Indiana Resident Foster Application

PLEASE READ BEFORE YOU SUBMIT YOUR APPLICATION!

  • This Application is for INDIANA residents ONLY!
    If you reside in Kentucky, please submit a Kentucky Foster Application.
  • KPR will not allow anyone with unaltered pets to foster.
    If you have any dogs in your household that are not spayed or neutered, please do not submit an application. We have very strong feelings about the pet overpopulation and feel that all pets should be spayed and neutered. Thank you!
  • KPR will pay for ALL medical care of foster Pugs.
    As a foster home, you will only be responsible for the expense of your foster Pug's food.

When filling out the application below, use the TAB key to navigate from question to question.

Do NOT use the ENTER key.  Pressing the enter key will submit your application before you have completed.  

When you are finished and click on the Submit button, your application is emailed directly to KPR.  
If it was submitted successfully, you will receive a confirmation message. 

If you have problems submitting the application, please contact us. Thank you!

INDIana RESIDENT foster APPLICATION

FAMILY INFORMATION
The time in which a Pug is in Foster care can not be determined. It truly depends on each individual Pug. Although long term foster care is rare, would you be able to make that kind of commitment? *
Full Name *
Full Name
Street Address / Mailing Address *
Street Address / Mailing Address
Daytime Phone *
Daytime Phone
Evening Phone *
Evening Phone
Is there a member of your household who doesn't want a Pug or dislikes dogs? *
INFORMATION ABOUT YOUR RESIDENCE
Do you own or rent? *
Is your yard fenced? *
Do you have a pool or hot tub? *
If Yes, is the pool or hot tub securely fenced in so that the Pug will not have access to it?
Will your foster Pug have to climb any stairs over 1 inch in your home? *
Does your home have air conditioning? *
INFORMATION ABOUT CURRENT PETS
PAST HISTORY WITH PETS
Have you ever owned a Pug? *
VETERINARY INFORMATION
If you have no current pets, please list the information for your most recent veterinarian. YOUR APPLICATION WILL NOT BE PROCESSED WITHOUT THIS INFORMATION. You will also need to let your Veterinarian know that Kentuckiana Pug Rescue will be contacting them, and give your Vet authorization to release information to KPR.
I have contacted the Veterinarian listed above and given authorization for them to release information to Kentuckiana Pug Rescue. *
GENERAL PUG INFORMATION
Are you aware of the health problems that Pugs can have? *
Do you know that Pugs shed 365 days a year? *
Do you know that Pugs snore? *
TYPE OF PUG YOU WOULD LIKE TO FOSTER
Would you foster a Pug mix? *
Would you foster a bonded pair of Pugs? *
Are you willing to have a home visit and interview? *
Would you be willing to foster a special needs Pug? *
Do you have any experience with the following?
ONLY check those that you would be willing to encounter with a foster Pug.
REFERENCES
Please list the Names, Addresses and Phone Numbers of 3 References. IMPORTANT: At least 2 of these can NOT be relatives
Name, Address, Phone Number of Non-Relative Reference
Name, Address, Phone Number of Non-Relative Reference
Name, Address, Phone Number of Reference