Great Pyrenees Rescue of Montana (GPROM) foster home application IN ORDER TO BE CONSIDERED AS A FOSTER HOME, YOU MUST: *Be 18 years of age or older: *Have identification showing your present address: *Have the knowledge and consent of your landlord (if you rent): *Be able and willing to spend the time necessarey for proper medical   treatment and proper care of the Great Pyrenees: *Be agreeable to a home inspection: *Have secure fencing to contain a Great Pyrenees: GPROM will provide the vet care and food for the Great Pyrenees.

PLEASE COMPLETE ALL FIELDS

Date:

Name:

Address:

Home Phone:

Cell Phone:

Work Phone:

Email address:

Age:

Occupation:

Are you married?

Number of children and ages/are you expecting a baby/do other children visit often?

List breed, age,sex,spayed,neutered of all dogs in your household. How long have you owned each dog?

What other critters share your home?

Name, address and phone number of your veterinarian.

Please describe your yard and fence: size, height, materials used, age, etc.

House

Which we

We live in a

Own

Our neighborhood is

Rural

Apartment

Rent

Suburban

Mobile Home

Urban

Please list what experience you've had with a Great Pyrenees

Where will the dog stay when alone?

Where will the dog sleep?

I agree to provide proper care for any animal in my possession, temporary or permanent. I understand that Great Pyrenees Rescue of Montana Inc. (GPROM) does not carry liability insurance for my home or vehicle and I agree to hold GPROM harmless for any damages caused by myself or others, the animal, to or by my vehicle and to my home while I am caring for an animal for GPROM. I also agree to carry liability insurance on my automobile and home owner insurance for GPROM. By submitting this form, GPROM has my consent to verify my landlord consent(if applicable) and contact my veterinarian. I realize that this/these dogs have not been totally evaluated as to temperament and relieve GPROM of liability.