Your Information
Your Name:
*
First Name
Last Name
Partner's Name (or housemate):
First Name
Last Name
E-mail:
*
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
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Benin
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Bolivia
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
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Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
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Cook Islands
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Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
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Democratic Republic of the Congo
Denmark
Djibouti
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Dominican Republic
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Equatorial Guinea
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Falkland Islands
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Indonesia
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Iraq
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Japan
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Liberia
Libya
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Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
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Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
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Niger
Nigeria
Niue
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Norway
Oman
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Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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Slovenia
Solomon Islands
Somalia
Somaliland
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South Ossetia
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eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Tonga
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Trinidad and Tobago
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Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Your Age:
*
Cell Phone
*
-
Area Code
Phone Number
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Partner's Phone
-
Area Code
Phone Number
Place of Employment (or school)
*
Position Held
Hours at Work (ex. 8 AM - 5 PM, Mon - Fri)
May we contact you when you're at work?
Yes
No
Partner's Place of Employment (or school)
Partner's Position Held
How did you hear about this foster program?
Online Search
Facebook/Twitter
Word of Mouth
YouTube
Referring Website
Online Ad (ex.: Kijiji)
Other
Please specify:
About Your Home & Family
Residence:
House
Condo
Apartment
Other
Rent or Own?
*
Rent
Own
Do you have children?
*
1
2
3
4 +
No Children
How many adults, including you, live at this residence?
*
1
2
3
4 +
Please list ages and relationships to you:
Do you have a fenced yard?
Yes
No
What type and how high is it?
Does anyone in your family have allergies?
Yes
No
Does anyone in your family smoke?
Yes
No
Please provide two references. Include their name, number, relationship to you, years you've known them, and their profession:
About Your Pet History...
Do you currently have pets?
Yes
No
Please list all pets within the household:
Are they all spayed / neutered?
Yes
No
If you have ever had to euthanize or give up a pet, please explain the circumstances:
*
Why are you interested in fostering?
What size(s) dog are you interested in fostering?
Small
Medium
Large
What age dog would you like to foster?
Puppy
Two Puppies
Adult
Two Adults
Mother with Pups
Senior
Where will the dog stay when you're not home?
Where will the dog stay at night?
What does your usual routine look like?
When will the dog be outside and for how long?
How will the dog be exercised?
Walking
Jogging
Hiking
Swimming
Dog Park
Treadmill
Backyard
Please answer the following:
Yes
No
Do you have a car/truck?
Are you willing to meet with prospective adopters?
Are you willing to transport the dog to vet if needed?
Do you agree to return the pet to R-mar if/when requested?
How long would you ideally like to foster a pet?
2 - 4 Weeks
Until adoption
How willing are you to participate in the following areas of training:
Very Willing
Willing
Somewhat Willing
Not Willing
Basic Obedience
House Training
Separation Anxiety
Walking Nicely on Leash
Socialization
Fearfulness/Shyness
Resource Guarding
Mild Aggression
What kind of training methods are you familiar with:
Additional Notes:
In the event that Rocky Mountain Animal Rescue requests the return of one of their animals for any reason, do you agree to return the animal immediately?
*
Yes
Fosters can potentially adopt for the animal they are fostering, but if at any time you decide you want to do so, you MUST contact RMAR by phone and send an email to our foster coordinator. You will also have to complete an Adoption Application and sign an Adoption Agreement if you are approved. This also applies to any friends or family that are interested in adopting. Do you agree?
*
Yes
I certify that all information contained above is correct.
*
Yes
Digital Signature:
*
Submit
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