Today's Date (required)

Your Email (required)

Birth Date (required)

First Name (required)

Last Name (required)

Street Address (required)

City (required)

State (required)

Zipcode (required)

Phone Number (required)

Drivers License/ID Number (required)

Are You Currently
Employed Full-TimeEmployed Part-TimeUnemployedStudentRetired

Name of Employer

Job Title

Length of Employment

Spouse/Partner First Name

Spouse/Partner Last Name

Spouse/Partner Employer

Spouse/Partner Job Title

Lenght of Employment

How many adults live in your home other than yourself? List Name and Ages

How many children under the age of 18 live in your home? List Name and Ages

Does anyone in your household have allergies, asthma, or any type of Blood Clotting Disorder?
MeMy SpouseA Child

Are all residents in agreement with fostering? (required)
YesNo

Do You (Select All That Apply) (required)
OwnRentHouseCondoMobileApartment

Length at Current Address (required)

If Less Than 2 Years, Please List Previous Address

Previous City

Previous State

Previous Zipcode

Does Your Lease Allow Pets? (required)
YesNoN/A

How Many Pets Does Your Lease Allow?

Does Your Lease Have Any Breed or Weight Restrictions?
YesNoN/A

Landlord Name

Landlord Phone Number

Do You Have a Fenced Yard? (required)
YesNo

If yes, what type of fence and What is the height?

Do you plan on Moving in the near future? If Yes, Where and Why?

If Approved, I Agree to provide a copy of my lease or a statement from my LandLord stating that there are No Breed or Weight Restrictions
YesNoN/A

If Approved, I Agree to a home visit via Skype, or in person. This decision is at the Discrepancy of the Rescue (required)
YesNoN/A

Are you currently working with another Rescue as a Foster, or in the process of Adopting from another Rescue? (required)
YesNo

If Yes, Please list the name of the Rescue and Current fosters in your household.

Have you ever turned an Animal into a Shelter? (required)
YesNo

If Yes, Why?

Is Anyone Home During the Day? (required)
YesNo

Where do you plan on keeping your Foster Pet while you are at Work or Not at Home? (required)

What will you do if your Foster Dog does NOT get along with your current pets?

How long will you give your New Pet to adjust to its new home? (required)

If your Family Status Changes (new baby, marriage, divorce, job loss, relocation), who would keep the adopted pet? (required)

If something happens to you (sickness, death, etc.) and you cannot take care of your pet(s), who will take care of them? (required)

When you go on vacation, where will your pet(s) go and who will care for them? (required)

What is your estimated budget for Annual Routine Vet Care? (required)

What Do You Consider to be Routine Vet Care? (required)

Please List Current Veterinarian and Phone Number for a Reference

May we contact your veterinarian to obtain information on the Health Care of your Pets? (required)
YesNo

Please List Your Current Pets Names, Type of Animals, Where Obtained, Age, Spayed/Neutered?

Are Your Pets Current with Vaccinations? (required)
YesNo

If Not, How Come?

Are Your Dogs on Heartworm Prevention? (required)
YesNo

Are Your Pets Microchipped? (required)
YesNo

Do Your Authorize OZR Great Dane Rescue Inc to Run a Background Check on All Adults in the Home? (required)
YesNo

Please List 3 Personal References, Include Phone Numbers and Addresses if Available (required)

By checking this box, I have read and agree to OZR Great Dane Inc's Adoption & Foster Requirements

Signature (required)