Foster Caretaker Application

Address *

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Do your children live with you? *

Yes No Weekends & Holidays

Does anyone in your house have pet dander allergies? *

Yes No

May we visit your home prior to approving you as a GreenePets Foster Caretaker? *

Yes No

Veterinarian Address *

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Do you Rent or Own? If you rent, please fax a letter from your landlord authorizing you to foster a dog in your home. Fax: 1-800-887-6592 or mail to: GreenePets Foster Network, Inc., 485 Kitchen Branch Rd, Greeneville, TN 37743 *

Rent Own

Are you willing to bring the Dog you foster to scheduled Saturday adoption events? *

Yes No No Transportation, but would like to attend No Transportation, but someone can take the dog.

Can you take your foster Dog to any vet appointments if scheduled at your convenience? *

Yes No

If your yard is fenced, plase describe type of fence --- height --- length *

Approximate size in square feet of dog outside exercise area *

Will Dog be allowed to run free without supervision? *

Yes No

Have you sold, given away, or surrendered a pet to a shelter? *

Yes No

Please tell us a little about your lifestyle, your family including any special activities in which your Foster Dog would be included. (If you have any special requirements or requests for a Dog, please let us know so that we can more carefully match a pet to your lifestyle.) *

Have you, or any member of your family/household been cited for leash law violations or cruelty to animals in the past? *

Yes No

Have you, or any member of your family/household been cited for domestic violence in the past? *

Yes No

Have you, or any member of your family/household been cited for any sex related incident in the past? *

Yes No

Have you or any member of your family/household been cited for any alcohol or illegal drug incident in the past? *

Yes No