Name

Street Address

City, State, Zip Code

E-mail Address
Daytime Phone

Evening Phone

Cell Phone

What animals are you experienced with?

Would you be available to:

Transport animals/ supplies day evening

Receive phone calls day evening

Assist on Saturday Adoption Days Times available

Assist on Sunday Adoption Days Times available

Do you currently have any pets? yes no

If yes, how many and what kind?

What is the name of the veterinarian that you use?

Are your pets spayed/neutered? yes no

Are they current on vaccinations? yes no

Do you have a fenced yard? yes no

What type of dogs do you have experience with? 

Please check all that you would be willing to work with
Puppies small dogs medium sized dogs large extra large

How many would you be willing to foster at one time?

Issues and behaviours you are willing to help correct or are comfortable with
(Check all that apply)
Housebreaking Shedding Barking Jumping
Jealous of other dogs Not good with small children
Long term care (running back and forth to vet for broken legs, etc)
Litters of puppies Giving pills/ ear medication Dog doesn’t like cats

Please specify any time of the year you cannot foster

I understand that I shall be legally responsible for any animal(s) that I foster for Last Hope, Inc.  I shall collect payment of the adoption fee and will forward the adoption fees to the Last Hope, Inc, treasurer within 1 week.   Failure to collect said fee (i.e. giving the animal away, it becomes lost or stolen) will result in my becoming responsible for fully reimbursing Last Hope, Inc. for the adoption fee.  I further understand that should I decide to keep the foster animal, I will be required to pay Last Hope, Inc. the required adoption fee immediately.  I agree to either assist Last Hope Inc. in finding a home for the foster pet by coming to adoption days, or I will return a completed adoption application with the full amount of the adoption fee to Last Hope Inc. should I place the animal from my home. 

Thank You for You Interest in Last Hope!