Foster Application Thank you for your interest in fostering with Mikaela’s Mutt Motel. Please complete the foster application below and we will contact you if you are approved to foster. Foster Application First Name *Last Name *Phone *Email Address *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Date of Birth *Over 21? *YesNoAre any household members under 18 years of age? *YesNoPlease list ages of all household members younger than 18 years old: *How soon do you want to foster? *Do you own or rent your home? *OwnRentLandlord/Management Company Name *Landlord/Management Company Phone *Landlord/Management Company Email Address *Home Ownership Status Verification *I authorize Mikaela's Mutt Motel to verify my home ownership status.How did you hear about us?What size dog(s) are you willing/able to foster? *SmallMediumLargeX-LargeWhat energy level are you willing/able to foster? *Couch PotatoMildEnergeticMarathon RunnerWhy are you interested in fostering? *How will the foster dog get exercise/play? *Do you have a fenced-in yard? *YesNoWhere will the foster dog stay when you are away from home? *CratedConfined area of the homeLoose in the homeOutsideWhat is the maximum amount of time the foster dog will stay home alone? *Are there any pets in the house that belong to someone else? *YesNoHave you owned any pets in the past 10 years? *YesNoPlease include pets in the house that do not belong to you.Please list all pets owned in the past 10 years and where they are now: *Please include pets that live in the home but do not belong to you.Are all pets in the house spayed/neutered? *YesNoPlease explain why all pets in the house are not spayed/neutered. *Are all pets up-to-date on the following:Are all pets in the home up-to-date on DHPP Vaccination? *YesNoAre all pets in the home up-to-date on the Rabies Vaccination? *YesNoAre all pets in the home up-to-date on Bordetella Vaccination? *YesNoAre all pets in the home up-to-date on Heartworm Preventative? *YesNoAre all pets in the home up-to-date on Flea/Tick Preventative: *YesNoPlease explain why your pet(s) is/are not up-to-date on all of the above: *Please provide contact information for the veterinarian who has seen your pets:Clinic Name *Phone *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Release of Veterinary Records *I agree to contact my veterinarian and authorize the release of my pet's information to Mikaela's Mutt Motel. I understand that delay/failure to do so will severely delay my Adoption Application.Please note, references shall not be related by blood or marriage nor shall they reside in the same household as the applicant(s).Reference #1Name *Phone *Email Address *Relation: *Best time to contact: *Name *Never been charged or convicted of animal abuse: *Applicant(s) haveĀ never been charged or convicted of animal abuse.Acknowledgment of Dog's Adjustment Period: *Mikaela's Mutt Motel has little to no definitive information about each dog's behavioral history or tendencies. We share all information gathered from our shelter partners, our training partners, our fosters, and previous owners. All known behavioral tendencies will be shared with potential fosters. Dogs can take from 30-45 days (or longer) to settle in to a new home so patience and understanding will be critical for a smooth transition.Acknowledgement of Breed Indication Approximation: *Mikaela's Mutt Motel does not have exact breed information for our dogs. Listed breeds are educated guesses based on information from our veterinary partners, shelter partners, training partners, fosters, and previous owners. We do not perform genetic testing at Mikaela's Mutt Motel.I authorize MIkaela's Mutt Motel to utilize public records and any other available information to verify the information provided in my Adoption Application. *Information is true and correct: *I agree that the information provided in this Foster Application is true and complete to the best of my knowledge. I agree that providing false or incomplete information may result in the denial of my Foster Application and/or prohibition from future Applications to foster/adopt from Mikaela's Mutt Motel. I further agree that by typing my name and date in the boxes below, I am effectively signing this application.Name *Date * Submit Application