Name________________________________________________
Address______________________________________________
Phone (home)_______________(work)_____________________
Email address_________________________________________
CA driver's license______________________________________

Animal Friends of the Valleys Foster Parent Application
(Please return application to: AFV, 33751 Mission Trail, Wildomar, CA  92595)

I would like to foster (please circle):                                         

Small dogs    Large dogs    Puppies

Cats            Kittens

Other________________________

_____________________________

Do you live in a (please circle):  House        Condo        Apartment        Mobile Home        Other

Do you own or rent?_______ Landlord's name and phone #_____________________________

Please list other members of your household (# of adults)__________(# of children)___________

Ages of children___________________________________

What kind of animals do you currently have?

Type/breed
Age
Sex
Spayed/neutered?
Kept where? (in/out)
         
         
         
         
         

Are your pets licensed/vaccinated?  y/n__________

Name of your veterinarian___________________________________________________

Where will you keep the foster pet(s)?_________________________________________

I HAVE READ AND UNDERSTAND THE FOSTER PARENT GUIDELINES ATTACHED

_______________________________________________________________________
             (Signature of applicant)                                      (Date)

FOR STAFF USE ONLY:
Application approved by___________________________________ Date______________________