Foster Application

First Name	Invalid Input
Last Name	Invalid Input
Spouse/Partner Name	Invalid Input
Street Address	Invalid Input
City	Invalid Input
State	Invalid Input
Zip Code	Invalid Input
Email	Invalid Input
Please retype your email	Invalid Input
Home Phone	Invalid Input
Cell Phone	Invalid Input
Driver's License State (NOT number)	Invalid Input
Your Occupation	Invalid Input
Place of Employment	Invalid Input
Office Phone	Invalid Input
Spouse/Partner's Occupation	Invalid Input
Spouse/Partner's Place of Employment	Invalid Input

How many adults in your household?	Invalid Input
How many children?	Invalid Input
Children(s) age(s)	Invalid Input
Are all members of the household willing to be responsible for a new pet?	YesNo Invalid Input
Would you say your level of physical activity as a family is:	Invalid Input
Does anyone in your house have allergies?	Invalid Input
You live in:	Invalid Input
Is there a fenced yard?	YesNo Invalid Input
What type of fencing?	Invalid Input
How high is the fence?	Invalid Input
If you rent, please supply us with your landlord's contact name and phone number.	Invalid Input
How long have you lived at this address?	Invalid Input

Please give us information about any pets you have/have had in the last 5 years.
Pet 1 Type	CatDog Invalid Input
Pet 1 Age	Invalid Input
Pet 1 Sex	FemaleMale Invalid Input
Spayed/Neutered?	YesNo Invalid Input
Pet 1 current on (select all that apply)	rabies vaccinationother age appropriate vaccinationsheartworm prevention Invalid Input
What happend to the pet if no longer with you?	Invalid Input
Pet 2 Type	CatDog Invalid Input
Pet 2 Age	Invalid Input
Pet 2 Sex	FemaleMale Invalid Input
Spayed/Neutered?	YesNo Invalid Input
Pet 2 current on (select all that apply)	rabies vaccinationother age appropriate vaccinationsheartworm prevention Invalid Input
What happend to the pet if no longer with you?	Invalid Input
Pet 3 Type	CatDog Invalid Input
Pet 3 Age	Invalid Input
Pet 3 Sex	FemaleMale Invalid Input
Spayed/Neutered?	YesNo Invalid Input
Pet 3 current on (select all that apply)	rabies vaccinationother age appropriate vaccinationsheartworm prevention Invalid Input
What happend to the pet if no longer with you?	Invalid Input
What other pets do you have?	Reptile(s)Bird(s)LivestockFerret(s)Pocket pets (mice, hamsters, rats, etc.)Other Invalid Input
Current/most recent veterinarian/clinic	Invalid Input
Current/most recent veterinarian/clinic phone	Invalid Input
If you do not currently have a vet, where do you plan to take your new pet?	Invalid Input

Please give us three references - only one may be family.
Reference #1	Name Number Relationship to you Invalid Input
Reference #2	Name Number Relationship to you Invalid Input
Reference #3	Name Number Relationship to you Invalid Input

Is this your first experience with a beagle?	YesNo Invalid Input
Please list two or three things you know about beagles specifically:	Invalid Input
Please explain in detail your idea of the foster beagle that would fit best in your home and elaborate on the reasons why you want to foster a beagle:	Invalid Input
Is someone home during the day or will someone be able to come home during the day to exercise the dog?	YesNo Invalid Input
Details	Invalid Input
Where/how will the dog be confined on your property during the day:	Invalid Input
Where/how will the dog be confined on your property during the night:	Invalid Input
Other information that may be relevant with regards to confinement of the dog (doggy day care, etc.):	Invalid Input
Have you used a crate before?	YesNo Invalid Input
What books have you read pertaining to training or this breed?	Invalid Input

Is there anything else you would like to add?	Invalid Input
How did you hear about us? (This will help our marketing so please answer.)	Invalid Input
If you had a referral from a friend or a group, please let us know who it was:	Invalid Input
"I certify that the above information is true and correct to the best of my knowledge. I authorize investigation of all statements in this application and understand that veterinarians, humane societies, landlords, etc. may be contacted. I also understand that Atlanta Beagle Rescue reserves the right to deny the adoption if I am proven unsuitable, based upon this application and investigations of this information, and that Atlanta Beagle Rescue reserves the right to not disclose the reason for denial."
Type your initials in the box to confirm your understanding. Invalid Input
Please let us know you're not a bot.	Invalid Input