Foster Parent form

Thank You for your interest in fostering a rescued canine orphan. Please give yourself ample time to complete this form. Our goal is to match rescued orphaned dogs with foster parents who can best help them transition to forever homes. Please allow 3-5 business days for a MomsVA representative to review your completed form and contact you.

This form is confidential: This form is designed to help you find the dog or puppy most compatible with your lifestyle. MomsVA will maintain the information provided below as confidential and will not share your information with any outside individuals or organizations without your express consent. Completion of this application does not obligate you in any way or guarantee the fostering of a MOMS dog or puppy. MOMS reserves the right to approve or deny any foster parent volunteer request for any reason and the right not to disclose the reason.

Please complete all the following questions completely to the best of your knowledge.

Applicant information

WORK Phone Number *

HOME Phone Number *

CELL Phone Number *

Are you over 18 years of age? *

Yes No

Are you over 70 years of age? *

Yes No

BEST contact number *

WORK Phone HOME Phone CELL Phone

Email Address *

Your Address (city, state, and zipcode) *

Household Information

Current pets?

Other previous pets?

If you previously have had other animals/pets, please complete the following:

Lifestyle Information

Are you fostering a dog for any of the following reasons? *

Hunting dog Guard Dog/Protect Property

What do you hope a foster dog/puppy will add to your life? *

Where will the foster dog/puppy be kept during the day when you are home? *

What type of exercise will you give the dog/puppy? *

Realistically, how many hours per day do you have to exercise with and/or play with your foster dog? *

Less than 1 hour 1-2 hours 2-3 hours More than 3 hours a day

Where will the foster dog/puppy sleep at night? *

How often will the foster dog/puppy get exercise? *

Are there times when the foster dog will be tied outside? *

Yes No

If YES, when and for how long on average? *

Training and development

What methods will you use to train your foster dog/puppy? *

Do you know what causes heartworms? *

Yes No Unsure

Do you agree to keep your foster dog/puppy on heartworm preventative all year round? *

Yes No

If your foster dog/puppy has an accident in the house, how will you correct him/her? *

How long do you think housebreaking will take? *

Have you previously applied to adopt a dog, puppy, cat or kitten from a rescue group or shelter? *

Yes No

If yes, when and what rescue group or shelter? *

What was the result of the application? *

Are you willing to have a MomsVA representative visit where the dog/puppy will be living? *

Yes No Unsure

References

Please provide TWO personal references of someone not living in your home.

Printing your name represents your official signature in the space(s) below.

By signing (spelling out your full name on this form) below and submitting this form, I certify that all information given in this form is true and correct, to the best of my/our knowledge. By submitting this form, I hereby further grant consent to MOMSVA (Making of Miracle Stories Animal Rescue of VA) and its agents to seek information about me from all named and unnamed sources within this form, including but not limited to veterinarians, rental agents, and personal references, regarding this application. Providing false information or refusing to sign below will result in the rejection of the request or the nullification of any adoption agreement. Signature/Name of Applicant *

MOMSVA (Making of Miracle Stories Animal Rescue of VA) reserves the right to approve or deny any application to foster for any reason and the right not to disclose that reason.

Upon clicking SUBMIT, your application will be sent to [email protected] for review.

MomsVA Animal Rescue
Foster Parent form

Applicant information

Household Information

Current pets?

Other previous pets?

Lifestyle Information

Training and development

References

AUTHORIZATION/RELEASE

MomsVA Animal Rescue Foster Parent form

Applicant information

Household Information

Current pets?

Other previous pets?

Lifestyle Information

Training and development

References

AUTHORIZATION/RELEASE

MomsVA Animal Rescue
Foster Parent form