Foster Home Application Please review the BARC foster policy here.Date:* Date Format: MM slash DD slash YYYY Applicant InformationName:* First Last Suffix Address:* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Numbers:HomeWorkCell Email:* Enter Email Confirm Email Type of residence: Apartment Condo House Do you own or rent?OwnRentHow long?If you rent, Landlord's Name and Phone Number: First Last Phone Number:Current Animals in the Household:#Cats#Dogs Are all the animals spayed/neutered?YesNoAre they current on vaccinations?YesNoAre they on Heartworm prevention?YesNoIf yes, which type of heartworm prevention?Current Vet (Name of Clinic):Current Vet (Phone Number):Number of adults in your household?Number of children?How old are they? Do you have a fenced yard?YesNoWhat type of fence & how high?Where will the animal be kept? Inside Only Outside Only Both How long will the animal be alone?Please enter a number from 0 to 24.Please list any experience that you have had in the past with owning or fostering animals.Does everyone in your house understand the pet is only temporary?YesNoList your fostering preferences:Dog/ CatMale/ Female Any age or size restriction?Signature*By signing this, I acknowledge that I have filled out all of the above information truthfully on this date.
