Name

Street Address

City

State

Zip Code

Email

Phone with area code

Cell Phone

Work Phone

Number of Adults in Household

Number of Children in Household

What are the ages of the children?

Do all family members agree to foster?

Enter type of dwelling (house, apartment, etc.)

Do you rent or own?

If rent, please provide landlord's name and phone number

Do you have written permission from the landlord?

Do you have a fenced yard?

If so, then please decribe the height, type

If you don't have a fence, would you consider putting one up?

Have you owned a dog before?

If yes, what happened to the dog(s)?

Do you currently have a dog?  If so, list breed and age.

Do you currently have any other pets (cat, bird, etc.)?  If so, list breed and age.

Do you have a veterinarian?

If so, please provide vet's phone number and address

How did you learn about QCG?

Why do you want to foster?

What research have you done on Greyhounds?

Where are your pets during the day?

Where do your pets sleep at night?

How many hours a day will your foster Greyhound be left alone?  Please explain.

All fosters are required to attend meet and greets occasionally.  Will you be able to get your foster or see that they get to these events?

List 3 personal references ( not family ) List names, addresses and phone numbers

By dating and initialing, I agree to the terms and conditions and that all information to the best of my knowledge on this application is true.