone number to reach him/her.
Landlord Name:
Landlord Phone:
Additional Comments
Please provide any additional information relevant to this application.
Acknowledgment
bulletBy submitting this Foster Care Application, I am granting permission for a West TN Animal Rescue representative to contact my veterinarian/s, landlord (if applicable), and listed references with the intent of gaining personal information about my lifestyle and the care of my existing and previous animals. I am also granting permission for a West TN Animal Rescue representative to conduct an inspection of my home at a scheduled time.
bulletI understand that if my application is approved, it will represent the legal contract between myself and West TN Animal Rescue.
bulletI have read this application in its entirety, and I agree that all statements contained in this document are made by me, and are truthful. I make this statement under penalty of perjury under the laws of the state of Tennessee.
*I agree with the above terms.
I Do Not agree with the above terms.