Foster ApplicationPlease enable JavaScript in your browser to complete this form.Name *FirstLastName *FirstLastEmail *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneNumber of adults in homeAges of children in homeActivity level of homeQuietModerateActiveWould you like to fosterPuppyAdultMom & litterDo you object to a home visit from one of our representatives?YesNoDo you have pets?If yes, describe breed, size, sex and temperment.Are your pets up to date on vaccines, including BordetellaYesNoAre your pets on heartworm prevention?YesNoPlease list your veterinarian's name and phone number?Residents InformationOwnRent/LeaseHouseCondoIf rent/lease, Please list name and number of landlord?Do you have a fenced in yard?YesNoFoster Liability Release: TPBP Recommends that the foster animal(s) be isolated from your personal pets and children as a precaution until health and behavior is confirmed (14 days). If this recommendations is not implemented, I will not hold TPBP liable for any veterinary expenses for my personal animals either during the time I am fostering or at any time thereafter. I, nor any person or party acquainted with myself, will hold TPBP’s representatives or affiliates responsible for any damages done to my property, any property, or myself whether or not in my care or residence, or any damages done to any person or persons or other animals that the animal(s) I am fostering may come in contact with while I am under contract to foster.Signature & DateFoster Agreement: I agree that ownership of the dog I foster remains solely with Toledo’s PET Bull Project until such time as adopted. All of the information that I have provided above is true and complete to the best of my knowledge. I agree that I will treat the dog as a member of my family not abusing or letting else abuse the dog. I will provide food, water, shelter, and attention for the dog. I agree to make a commitment to care for this dog until a permanent home can be located. The medical care of the dog is the sole responsibility of Toledo’s PET Bull Project and I will obtain prior permission for any medical care needed from the Foster Manager or Intake Manager. I will utilize the medical facilities approved by Toledo’s PET Bull Project.Signature & DateSubmit
