CHR Foster Form

Visit www.caringheartsrescue.org/foster for more information on fostering.

Are you looking to adopt a dog in the next 6 months? If so, please complete an ADOPTION application instead. Please note that we allow potential adopters to have a short trial period with their potential match to make sure the dog is the right fit. Thank you!

Do you plan to adopt a dog in the next six months?

First Name *

Last Name *

Street Address

City *

State *

Best Number to Reach You *

Email Address *

Members of Your Household (please list everyone that lives in your home, including yourself).

	Name	Age	Relation to Applicant
1.	Name	Age	Relation to Applicant
2.	Name	Age	Relation to Applicant
3.	Name	Age	Relation to Applicant
4.	Name	Age	Relation to Applicant
5.	Name	Age	Relation to Applicant
6.	Name	Age	Relation to Applicant

NOTE: Some of our dogs need time to heal from surgeries and require emotional support due
to past neglect. Often, the foster term can run 3 to 6 months, depending on the age and 
condition of the dog. Emergency foster terms will run several weeks to a month. A longer-term foster is 3+ 
months.

Please indicate the length of time for which you are willing to foster. *

Do you and/or other adult members work outside the home; if so, how many hours would the dog be left alone? *

Do you live in a Townhome, House or Apartment? *

Please list landlord name and number if renting

Do you have carpets?

If you answered yes to carpeting. Do you mind if your new foster dog has daily accidents on the wall-to-wall carpeting or area rugs? *

Do you have a securely fenced yard? *

Do family members know that you are considering fostering?

Number, age, and type of pets currently in household

Veterinarian Reference-

Heartworm disease is a significant problem in Virginia, so we require an annual heartworm exam. While CHR does not require dog owners to keep their pets on monthly heartworm medications, we ask that new adopters have no problem taking a dog in for yearly health screenings, including a heartworm test.

Vet References: Please provide the name and telephone number(s) of your present/past veterinarians, even if you haven't used them in 5 or more years. If you have used multiple vets, please provide contact info for all of them.

Are current pets spayed/neutered? Note: We ask this question because if your dog is not spayed or neutered, we cannot place an unaltered dog in your care.

Where will your foster dog spend the day while you are at work? Examples: in crate, gated in a room, free run with pee pads for accidents, garage, outside in dog house or other

If you prefer crating your foster dog during the day, please be aware that many new foster dogs are not used to being crated and will bark in a crate. Is this an issue for you?

Many new foster dogs are not housetrained. Is this an issue? Please explain.

We know people are super busy these days so we really try to match you with the best foster fit for your schedule and lifestyle. Please answer the following questions on the behavioral issues you are willing to deal with in a foster dog. Please be as honest as possible so that we can match you with the right dog.

I work outside the home so a dog close to 100% house trained is the best match for me.

I don't mind accidents in my home and will clean up after the dog.

I work outside the home all day so a dog that is crate trained is the best fit for me.

I prefer to train my foster dog to use a pee pad.

I don't mind working to fix a minor behavioral issue.

I don't want a barker please! My neightbors may complain

Please do not place me with a dog that barks at guest entering my house

Do you have a doggie door

Briefly describe why you would like to foster a dog.

How did you hear about Caring Hearts Rescue?

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