PLEASE READ:

**USA Pit Bull Rescue Reserves The Right To Deny Any Application For Any Reason

USA Pit Bull Rescue

Application to FOSTER

Personal Information:

Name:_________________________________   Age: ____________

Spouse: _________________________________   Age:  _____________

Address:          ________________________________       

                        ________________________________       

                        ________________________________   

Phone:             _________________________Home

                        _________________________ Your Work               

                        _________________________Spouse’s Work

Email:              _________________________________

Employer:                    ________________________________________________

Spouse’s Employer:   ________________________________________________

Number of Children:    ________

Names                                                            Ages

            ____________________________     ______

            ____________________________     ______

            ____________________________     ______

            ____________________________     ______

Have any of these children been exposed to large breed dog before?
_____Yes       _____No

Have any of these children been biten by a dog?  ___ Yes  ___ No

If yes, please explain the circumstance: 

Please circle which of the following best describes your current living situation:

1.         House  Condo             Apartment                   Mobile Home

2.         Rent    Own                Live with parents

If you rent, name and phone number of landlord:

________________________________________________________________

3.         City      Suburban        Country

How long have you lived at this address?      _____________________

If less than 2 years, please list your previous address:

________________________________________________________________

If you rent: 
Does your landlord allow pets?  ____ Yes   ____ No

Is there a pet deposit?    _____ Yes   _____ No
If yes, how much money per pet or per household?

Is there a size or weight limit?  ____ Yes   ____No
If yes, what is the limit?  

What is your landlord's name and phone number?

_____________________________________________________________

How long have you lived at this address?     _________________

Is there a chance you might move in the next 5 yrs? ___ Yes __No

Besides your immediate family, are there others residing in your house?   

YES    or       NO

If yes, names and relationship:

________________________________________________________________

________________________________________________________________

Does your home have a yard?                       YES                 or                     NO

If yes, is it fenced?                              YES                 or                     NO

What type of fence?                _______________________________________

How tall is the fence?  _______________________________________

Will the gate be locked with a pad-lock?                    YES                 or         NO

If you do not have a fenced yard, are you prepared to walk your dog on a leash for potty breaks and exercise more than 3 times per day, regardless of the weather conditions or time of day/night:  ____ Yes    ____ No

What is the maximum number of dogs/pets allowed by city ordinance?

What are your local licensing fees/requirements:?

Have you ever had a pet hit by a car or lost?__ Yes  __ No

If so, please explain: 

Foster Placement Information:

Is someone home during the day?     YES                 or                     NO

If no, where will the dog stay while you are gone?

________________________________________________________________

Where will your dog be kept most of the time?         

Inside               Outside           Basement       Garage            Other (specify):____________________

If kept outside, will you have a dog run and/or dog house?

Specify:  _________________________________________________________

Where will the dog sleep at night:

What will you do with your dog when you need to travel or go on vacation?

Would you let the dog outside by itself occasionally if you had a house with lots of land and away from busy streets?             
 YES                or                     NO

Do you plan to chain the dog in the yard at any time?  ____ Yes  ____ No

Do you plan to leave the dog in an outdoor kennel at any time?  ___Yes  __ No

Do you own a dog crate?  Yes   or   No

If you own a dog crate, what size it is: ________

Are you willing to purchase a crate for your foster dog?  Yes or No

What steps have you taken to learn about Pit Bull Dogs and
dog ownership? ______________________________________

____________________________________________________

___________________________________________________

Check any of the following you feel are valid reasons for giving away a pet:

___Fleas         ___Too expensive       ___Having a baby       ___Sheds too much

___Moving to another state                 ___Getting married or divorced

___Chews or destroys household objects    

___Children will no longer take care of it 

 ___Found a new place to live but they don't allow pets

Will you accept a Pit Bull Dog with Special Needs?__ Yes __ No

Do you understand that the dog will take time to adjust to it's new surroundings
and that certain behavioral issues might occur?  __ Yes  __ No

Are you willing to work with USAPBR to correct these issues?
___ Yes  ___ No

Have you ever fostered a Pit Bull Dog or any other dog?
 YES    or         NO

What organization did you foster for?

What sex do you prefer?                    male    or         female

Age range?      _____________________________________________________

Is there a dog on our web page that you are interested in fostering?  If yes, which one?

________________________________________________________________

Why do you want to foster a Pit Bull Dog?_____________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Will the Foster Pit Bull Dog be used as a guard dog? Yes    or         No

What activities do you plan to do with your Foster Pit Bull Dog?

________________________________________________________________________________________________________________________________

Other Pet Information:

Do you have any other pets?                                                              Current on

Name                      Type (dog, cat, etc.)                    Age                  Vaccinations?

______________    ___________________  __________                ___________

______________        ____________________        __________    ___________

______________        ____________________        __________                ___________

______________        ____________________        __________                ___________

Are your animals/foster pets on heartworm preventative?

Yes      or         No

What type?      ________________________________________

Your veterinarian:

Name:                         ____________________________________________

Phone number:           ____________________________________________

If applicable, approximate date of your current pet’s last office visit: ________________________________

Miscellaneous:

If you have owned/fostered other dogs and do not now, what happened to them?

________________________________________________________________________________________________________________________________________________________________________________________________

Would you allow your children to take a toy or food from your foster dog if approved:

Yes______  No  _______

If you have pets, how do you plan to introduce your foster dog to your household:

Are you willing to take the time to teach your foster dog basic commands such as:  walking properly on leash, sit, come when called and housetraining:  _____ Yes   _____ No

Are you willing to attend adoption events with your foster dog:  _____ Yes   ______ No

If the dog is comfortable with you, will you let it walk off lead or out in a yard that is not fenced in:   ____ Yes   ____ No

Are you familiar with Heartworm Disease:  ____ Yes    ____ No

Are you willing to foster a dog until a forever home is found:  ___ yes  ___ no

How did you hear about the USA Pit Bull Rescue Group?

________________________________________________________________

List any Humane Societies, Organizations, Breed or Training Clubs you are associated with:            ________________________________________________

We will attempt to provide you with an honest evaluation of temperament on any dog we foster out.  Do you realize that often times the complete history of a Pit Bull Dog may not be known and you may encounter some behavioral problems?_____________________________________________________

Are you willing to work with us on correcting these problems?________________

The length of the foster period varies greatly. Some dogs stay in foster care for only a week or so before they are ready to be adopted into a family. Some dogs need more time and attention either physically or psychologically or both, and some dogs just take a while to 'click' with the perfect adopter. We cannot guarantee a foster timeframe.   Are you willing to foster a dog until a forever home is found?  Yes           OR    No

If not, how long are you able to foster for:  _____________________

Please provide three references (no relatives please!):

Name  Address           Phone Number            Relationship

Additional Comments:____________________________________________________________________________________________________________________________________________________________ ___________________________

I certify that the information provided on this form is true and correct.  I understand that a Home check will be completed before being approved to foster for USAPBR.  If upon inspection we find that the information contained in this application to be false, we retain the right to deny your application or remove the animal from your premises immediately.

Do you give permission for a USAPBR Representative to visit your home prior to and after the fostering period is in effect to do follow up visits on your adopted Pit Bull Dog?
 ___ Yes ___No

Are you currently working with another rescue group to foster a companion pet?
____ Yes   ___ No
If yes, what is the name of the rescue group?  _______________________

Have you applied with another rescue group in the past 24 months to foster a companion pet?  ___ Yes  ___ No 

_____ (Please Initial) I certify that the information provided on this form is true and correct and understands that, prior to being approved for fostering a USAPBR foster dog, this information will be verified.  A home visit will be scheduled and all members of the household must be present. If upon inspection we find that the information contained in this application to be false, we retain the right to deny your application or remove the animal from your premises without a refund of monies paid.  I am also financially and physically able to care for this animal.  I understand that proper food and boarding care can be costly and I am able and willing to meet these requirements.  Approved foster application require a signed Foster Contract by the Foster Family and by the Executive Director of USAPBR to be valid. If upon inspection we find that the information contained in this application to be false, we retain the right to deny your application.  

_____ (Please initial)  I agree to notify USAPBR of any change of employment, family status, relocation and any other family changes.

I, ___________________________ (applicant's name) give _____________________  (Veterinary Clinic) permission to release any and all requested documents on all pets that are or have resided in my household for the last five years from the date of this application to a Representative of USAPBR.  This authorization will expire 1 year from today, the ___day of ___ 200_. 

 

______________________________________________                __________

Signature         (signing this form acknowledges the below statement)         Date 

Complete entire form and mail back to:

Fostering

5613 Old Ridge Road

Raleigh NC 27610