Service Request Questions marked by * are required.
1.	Name: *
2.	Address: *
3.	Phone: *
4.	Email: *
5.	Name of dog: *
6.	Breed of dog: *
7.	I Would Like For Dogs Deserve Better To Help Me In The Following Ways: * Provide a crate and in-home assistance with housetraining Help with fencing my yard* Provide a daily/weekly walk for my dog Foster/housetrain him/her and return to me*
8.	I agree to give Dogs Deserve Better access to medical records for this dog. * Yes No
9.	Name and Phone Number of your Veterinarian: *
10.	In return for this service, I agree to not chain or pen any more dogs outside and give Dogs Deserve Better my permission to take any dogs chained or penned on my property. * Yes No
11.	*Dogs Deserve Better will make every effort to keep your dog healthy and safe. However, in the event that illness or injury occurs while we are fostering your dog, Dogs Deserve Better will not be held liable for the injury or illness. We will also not be held responsible or liable for any preexisting conditions. If we have fenced your yard, you agree not to hold Dogs Deserve Better responsible for digging or escaping behavior on the part of your dog. Your dog will remain solely your responsibility after the fence is installed and Dogs Deserve Better is not liable for any damage or injury caused to him/herself, others, or property. By typing your name you agree to the terms of these services. *