Foster Application

Applicant

Applicant's Name*

Prefix First Middle Last

Age*

Address*

Street Address City State ZIP Code

Cell Phone*

Do you have a Home Phone/Landline?*

Yes
No

Home Phone*

Email*

Enter Email Confirm Email

Do you Work?*

Employed
Unemployed
Retired

Employer*

Position*

Can you be contacted at work?*

Yes
No

Work Phone*

Do you have a co-applicant?*

Yes
No

Co-Applicant

Co-Applicant's Name*

Prefix First Middle Last

Relationship to Applicant*

Age*

Cell Phone*

Do you have an email?*

Yes
No

Email*

Enter Email Confirm Email

Do you work?*

Employed
Unemployed
Retired

Employer*

Position*

Can you be contacted at work?*

Yes
No

Work Phone*

About the Family

Do you have children?*

Yes
No

Please list all children and ages who live in the house or regularly visit in the home.*

Please list all other children and ages who have regular access to the dog.

List any other residents of the home, (i.e., family, roommates, friends) and ages of each.

Do you currently have pets?*

Yes
No

Species*

Please list species.*

Name*

Breed*

Age*

Sex*

Neutered?*

Spayed?*

Do you currently have another pet?*

Yes
No

Species*

Please list species.*

Name*

Breed*

Age*

Sex*

Neutered?*

Spayed?*

Do you currently have another pet?*

Yes
No

Species*

Please list species.*

Name*

Breed*

Age*

Sex*

Neutered?*

Spayed?*

Have you had pets in the past?*

Yes
No

Please name all pets that you have had within the past 5 years. (Give species). Where are they now?*

Since you have a pet, please tell us what brand of food you feed.*

Does anyone in your household have allergies?*

Yes
No

What kind of allergies?*

Please provide the full name and phone number of your current and previous veterinarian. We will be calling!

Current Vet Name*

First Last

Current Vet Phone*

Previous Vet Name (if applicable)

First Last

Previous Vet Phone (if applicable)

Do you authorize MAGRR to contact your veterinarian?*

Yes

Please notify your vet's office that a representative from MAGRR will be calling and that you want them to release information to us. If your vet refuses to release information, your application process will be delayed!

What type of heartworm preventative do you use?*

Where do you purchase heartworm preventative medication?*

Untitled*

Agree

MAGRR's policy to adopt requires all pets receive continuous veterinary care. This includes all required vaccinations (rabies, distemper/parvo virus and lyme), heart-worm testing and proof of continuous heart-worm protection. Medical concerns and holistic treatment approaches – when confirmed by your veterinarian – are also acceptable practices. By selecting the “Agree” box, you are stating that to the best of your knowledge, you meet all veterinary requirements as set forth above, and wish to proceed with the application.

Have you or any member of your family/household been cited for leash law violations or cruelty to animals in the past?*

Please Explain*

Have you sold, given away, surrendered a pet to a shelter?*

Please Explain*

It's a Golden's Life

Who will be the primary caregiver for a foster dog?*

Is the primary caregiver physically limited in his/her ability to properly care for and exercise a Golden Retriever?*

Please share the limitations with us so that we are more fully able to find an appropriate match for you.*

How long daily will the dog be left alone (without humans)?*

Where will the dog stay when you are away from the house?*

Will the dog be allowed in the house?*

Which parts of the house?*

Where will the dog spend the day?*

Where the dog sleep at night?*

What do you think about tying a dog up outside?*

Will your dog spend any time on a run or tie-out? If so, how long?*

Will you let your dog off lead in an unsecured area?*

Are you familiar with the use of a dog crate to train the pet during your absence or at night?*

Are you willing to crate train if necessary?*

Would you be willing to take your foster dog to scheduled obedience training classes?*

How do you plan to exercise your foster dog?*

Some dogs need extra exercise. Are you willing to accomodate these specifications?*

Are you aware that goldens need their ears cleaned and nails trimmed on a regular basis?*

Are you aware that goldens shed all year long and require frequent brushing?*

Living Arrangements

Do you live on or near a busy street?*

Describe your area.*

Do you live in a house, apartment, condo or other?*

Do you*

How long have you lived in your current home?*

Please provide the name and contact information of your landlord.*

Do you have permission from your landlord to have a large sized dog?*

As part of the application process, a member of our adoption committee will visit you in your home. When is the best time for a home visit by MAGRR?*

Do you have a swimming pool?*

Do you cover your pool?*

Please describe your pool cover.*

Is your yard fenced?*

Describe your fence (Please specify whether your yard is partially or completely fenced).*

Do you have an invisible fence?*

Who installed the invisible fence?*

Do you have stairs?*

Describe your stairs, (i.e. wooden, carpeted open risers).*

Why do you want to foster a rescue golden?*

Tell us a bit about your experience with Golden Retrievers.*

Where did you hear about MAGRR? If a MAGRR member, please give name.*