Foster Form

* = required field

* First Name:

* Last Name:

* Are you 18 or older? Yes No

* Do you have any children? Yes No

If so, what are their ages?

* Street Address:

* City, State, Zip:

* Email Address:

Home Phone:

Work Phone:

Cell Phone:

* Type of Residence: Own Rent | House Apartment

Landlords Name:

Landlords Phone:

Do you have other pets? Yes No

If so, please provide what other pets you have:

If yes, please provide veterinarian info:

You must call your vet and provide authorization for Buffalo Paws & Claws to speak with your vet regarding your pets.

Type of companion you are looking to foster:
Puppy Kitten Adult Dog Adult Cat
Special Needs Animal Birds
Guinea Pigs Hamsters Ferrets

*Do you have a fenced yard?
Yes | No

* How many hours will the pet be left alone each day?

Large, Medium or Small Breed:

Briefly describe any relevant experience you have had with animals that you have checked above:

If you have photos of your backyard and living area for the pet, please attach them below: