Michigan Standard Poodle
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Foster Form
Michigan Standard Poodle Rescue — P.O. Box 1882, Bay City, MI 48707
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About You
Your Full Name
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Your Age
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Spouse or Partner Name
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Spouse or Partner Age
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Home Address
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City
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Zip Code
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Email Address
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Work Phone
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Home Phone
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Cell Phone
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Your Place of Employment
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Spouse Place of Employment
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Do either of your jobs require travel?
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Yes
No
About Your Home
Please complete this section for the household in which the foster dog will reside.
Type of Residence
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House
Condo/Townhouse
Trailer Home
Dormitory
Apartment
Other
If Other, please specify residence type
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If you are a renter or live in a condo, does your landlord/association allow dogs?
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Yes
No
Name of Landlord or Condo Association
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Landlord/Association Phone Number
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How long have you lived at this address?
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Do you have any plans to move in the next few years?
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Yes
No
How many times have you moved in the past five years?
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What would you do if you moved to a residence where dogs are not permitted?
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Describe your yard
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No yard
Unfenced yard
Partially fenced yard
Completely fenced yard
Fence Height
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Fence Material
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Wood
Chain Link
Brick
Other
If you do not have a fence, do you agree to keep your dog on a leash at all times outside?
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Yes
No
About Your Family
How many adults live in this household?
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How many children live in this household?
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Ages of children in this household
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Number of children who visit
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Ages of children who visit
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Are all members of your household in agreement about fostering a dog?
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Yes
No
If no, who and why?
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Is anyone in your home nervous or unsure around dogs?
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Yes
No
Who will be the primary caregiver for the foster dog?
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Do any members of your household have asthma, or have allergies to dogs?
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Yes
No
If yes, who has asthma or allergies?
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For how many hours would the foster dog be alone during the day?
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Please consider what time you leave for work and what time you return home.
About Your Pet(s)
List all current pets in your household.
Current Pets
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Name
Species/Breed
Spayed/Neutered
Age
Gender
Owned How Long?
Vaccines Up to Date?
Add
Remove
If you have a cat, does it get along with other dogs?
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Yes
No
If you have a cat, is it declawed?
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Yes
No
If you have a dog, does it get along with other dogs?
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Yes
No
What veterinary hospital do your animals go to?
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Are you experiencing any difficulties with your current pets in terms of health or behavior?
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Yes
No
Please describe any difficulties with current pets
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Pet History
Have all of your family members been around dogs?
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Yes
No
Have you had the experience of being primary caregiver to a dog?
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Yes
No
Plans for Your Foster Dog
Will the dog live:
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Indoors
Outdoors
Either Indoors or Outdoors
Where will the dog be when nobody is home?
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Indoors
Outdoors
Either Indoors or Outdoors
Where specifically will the dog be when all have left the house?
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Longest amount of time the dog will be left alone at any given time?
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Where will the dog sleep?
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How often and where will you exercise the dog?
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What veterinary practice do you plan to use? (Name)
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Planned Veterinary Practice Phone
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Are you aware that some dogs require a period of weeks or months to adjust to their new home?
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Yes
No
Are you willing to allow for this adjustment period?
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Yes
No
Are you willing to take the foster dog to vet and grooming appointments as needed?
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Yes
No
Are you able to transport the foster dog to an approved veterinarian?
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Yes
No
Are you willing to bring your foster dog to a veterinarian for exams and vaccinations as needed?
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Yes
No
If your foster dog exhibits behavioral or adjustment issues, would you be willing to seek the advice of a MSPR representative?
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Yes
No
When away or traveling overnight, who cares for your pets?
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What type of food and treats do you feed your dogs?
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Are you aware that the foster dog may have an unknown behavior history?
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Yes
No
Are you aware that the foster dog may have an unknown medical history?
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Yes
No
Have you received and read the MSPR Foster Responsibility Form?
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Yes
No
Do you foresee any situation that might prevent you from fostering a dog until it is adopted?
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Yes
No
If yes, please describe the situation
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Foster Preferences
How long are you willing to foster?
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Until Adopted
Short Term Only
If short term only, approximately how long?
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Preferred gender to foster:
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Male
Female
Either
Preferred size to foster:
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Small
Medium
Large
Any size
Preferred age to foster:
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Puppy
Young Adult
Adult
Senior
Any age
Would you consider fostering a dog with special needs?
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Yes
No
Maybe
Additional comments or information you would like to share:
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Personal References
Please provide three personal references.
Reference 1 - Name
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Reference 1 - Relation
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Reference 1 - Phone Number
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Reference 2 - Name
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Reference 2 - Relation
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Reference 2 - Phone Number
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Reference 3 - Name
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Reference 3 - Relation
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Reference 3 - Phone Number
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Acknowledgment
By submitting this application I acknowledge that I have read the MSPR Foster Responsibility Form and agree to abide by its terms. I agree to hold harmless Michigan Standard Poodle Rescue, its officers, directors, and volunteers from any liability arising from my fostering activities.
I have read and agree to the terms above
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I agree
Print Name (Acknowledgment)
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Michigan Standard Poodle Michigan Standard Poodle