King George Animal Rescue League
Please choose your age category:*
Under 16 years old
16 to 17 years old
18 to 20 years old
At least 21 years old
Type of Pet Requested:
How long are you willing/able to foster a KGARL pet?
Are you aware that it may take 6 months or more to find a home for your long term foster pet?*
Average number of days applicant is out of town per month (business or pleasure):
More than 2 weeks
In what type of home do you live*
If you rent, have you discussed having a pet with your Landlord?
Landlord's Name and Phone Number:
List all residents of the household, including age and relationship to applicant:
Does anyone in your family suffer from allergies?
If you have children, what has been their exposure to pets?
Is anyone home during the day?
How many continuous hours per day will the animal be left alone?
Where will the animal be during that time? (ex: kennel, single room, whole house, yard, fenced yard...)
Have all other residents of the home agreed to caring for and loving this pet?
Please explain the type of pet you are looking for (energy level, size, gender, temperament, etc):
What behavioral or training issues are you able to work with?*
What circumstances would cause you to return an animal to us in the future?*
Where will the pet be kept during the day?*
Where will the pet be kept at night?*
Have you/someone in your family ever dropped off an animal or released an animal to an animal shelter
or humane organization?*
If so, please explain the situation, and the steps taken that led to the decision to surrender:
If Interested in Fostering a Dog:
Have you ever owned a pet? If yes, please indicate the type:
Have you ever housetrained a pet? If yes, please indicate the type:
Have you ever crate trained a dog?
Have you ever participated in an obedience training class?
Do you have a fenced yard:
If yes, please indicate the fencing materials (invisible, privacy, split rail, etc) and height of fence.
If no fence, how will you keep your dog in the yard?
Who will supervise all outdoor activities?
If Interested in Fostering a Cat:
Have you ever owned a cat or ferret?
Have you ever litter trained a cat?
Have other cats in the household been tested for FIV/FeLV?
The following questions concern any pets that you may have currently, or have had in the past.
Please list the breed, name, and age of all other pets in the home:
Are your current pets spayed or neutered?
Are your current pets up-to-date on their vaccinations?
Please list the name and number of the Veterinarian where your pet's records are kept:
Please tell us about the animals you have owned in the past who are no longer with you, and what happened to them:
Please tell us a little about yourself and why you feel you could provide a good home for a rescued pet:*
Please provide names and phone numbers of three references (ensure at least two are not family.) Good references include friends who know your pet history, neighbors who have seen you with your current or past pets, people whose pets you have watched, friends that have seen you interact with their pet, etc.:
1) Reference Name*
Please provide this reference's phone numbers -- at least a home/work or a home/cell*
Please list this reference's relationship to you:*
2) Reference Name:*
3) Reference Name:*
Please list the reference's relationship to you:*
Have you applied to any other rescue groups?*
What was the outcome of your application with the other rescue? Please provide contact information
How did you hear about the King George Animal Rescue League?
Before submitting this application, you must read and agree to the following:
I ACKNOWLEDGE THAT ALL THE INFORMATION ON THIS FORM IS TRUE AND CORRECT.
I ALSO AUTHORIZE THE KING GEORGE ANIMAL RESCUE LEAGUE TO INVESTIGATE ALL STATEMENTS CONTAINED IN THIS APPLICATION THROUGH REFERENCE CHECKS, CRIMINAL BACKGROUND CHECKS, PUBLIC RECORD RESEARCH, AND INTERNET RESEARCH.
I UNDERSTAND THAT ANY MISREPRESENTATION OF FACT MAY RESULT IN THE DENIAL OF MY APPLICATION TO ADOPT FROM KGARL, OR IN THE REMOVAL OF THE PET FROM MY HOME BY THE KING GEORGE ANIMAL RESCUE LEAGUE.
I CERTIFY THAT I/WE HAVE NEVER BEEN CONVICTED OF ANIMAL CRUELTY,NEGLECT, OR ABANDONMENT.
I, THE UNDERSIGNED, AFFIRM THAT THE INFORMATION CONTAINED IN THIS APPLICATION AND IN ANY ATTACHMENTS TO THIS DOCUMENT ARE BOTH CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
By signing or typing your full name, you are acknowledging your agreement with the above statements. *
King George Animal Rescue LeaguePO Box 1003, Dahlgren, VA firstname.lastname@example.org ~ facebook.com/kgarl