Email Address (this is how we will contact you) *  
 
 
 
Date of Birth *  
 
 
 
First Name (s) *  
 
 
 
Last Name (s) *  
 
 
 
Street Address *  
 
 
 
City *  
 
 
 
State *  
 
 
 
Zip Code *  
 
 
 
Home Phone *  
 
 
 
Cell Phone *  
 
 
 
Work Phone  
 
 
 
Best time to call: *  
 
Morning 
Noon 
Afternoon 
Evening 
 
 
 
Best number to reach you at: *  
 
Home 
Cell 
Work 
 
 
 
How did you hear about NELR? *  
 
Google 
Facebook 
Friend 
Newspaper 
Adopted from NELR 
Other 
 
 
 
How many adults reside in your home? *  
 
 
 
Do you have children that live in your home, or visit?  If so, what are their ages? If none, type N/A. *  
 
 
 
Has everyone in your home agreed to fostering *  
 
No Yes  
 
I am willing to foster the following (please check all that apply) *  
 
Adult Dog 
Puppy 
Male Dogs 
Female Dogs 
Female with Puppies 
Multiple Dogs 
Shy Dog/Puppy 
Sick Dog/Puppy 
Special Needs Dog/Puppy/Geriatric 
Dog/Puppy with Behavioral Problems 
 
 
 
Please check the areas you are able to work with or have experience with. *  
 
Crate Training 
Chewing 
Pulling on leash 
Anxiety 
House Training 
Digging 
Leash Aggression 
Food Driven 
 
 
 
Do you, or have you ever, owned a pet? *  
 
No Yes  
 
Please list all pets currently in your home - Name, Breed, Age, Gender, Spay/Neuter *  
 
 
 
Are your pets in your home indoor, outdoor, or both? *  
 
Indoor 
Outdoor 
Both 
 
 
 
Are all pets, including cats, currently in your home, Up To Date on all vaccinations? Including Rabies, Distemper, Parvo, Bordetella (Kennel Cough) *  
 
Yes 
No 
Not Applicable 
 
 
 
Please provide your current Vet contact information - if none, type N/A *  
 
 
 
Are your current pets on Heartworm prevention? *  
 
Yes 
No 
Not Applicable 
 
 
 
Are all your current pets on flea/tick prevention? *  
 
Yes 
No 
Not Applicable 
 
 
 
Who will care for, train, and exercise your foster dog? *  
 
 
 
Does anyone in your household have allergies (dog related)? *  
 
No Yes  
 
Do you have experience with the Labrador Retriever Breed? If you have not owned or fostered a Lab in the past, have you researched the breed? *  
 
No Yes  
 
Do you have experience introducing a new dog into your home, with your current pets? *  
 
No Yes  
 
Please provide three personal references with email and telephone info. *  
 
 
 
Do you own or rent your home? *  
 
Own 
Rent 
 
 
 
If you rent, please provide your landlord's name and number. If not, type N/A  
 
 
 
Is your yard fenced? If so, please describe the fence. (type,height, gaps/no gaps) *  
 
 
 
If need be, do you have any area in your home to isolate the foster dog from your pets? Please explain. *  
 
 
 
How will you exercise your foster dog? *  
 
 
 
How many hours will your foster dog be alone? *  
 
0-1 
1-2 
2-3 
3-4 
4-5 
5-6 
6-7 
7-8 
8+ 
 
 
 
Have you ever fostered before? If so, which organization. *  
 
 
 
Will you allow a NELR representative come to your home for a home visit? *  
 
No Yes  
 
Do you agree to abide by all animal control laws with regards to your foster dog? *  
 
No Yes  
 
Do you agree to crate your foster dog anytime it is without appropriate supervision? *  
 
No Yes  
 
Have you ever sold, given away, or surrendered a pet to a shelter? If yes, please explain why. *  
 
 
 
Why do you want to become a foster parent? *  
 
 
 
Foster Contract:
 
 
Please type in your name and the date as your electronic signature, attesting to the fact that you have read the statements above, understand them and agree to abide by them. *  
 
 
 
* 
Exclude from Bulk Email