E-mail Address: * First Name: * Last Name: * Address1: * Address2: City: * State: * AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -Terr.- AS FM GU MI PR VI Zip Code: * Phone Number (cell): Phone Number (home): * Phone Number (work): Employment: * Please list the number of people living in the home, especially children (give ages), elderly, or disabled: * Are you familiar with Miniature Schnauzers? Please explain: * Please describe the type of dog you would like to foster (e.g., purebred only; size limitations; house-trained; good with children, cats, other dogs; whether you can handle a dog with special needs, etc.): * Please describe your home and yard (include details like house, apartment, or condo; own or rent; fencing; pool or spa; close to road; close to neighbors; etc.): * How many hours a day (on average) would the dog be alone? * If you rent, does your landlord allow pets and know that you wish to foster a dog? * Where will the foster dog spend its days? (Please be specific.) * Where will the foster dog spend its nights? (Please be specific.) * Do you have a yard that is completely and securely fenced? * Please describe your fence: How will you confine the foster dog to your property? * How will you exercise the dog? * If you travel or must leave for a few days, who will care for the dog? * Please list any other pets in the home (include type, breed, age, and sex; whether they are intact or altered; and their vaccination and license status): * Do you have a current veterinarian? * May we call your veterinarian as a reference? * Veterinarian First Name: Veterinarian Last Name: Clinic Name: Clinic Phone Number:
NJSRN requires at least two references, preferably at least one from your
current or recent veterinarian. Please make sure that you have listed two
references (no relatives, roommates, or significant others), and that all of
their contact information is complete. Reference 1 First Name: * Reference 1 Last Name: * Reference 1 Relationship: * Reference 1 Phone Number: * Reference 2 First Name: * Reference 2 Last Name: * Reference 2 Relationship: * Reference 2 Phone Number: * Do you have any objections to a home visit to meet your family and to get a general picture of the environment in which the dog will live? * Please describe any other animal experience you have: * Foster party agrees to abide by the NJSRN leash policy that forbids allowing a foster dog off-leash for any reason unless inside or in a securely fenced area (initial here): *
Prior to placing a dog in your home, you will receive the NJSRN Foster
Guidelines and be contacted by our Foster Coordinator to discuss the policies
and procedures of our foster program. The foster party agrees that any fostered
dog is the property of NJSRN and that this is a temporary arrangement subject to
termination at any time by an NJSRN member. Foster party agrees to follow the
recommendation(s) of NJSRN members and the Foster Home Guidelines regarding
feeding, vetting, medicating, exercising, training, and general care of the
foster dog. Foster party agrees to provide quality dog food, fresh water, secure
exercise space, bedding, and shelter according to the NJSRN Foster Guidelines.
Foster party releases NJSRN and its volunteers from any and all liability
associated with a dog in his/her care. Foster Acknowledgement (type name here): * Verification Code:
Enter Verification Code: *
* Required
