Foster Form | Samoyed Rescue of Southern California

Date *

About You

First Name *

Last Name *

Email Address *

Phone *

Co-Applicant's First Name

Co-Applicant's Last Name

Co-Applicant's Phone

Address *

City *

County *

State *

Zip *

Preferred Dog's Name

Prior Dog? *YesNo

Prior Samoyed? *YesNo

Prior Foster? *YesNo

Gender PreferenceFemaleMaleNo preference

Age Preference<11-3>3No preference

Size PreferenceSmallMediumLargeNo preference

Current Pets *YesNo

Current Pet Info (types, breeds, ages, altered?) *

Dog's Hours Alone/Day *Less than 22 to 55 to 8More than 8

Kept When Home? *Inside and OutsideInsideOutside

Kept When Away? *Inside and OutsideInsideOutsideWhere your dog will be kept is required

Rent or Own *RentOwn

Do you have a yard? *YesNoYard information is required

Yard Size *Less than 300 ft300-600 feetmore than 600 ft

Is your yard fenced? *YesNo

Number of Adults in Home *

Adult's Ages *

Are children in the home? *YesNo

Number of Children

Children's Ages *