Application For Foster Care Program

Print this form and mail it to PO Box 8434 Greensboro, NC 27419 or you can paste it in email and send email to projectracinghome@yahoo.com

Please be as specific as possible when answering these questions. The purpose of this form is to determine if you meet the requirements of the foster care program, and if so, to help us match you up with the most compatible foster greyhound for your family.

Name:____________________________________Spouse/S.O:_____________________

Address:________________________________________________________________

Phone Home_________________Work:________________Cell/Pager:_______________

Email Address:________________________________________________________________

Occupation:______________________________

Work Address:___________________________________________________________

Phone:________________________________

Spouse Occupation:______________________________

Work Address:___________________________________________________________

Phone:_________________________________

Number of other people that live in your household, please list gender and ages:______________

______________________________________________________________________

______________________________________________________________________

Is your yard fenced?_________ What type of fencing?_______________________________

Do you have a pool? ________ Is it fenced off from the rest of the yard?___________________

Do you own or rent?________ House, condo or apartment?___________________________

If rented, does your lease allow pets?________

Please provide landlord name and phone number:___________________________________

Other pets in the household - breed, size, age, sex, neutered or not, indoor or outdoor please list:

______________________________________________________________________

______________________________________________________________________

Name, address and phone number of vet used for other pets:____________________________

______________________________________________________________________

Where will you keep your foster during the day? _______________At night?_______________

What will you do with your foster when you are away overnight?_________________________

What about when you take a vacation?___________________________________________

Do you own a crate?__________________

How will you teach housebreaking?__________________________________________

About how many hours per day will your foster be alone?___________________________

Can you bring your foster and his folder to at least one meet and greet a month?______________

Do you have a gender preference?___________________

Do you have an age preference? Circle all that apply.

Under 12 mos 1-3 yrs 4-6 yrs 7-9 yrs over 9 yrs

Would you be wiling to foster a special needs grey? (i.e. broken leg, needs meds, blind, deaf or

extremely shy, etc...)__________________________________________________

 

I understand that by signing this application I agree to abide by the guidelines of Project racing Home, if approved for fostering. I agree to return the greyhound to PRH if I cannot keep it and to notify PRH immediately if the greyhound is lost, injured or dies. I also confirm that all the information in this application is correct and complete and I give PRH permission to verify any information disclosed.

Project Racing Home reserves the right to refuse placement of an animal for any reason.

 

______________________________________________________________________

Print name                                                Signature                                                                Date

 

______________________________________________________________________

Print name                                                Signature                                                                Date

 

 

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Last modified: 07/28/10