Name of Desired Foster Dog (if applicable)

Applicant's Full Name

Date of Birth

Email Address

Employer and Job Title

How did you hear about Buddha Pooch Dog Rescue Project?

Secondary Application's Full Name (if applicable)

Home Type

Housing Status

If renting, please provide name of landlord/property owner and their phone number.

**If you are renting, it is required to submit a formal letter from your landlord stating if there are any breed, weight or any other restrictions that may conflict with owning a dog**

Are there children in the home? If so, please list their names & ages.

Please list names and ages of all other individuals that live in the home.

If "Yes" to the above, is it fenced? Please describe.

If “No” how will you contain your foster dog in your yard? Please describe.

For how many hours a day will the dog be left at home alone?

Do you have a dog walker? If so, please provide their name and phone number.

Please list all pets that you have previously owned in the last 5-10 years including their species, age, and how long they were in your care.

Have you ever surrendered a dog to a shelter or given a dog away to someone else? If so, please explain.

If you need to leave town, whether planned or in an emergency, where would your dog stay?

How would you deal with behavioral issues such as barking, chewing, destructive behavior, bathroom accidents indoors, or unruly leash behaviors?

If you answered yes to the previous question, please list the dogs' names, ages, and breeds.

Please describe your dog's disposition and behavior towards other dogs.

Do you own any other pets in the household? If so, what pets do you own?

If your answer was "yes" to the previous question, please include the date(s) and a detailed description of the incident(s).

Please provide the names, addresses, emails, and contact numbers for THREE personal references:

By submitting this form, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Buddha Pooch Dog Rescue Project animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form, I agree to release and covenant to hold harmless Buddha Pooch Dog Rescue Project and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.

I accept full responsibility for the dog(s) actions at all times, and release Buddha Pooch Dog Rescue Project from any liabilities or damages that may be incurred because of fostering such dog(s).

I agree to have Buddha Pooch Dog Rescue Project complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to Buddha Pooch Dog Rescue Project and try to give Buddha Pooch Dog Rescue Project a 2 week period to try and find another suitable foster for the dog(s).

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Foster Application

KERI MACK KARMOZYN 908.319.7398 buddhapooch@gmail.com P.O. Box 214 far hills, nj 07931

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