Online Foster Application Form Please enable JavaScript in your browser to complete this form.FOSTER’S INFORMATIONName of the pet you are considering to foster *Date *Name *FirstLastAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth *Phone (include area code) *Email *What is your marital status? *SingleIn a relationshipSpouse / Partner Name *FirstLastSpouse / Partner Date of Birth *Spouse / Partner Phone (Include area code) *Spouse / Partner Email *Employer *Occupation *Employer Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployment length *Is your Spouse / Partner employed? *YesNo person landlord Employer Spouse / Partner Employer *Spouse / Partner Occupation *Spouse / Partner Employer Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeSpouse / Partner Employment length *Are you a full time Florida resident *YesNoAre you a seasonal resident? *YesNoType of housing *Single Family HomeMobile HomeDuplexApartmentCondominiumTownhouseVillaName of Development *Does your Association permit pets? *YesNoIs a Deposit Required *YesNoDeposit Amount *Weight Limit for Dogs, If Applicable in lbsIs there a breed restriction?: If yes please specify.Do you own or rent? *OwnRentName of landlord *FirstLastPhone number of landlord *Do you have permission to have pets from your landlord? *YesNoDo you have a fence in your yard *YesNoDo you have a pool? *YesNoIs your pool fenced? *YesNoHow long have you been at your current address? *Do you plan to move in the next 6 months? *YesNoWould you agree to a home check prior to adoption? *YesNoWhat length of time can you commit to your foster? *Do you or does anyone in your household have allergies or asthma? *YesNoIs everyone in the household in agreement with this adoption? *YesNoWhat member of the family will be taking the MAJOR responsibility of caring for this pet? *FirstLast List the names and ages of the members of your household. (Include yourself) Name *FirstLastAge * Have you ever had a cat or dog? *YesNo Pet info Pet Name *Age *Animal Info *Spayed / NeuteredNot Spayed / NeuteredUp to date on shotsNot up to date on shotsDeclawedNot DeclawedStatus of animal * Have you had any previous pets that are no longer with you? *YesNo Previous animal info Dog/Cat Name *Age *Reason no longer with you * Additional Information Please provide a personal reference Name *FirstLastPhone *Social media handle *Have you ever surrendered an animal to a shelter? *YesNoIf so why? *Have you ever put a cat / dog to sleep for any reason? *YesNoIf so why? *Is anyone home during the day? *YesNoName of person at home during the day *FirstLastHave you considered adopting two similar pets to keep each other company? *YesNoDo you have a separate room/ small area in your home to keep your cat/dog in until he or she acclimates? *YesNoWhere do you plan on keeping your pet while you are at work or not at home? *How long will you give your new foster cat/dog to adjust to its new home? * What vet do you currently use? Name *FirstLastAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *How long have you used this vet? *Do you have a previous vet? *YesNo Previous vet Info Name *FirstLastAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Are you aware that Kelly’s Fosters does not have a shelter and committing to fostering means until this pet is adopted? *YesNoHave you ever previously adopted or purchased from *Kelly’s Fosters, Inc.A Second Chance RescueBeth’s Furry FriendsBreederAnother Rescue Group or ShelterPlease list which ones if so *How did you hear about Kelly’s Fosters, Inc.? *InstagramBeth SternA Second Chance RescuePrior AdopterFriendOtherFrom where?File Upload * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Please submit photos of your yard and where your pup will be spending most of its time while indoors as well of photos that showcase the layout of your home to make sure it’s a match with the pet you are looking to adopt. Confirm Info validity *YesI certify that the information I have given above is true and correct, and I hereby authorize the above listed veterinarian(s) to supply information in regard to my pets to Kelly’s Fosters. I also give my permission to Kelly’s Fosters to contact the above listed landlord and references. Kelly’s Fosters, Inc. has the right to deny any application without any questions and Kelly’s Fosters, Inc. has the right to take back an adopted pet if they find the home is inadequate.NOTE: Each adoption is followed up with a phone call and/or visit to check on the animal that has been adopted.Applicant Signature *FirstLastDate *Submit
