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Foster Application
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Pet Surrender

Please complete this form as thoroughly and accurately as possible. It will to help us determine if this pet is a suitable candidate for our program, and to help us decide which foster home could best meet the needs of this pet.
Completing this form does NOT guarantee a placement for your pet.

Owner Information

Name: *

Address: *

City: *

(please note: applications will only be accepted from the Peoria IL area)

State: *

Zip: *

Phone Number: *

Best Time to Call: *

Email Address: *

Pet Information

Cat or Dog: *

Cat

Dog

Is this your pet?: *

Yes

No

From where did your animal originally come (breeder, shelter, "pet store", etc.)? : *

You are obligated to first contact the breeder or shelter before we can help you. We will NOT consider your pet until this has been done.

How long have you had this pet?: *

What breed is this pet? : *

Please upload a photo of your pet.:

Color of pet: *

Weight of animal (guesses are fine!): *

Age of animal:: *

Name of animal.: *

Sex of animal: *

Female

Male

Is this animal spayed/neutered?: *

Yes

No

Is this animal housetrained?: *

Yes

No

Does this animal get along with other:: *

Dogs

Cats

Children

Tell us about behavior. Is this pet friendly, affectionate, snippy, frightened, etc.?: *

How does this pet react when left alone? (i.e. separation anxiety, destructive behavior, etc.): *

Is this pet afraid of anything in particular? (i.e. men, thunder, etc.): *

Describe any training this pet has ever had, or any tricks they know: *

Has this pet EVER bitten another animal or person?: *

Yes

No

If yes, under what circumstances? Please describe completely.: *

Please list any other shelter or rescue you have contacted: *

What steps have you taken to rehome your pet? Please check all that apply.: *

Spoken to the breeder/Pet store/Rescue group about returning. (This MUST be done!)

Advertised locally in newspapers or flyers

Spoken to other rescue groups

Other: *

Why does your pet need to be rehomed? Please explain in detail.: *

Pet's Medical Information

What is the name and number of the veterinarian?: *

Please list any names (yours and the pets) these records may be found under.: *

Is it up to date on vaccines and preventative medication?: *

Yes

No

Not Sure

What was the date of the last vet visit?: *

Please list any medications the animal is currently taking: *

Please describe ANY known health problems completely.: *

Are you willing and able to contribute financially toward care for this animal?: *

Yes

No

Each animal brought to Foster Pet Outreach is given a complete health check, vaccines if needed, spayed/neutered, and microchipped, at a cost of about $250. In addition, they will need food, monthly heartworm and flea prevention as well as toys, leashes and bowls. As an owner relinquish, you will be required to pay a relinquish fee.

How long can this pet safely stay where it is?: *

May we give out your name, phone number and email to an interested Private party?: *

Yes

No

Foster Pet Outreach is not able to help every animal presented to us. Occasionally, however, we will know of an individual looking for such an animal. We are happy to pass along information for you, with the understanding that such contact will be a Private matter between you and the other party, with no guarantees or warranties from Foster Pet Outreach.

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Bowl A Thon

Save the Date for the FPO Bowl A Thon February 26th from 11a-2p More Information to follow soon. (read more)

Every donation, large or small, helps us to continue our mission.

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