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Harley's Hope Foundation   ©   2010 - 2017   •  All Rights Reserved

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Name
Spouse's/Partner's Name (if any)
Address
City, State, Zip
Home Phone
Cell Phone
Work Phone
Spouse's/Partner's Phone
Are you over 18 years of age?
(fosters must be over 18 years old)
Yes  No
Email Address
How many people reside in the household? Adults    Children     Ages of Children 
Do you Own or Rent your home? Own  Rent
If you rent, what is the name and phone number of your landlord? Name:   Phone:
How long have you lived at this address?
Do you have a fenced yard? Yes  No
If yes, what kind and height?
If no, how will you exercise your foster dog/puppy?
Will the foster animal have free-roam on the house? Yes  No
Where will they sleep at night?
How long will the foster animal be left alone during the day?    hours
If necessary, are you able to keep the foster pet separate from your own current pets? Yes  No
Where will they be kept?
Have you fostered animals before? Yes  No
If yes, for what animal welfare organization?
Please provide a brief description of the type of fostering you have done
Please check the animals that you have experience/knowledge with and the space to foster:

 Adult dogs, what breeds and how many can you foster? 

 Puppies under 16 weeks of age, not fully vaccinated.  How many can you foster? 

 Puppies over 16 weeks of age, fully vaccinated.  How many can you foster? 

 Adult cats, how many can you foster? 

 Kittens, how many can you foster?   

Will you take a mom with kittens?   Yes  No

Do you have experience bottle-feeding orphaned kittens?  Yes  No

 Other Species: 

Please Check any supplies you require:

 dog crate/kennel    small    medium  large
 cat carrier
 puppy pads
 puppy pen
 leashes/collars
 dog/puppy food
 cat/kitten food
 kitten formula
 litter box
 litter   clay   scoopable  other
 

Your Current Pet's Information (Please list all current pets)::

  Species Breed Age Gender Current on Rabies Current on all other Vaccines
Pet 1 Yes  No Yes  No
Pet 2 Yes  No Yes  No
Pet 3 Yes  No Yes  No
Pet 4 Yes  No Yes  No
Pet 5 Yes  No Yes  No
Pet 6 Yes  No Yes  No
   
Are all your animals spayed/neutered? Yes  No
If no, are you willing to get them spayed/neutered? Yes  No
What veterinary hospital/clinic do you use?
   

By checking this BOX , I agree to provide a safe foster home for HHF foster animals to include: indoor shelter, adequate food/water, exercise as appropriate, love and affection, and to contact HHF immediately should the foster animal become ill or injured or require professional training or grooming. Furthermore, I agree to notify HHF at least 1 week in advance when needing vacation coverage for my foster animal.
 
By checking this BOX , I agree to adhere to all relevant zoning and animal control codes and ordinances, whether local, county or state.

VERIFICATION QUESTION (Helps reduce spam)

How many animals do you see in this image?