Dog Fostering Application

    Name (required)


    Address (required)

    Phone Number (required)

    Email (required)

    Date of Birth (required)
    / /

    List your current occupation, employers name/phone number and your daily work hours. (required)

    List all pets currently in household
    Pet 1
    Breed:
    Name:
    Sex: FemaleMale
    Age:
    Sterilized: YesNo


    Pet 2
    Breed:
    Name:
    Sex: FemaleMale
    Age:
    Sterilized: YesNo


    Pet 3
    Breed:
    Name:
    Sex: FemaleMale
    Age:
    Sterilized: YesNo


    Pet 4
    Breed:
    Name:
    Sex: FemaleMale
    Age:
    Sterilized: YesNo


    Pet 5
    Breed:
    Name:
    Sex: FemaleMale
    Age:
    Sterilized: YesNo


    If pet(s) are not sterilized, do you plan on doing so in the future?
    YesNo

    If no, why?

    Are pet(s) vaccines current?
    YesNo

    Please contact your veterinarian(s) and give them permission to discuss your pets with us (CARE). We will attempt to contact your veterinarian(s) two times over the next three business days. If they are unable to discuss your pets with us on the second call, this application will be discarded.

    Name of Veterinarian/Clinic
    Name:
    Phone number:
    Address:

    Do you …
    Own? Single FamilyDuplexTownhouseCondo

    If condo, condo association phone number and email:
    Phone number:
    Email:

    or
    Rent? Single FamilyApartmentTownhouse

    If renting, landlords name and phone number and e-mail:
    Name:
    Phone number:
    Email:

    What is the pet policy where you live?

    List any children currently living in the household or who frequently visit
     Age:
     Age:
     Age:
     Age:
     Age:

    List all adults currently living in the household along with their relationship to you and date of birth:

    I would like to foster:
    Adult Dog
    Young adult Dog
    Injured Dog
    Hospice Dog
    Special needs dog (lacking socialization, training or in need of medical care)

    Are you willing to foster dogs with kennel cough or other respiratory infections?
    YesNo

    Please list previous experience with caring for a special needs dog:

    On average how many hours per day would the your dog be alone? (required)

    When you are not home where will the foster dog be kept? (required)

    Do you have a spare room that can be used to confine a foster dog?
    YesNo

    What length of time are you willing to commit to fostering?
    1 month2 monthsUntil the dog is adopted

    Have you ever surrendered a pet? (required)
    YesNo

    If yes, why?

    Do you have a fenced in backyard? (required)
    YesNo

    If no, how will the dog be exercised?

    Where will the foster dog sleep? (required)

    Best time of day to be reached by phone

    Any additional information about why you want to foster, yourself, or any other information that you would like to share.

    I certify that all the information given above is accurate to the best of my ability and give CARE authorization to verify any information. I certify that the information I have given is true and correct. I understand that any misrepresentation of this application may result in my losing the privilege to foster a pet from CARE. I understand that CARE has the right to deny my request to foster a pet, and I authorize investigation of all statements in this application.

    Applicant Signature:

    Date: / /

    Waiver of Liability
    In consideration of CARE accepting my application for participation in its foster care program, I agree to release and hold harmless CARE from and against any and all loss, damage, claims, liability, costs and expenses, of any nature whatsoever, including without limitation, attorney’s fees and disbursements and do further agree to indemnify CARE for any of the foregoing asserted by any third party, including, but not limited to, other individuals residing at my home, to the extent that any of the foregoing arise from or are occasioned by my participation in CARE foster care program.

    I understand there are certain risks in handling animals (may bite, scratch or injure), and I further release CARE from any liability from future injuries.

    I agree to allow CARE to photograph or use for publicity or publications volunteer’s participation in the foster care program.

    I agree and understand that when I care for a CARE dog, in my home, I am doing strictly as a volunteer and in the spirit of volunteerism. Thus, I will not expect to make claim for wages in return for my services.

    Applicant Signature:

    Date: / /