Coal

Name

Email

Phone Number

Have you fostered or babysat for SCCR before?
YesNo

Note: if this is your first time dogsitting with SCCR, you will first need to complete our required Training Modules.

Do you have dogs?
YesNo
If yes, please indicate number and breeds of dogs:

Do you have cats?
YesNo
If yes, please indicate number:

Please indicate the number of children in your home in each age range:
Under 5:

5-13 years old:

Over 13:

(All of the above contact info will be included in your confirmation email)