Primary Foster's Name *

First Name

Last Name

I understand that when it comes to off-site events, this dog is:

Unknown

Able to Attend

Unable to Attend

I understand that 4PSR does not recommend this dog to interact with one or more of the following:

Children

Dogs

Cats

Other Small Animals

I understand that meet & greets with a potential adopter's dog will happen at:

Adopter's home

Foster's home (provide instructions)

Neutral space such as a park (provide instructions)

I understand that this dog's behavior around cats or small animals is unknown

I understand

I understand that this dog is not recommended to be off leash outside of the home

I understand

I understand that this dog has shown resource guarding behavior towards one or more of the following:

Dogs

People

Other Animals

I understand that this dog has displayed territorial aggression in one or more of the following contexts:

In Home

In Public

If this dog has displayed territorial aggression, it is recommended that all meetings with the potential adopters happen at:

Outside of the home

Neutral space

I understand that this dog may require caution when meeting new people and/or strangers.

I understand

I understand that this dog has bitten a human.

I understand

I understand that this dog has shown separation anxiety.

I understand

I understand that this dog is pregnant or nursing puppies and should not be allowed to meet or interact with other animals in the home or while out on walks.

I understand

Electronic Signature *

First Name

Last Name

Date *

MM

DD

YYYY