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FOSTER APPLICATION

ABOUT YOU
Please fill out ALL fields.  If necessary, enter N/A
   
                  Name:                                
 Address:                  
      City:  State: Zip:                  
            
                          Home Phone#:      Cell Phone#:      Age:
                      
             
           Employer:      Hours you are at work?:
                                 Work Phone #:      May we call you at work?: YesNo
ABOUT YOUR HOME
Please fill out ALL fields.  If necessary, enter N/A

1.  Do you own or rent your home?:  Own Rent
2.  If renting, what is the name and phone number of your Landlord?:
3.  Do you have a fenced yard for the dog to use?:   YesNo
4.  Who lives with you (ie..Mom-Dad-2 kids)?:
5.  Who, other than you, will be responsible for the care of this dog?:


6.  Have you ever owned a Sheltie before?: YesNo

7.  Do you currently have any other animals?: YesNo
     If yes, please list: type, age & sex and if they are spayed/neutered:

8.    Do you currently have a Veterinarian?: YesNo
       Name of Vet:    Vet Phone #:

9.  Do you have the time to offer these needy animals the extra attention and love required for their adjustment prior
     to permanent adoption?  YesNo

VERIFICATION
Please list two people who can offer references on your ability to care for our dogs


10. Reference Name #1:    Phone #:      

11. Reference Name #2:    Phone #:

(optional)
Do you have any personal comments that you would like to make?


Your Email Address:    Confirm Email:

I have agreed to give care and shelter to a rescued Sheltie for a limited period.  I understand that I am accepting this dog as my own until a new home can be found.  I also understand that Mid Florida Sheltie Rescue has no prior knowledge of this dog's temperament, and I will therefore take all due care to protect others and myself who may come in contact with this animal from bodily harm.

I will indemnify and hold Mid Florida Shelite Rescue blameless from damage to property or harm to persons or other animals caused by this animal.

I have read the above and agree to abide by the rules and regulations of Mid Florida Sheltie Rescue.  I understand that members of the group are available to answer questions and ofer advice, and I must contact them should any problem arise.

All of the answers I have given, are true and correct to the best of my knowledge.
             Signature of applicant:         Date:

It may take several seconds to process your application.  
Please be patient and do not press the Submit button more than once.
Thank you for your interest in Sheltie Rescue!