Foster Application

Contact Information

Name*

First Last

Date of Birth*

Driver's License Number*

Spouse / Partner Name

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Alt Phone

Email*

Preferred Method of Contact*

Email
Phone

Home Information

Living Arrangements*

Rent
Own

Are there children who live in or visit the home?*

Yes
No

Please list the names and ages of others living at your current residence.

Are there restrictions on the size of dog where you live?*

Under 25 pounds
Under 50 pounds
No Restriction

Do you have a fenced-in yard?*

Yes
No

Type and Height of Fence*

Animial Care

Who will be the primary caretaker?*

Home many hours a day will the dog be left alone?*

Where will the dog be kept while you are not at home?*

Will you need a crate to secure the dog?*

Yes
No

Will he/she have access to the outside while you are away?*

Yes
No

Where will he/she sleep at night?*

Do you have any pets in the home currently?*

Yes
No

Please list current pets in your home*

Name	Breed	Age	Sex	Years Owned	Spayed/Neutered

Are your current pets up-to-date on shots?*

Yes
No

Name of your current veterinarian*

First Last

Veterinarian's phone number*

Name records are under*

First Last

Please provide two personal references (non-family)*

Name	Relationship	Phone

What is the maximum amount of time you can foster?*

Less than a month
1-12 months
1-3 years
Fospice

I understand a Kibblez of Love representative may visit my home for a home inspection before my foster application is approved. I understand that if I am approved for fostering, I will also need to carefully read the "Foster Care Agreement" which is a separate document from this "Foster Care Application." The Foster Care Agreement represents the legal contract between a foster caregiver and Kibblez of Love. I understand that if I am approved to foster an animal, I must review, agree, and sign the Foster Care Agreement before I can take my foster animal home. I 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 Florida.

Digital Signature*

First Last