1. pets
2. dogs

Moonracer No Kill Animal Rescue Inc- 941-896-6701
Foster/Adoption Application
Name: _________________________________________
Address: ____________________________________
(Apt. #): _________________
City: ______________________________ State: ____ Zip: ________
Home Phone with Area Code:__________________________________________________
Occupation: ________________________________________________________________
Work Phone with Area Code: __________________________________________________
Mobile Phone with Area Code: _________________________________________________
E-mail: _____________________________________________________________________
We are in need of short term and long term foster families, please indicate which you can provide:
___________________________________________________________________
Do you live in a house? _____ Apartment? ______ Condo? _____ Do you rent? _____ Own?_____
If you rent, do you have the landlord’s permission to keep a dog?
______________________________________________________________________ [Please attach the form to your application]
If you rent, do you understand the dog must be exercised on a leash in a safe place?
____________________________________________________
Do you have a yard? ______ Is it fenced? _______
What type of fencing? ______ chain ______ wood _______ other (please describe)
Is someone home during the day? _______ Please explain:
____________________________________________________________________________________
____________________________________________________________________________________
_______________________________________________________________
What provisions will be made for your foster if nobody is home during the day?
Loose inside? _______ In crate? _______
Where will the dog sleep? Please explain:
____________________________________________________________________________________
________________________________________________________________
Please explain your responses below. During the last two years:
Have you lost a pet (not through death)?
_______________________________________________________________
Have you had an animal killed by a vehicle?
Do you have children at home? Yes ______ No ______ Number: _____ Age(s): _______ Moonracer trusts that your children are experienced with and kind to animals. Please note:
Because we cannot know all their personalities and behaviors of the children, Moonracer will not
place our dogs in homes that have a baby sitting / day care home business.]
Do you have other pets at home? Yes ______ No_____ Number: _____ Ages(s): ______
If Yes, are the pets neutered? Yes ______ No _____ If Yes, are the pets vaccinated and on heartworm preventative? Yes_____ No_____
If Yes, do your pets get along with other dogs? Yes _____ No ______
Moonracer will provide all medical care, heartworm and parasite preventative. Are you prepared
to assume the responsibilities of feeding, bathing, grooming, and caring for your rescue, including
emotional rehabilitation for a traumatized dog and crating for a dog going through heartworm
treatment? Yes ______ No ______
Will you follow all veterinarian instructions provided and administer all prescription medications
and H/W preventative to your foster?
Yes ______ No ______
Are you prepared to keep your foster crated if going through H/W treatment?
Yes ______ No ______
Are you prepared to assume the responsibilities of contacting Moonracer for any medical
emergencies? (For example, if a dog is going through Heartworm treatment and begins throwing
up and becomes listless, this may be an emergency).
Yes ______ No ______
Do you agree that Moonracer will make all medical and adoption decisions for our program
dogs?
Yes______ No ______
Will you let Moonracer officials know if you are planning to take your foster out of town or state
for family visits or recreation? If you need temporary foster care while you are out of town, will
you please let us know ahead of time so we can make arrangements?
Yes ______ No ______
Will you keep the dog confined in a fenced yard when let outdoors, walk/exercise the dog regularly
and allow the dog indoors? Moonracer dogs must live indoors.
Yes ______ No ______ Foster parents are encouraged to maintain an ‘aunt’ or ‘uncle’ relationship with the dog in their
care; but it does occasionally happen that the foster parent and dog bond so completely that
adoption into this home is best for the dog and family, which we would be happy to work with. Do
you understand that if you wish to adopt your foster, you must complete the adoption papers and
pay the $100 adoption fee?
Yes ______ No _______
16. Are you willing to allow a Moonracer representative to visit your home by
appointment?
Yes: ______ No: _______
Name and phone number of your Vet:
_________________________________________________ I hereby authorize the veterinarian named herein to release information about me or my pet(s) to
Moonracer as necessary to evaluate this application.
How did you hear about Moonracer No Kill Animal Rescue?
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Internet Search _________
Vet, Clinic, or Shelter Referral _________ (Name: _________________________)
Breeder __________ (Name: _________________________)
Dog/Obedience Club ________ (Name: _________________________)
Another Rescue Group ______ (Name: _________________________)
Friend/Neighbor _______
Other _________ (please explain) I am in full agreement with the Moonracer Rescue Program and foster responsibilities.
By signing below I am attesting to the truthfulness of my answers.
Sign: ___________________________________________________________
Date: ____________________
Moonracer Rep: _____________________________________________________
Moonracer No Kill Animal Rescue Inc generally rescues homeless dogs who need medical or behavioral
help. We do our very best to rehabilitate these dogs with medical care, training and tons of love. They
are treasures and we don’t allow our dogs to be adopted so that they can be given as gifts or surprises, as
we need to be sure they have a great fit for a new family. If you adopt a Moonracer dog, we will always
take the dog back into the rescue should something happen that prevents you from keeping the dog, but,
first, we want to be sure that every option is explored in order for you to keep the dog. Dogs who are
moved around a lot have more problems with adjustments and do not feel secure – our goal is always a
real, forever home. We have training contacts and will do everything we can to help to keep your dog
with you.
We feel strongly that training your dog is important and that knowledge is power. Please read and
research all you can about the breed of dog you are adopting/fostering. If you have any questions, feel
free to ask and if we don’t know, we’ll find out the answer. We believe that dogs are wonderful and
deserve every chance to have a happy, fulfilling life! Our dogs aren’t numbers, they are our passion and
we truly love them. We are not looking to have large adoption numbers as much as we are working to
successfully rehab and rehome these precious pups. Thank you very much for your interest in our
wonderful dogs!