First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone*

Work Phone*
x

Why are you interested in fostering? *

Are there any specific animals or types of animals you are interested in fostering? Are you interested in fostering more than one animal (e.g., bonded pair)?*

Do you own or rent your home? *

What is your date of birth?*

If you rent, what is your landlords name and phone number?

How many adults live in your home?*

What are the full names (First Middle Last & Maiden name) and birthdates for anyone over 18 years of age who lives in the home?*

How many children live in the home and what are their ages?*

Animal Care

Are there any other animals in your home? If so please list the type, age, and sex of the animal.*

Are all of your animals altered (neutered/spayed)?*
Choose one: Yes No

If no, please explain.

Are there any animals that you have owned that you no longer have?*
Choose one: Yes No

If yes, please explain.

Please provide us with the name and phone number for a Vet reference.*

How many hours a day will the dog be home alone?*

The dog will live (mark all that apply):

When the dog is left alone, where will it be? Check all that apply:

What type of housing do you live in?*
Choose one: Single family home Apartment Condo Mobile home

How big is your yard?*
Choose one: Small Medium Large Acreage No yard

Please tell us about your lifestyle so that we can find the best fit for your home. (I.e., very active, quiet and stay home, travel a lot, outdoors a lot, etc.)*

How will you exercise the dog? Check all that apply:

Besides your vet reference, please give us the name and telephone number for two other references that are not related to you that can attest to your character:*

Many of our animals are pit bull type dogs. What experience, if any, do you have with this breed? Please provide specific examples of what you have learned. *

Why do you feel you would be a good foster for one of our animals?*

IMPORTANT NOTE!!

Many homeowner's insurance companies have breed blacklists which include but are not limited to, pit bulls, American Pit Bull Terriers, American Staffordshire Bull Terriers, Rottweilers, Dobermans, Akitas, American Bulldogs, Chows, wolf-hybrids, and mixes of these types of dogs. If the insurance company has a breed blacklist, they will not insure you if the animal resides in your home or may cancel your insurance if you add a dog of these breeds to your home.  Please check your homeowner's insurance policy regarding breed discrimination BEFORE adopting/fostering a pit bull type dog. Landlords may also have these same breed restrictions due to their insurance policies.  

Please read this information carefully before signing.

Cedar Valley Pit Bull Rescue is a volunteer based, nonprofit organization that works hard to place the right dogs with the right families. We want our dogs to have great, forever homes. We do run background checks on all adults in the home and reserve the right to deny any application. We also set up a home check, once the application has been processed.

Each of our available dogs stays with a foster family while waiting to be adopted. This ensures that the dogs stay socialized and remain in a family setting. Even with foster homes it can still take some time for the dogs to settle into their new surroundings when they are adopted. In the first few days, you may see some signs of stress from the dog. This can be very normal. We ask that you give the dog two weeks to fee comfortable and adapt in your home. You may contact us at any time if you have any questions or concerns. We will gladly help. Once you have adopted the dog, if for any reason you cannot keep the dog, you must bring it back to Cedar Valley Pit Bull Rescue. Our adoption fees are based on the dog's vet bills and are considered a nonrefundable donation. 

By signing you are agreeing to the above information and understand that filling out the application is not an automatic approval. We work very hard to make sure our dogs are placed in the right forever homes. We reserve the right to deny any application. We will contact you once your application has been reviewed. This typically takes 24-48 hours but can occasionally take longer.

Name and Date By typing your name in the box below you are providing an electronic signature that you have read through the information provided in this application and you have provided truthful responses to all questions. By submitting this application, you are consenting to have a background check conducted on you and all other adult members of your household. *

If yes, please describe height and type of fence (e.g., wood, chain link, etc.).