*denotes required field

Applicant's Name*

Applicant's Age*

Souse/Partner's Name

Spouse/Partner's Age

Home Address*

City*

Postal Code*

E-mail Address*

Home Phone Number*

What is the best time to reach you?

Children Living In The Home

Please list all the children in the home including their sex and ages

What breeds of dogs or other pets have the children lived with?

Which best describes your living situation* - choose as many as apply:

 Own House Rent House Apartment Own Condo Rent Condo Live with parents

How long have you lived at this address?*

If you rent, please give the name and contact number for your landlord as this application cannot be processed without that information.

Does your home have a yard?

 Yes No

Is the yard totally fenced?

 Yes No

What are your plans for exercising the dog?

Where will the dog be kept while you are out?*

What experience have you had with dogs?*

Have you ever fostered dogs previously?

 Yes No

If yes, please give the name of the rescue/agency for whom you fostered and for how long?

What are you willing to provide for a fostered dog such as food, shelter, training, activities, etc.?*

Do you prefer to foster a male or female dog?
 Male Female No Preference

What size or breed of dog would you prefer to foster?

What age range would you prefer your fostered dog to be?

What other criteria would you have for your foster dog?

Is there a time limit on how long you could keep a fostered dog in your home?*

Are you willing to provide transportation to and from the vet, bringing the dog for arranged adoption appointments, etc. as needed?*

Pets Currently In The Home

Please list all other pets in the home including their breed/sex/age/weight and whether they are spayed/neutered

Please give the name and contact information of your current veterinarian if applicable

How did you hear about Ugly Mutts?*

Although Ugly Mutts will attempt to give an honest evaluation of the temperament of any dog you are asked to foster, you understand that the history of a rescued dog may not be known and you may encounter some behavioural problems. Are you willing to work with your fostered dog to correct any problems?*

Please provide three references and include the following information: Their name, phone number, email address, relationship to you, and the number of years you have known them.

Date Application was sent

Thank you for your interest in becoming a foster parent. As we are all volunteers with full time jobs, families and pets of our own, please be patient with us and we will get back to you as soon as possible.