Thank you for your interest in fostering a animal for Arkansans Assisting Homeless Animals (AAHA). You will experience the joy of knowing that thanks to YOU, an animal facing euthanasia will be given a second chance at life. AAHA does not expect you to furnish any medical services to a foster animal. If necessary, we'll provide the food, too! We do ask that you help us evaluate the foster animals personality and habits. There may be some adjustment time before your pet and the foster settle in to their new routine but we will provide any assistance we can to help you adjust to your new temporary resident.

Date

Full Name:

First NameLast Name

Current Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address:

Cell Number:

Area CodePhone Number

Home Number:

Area CodePhone Number

Work Number:

Area CodePhone Number

Start date:

MonthDayYear

I am interested in fostering:

Restrictions on fostering:

(weight limits, gender, breeds, etc)

Who will be the primary caretaker of this pet:

Can you provide the animal adequate shelter during the foster period:

YESNO

Do you live in a:

Do you:

Landlords Name:

Landlords Number

Area CodePhone Number

Do you have a roommate:

YESNO

Does your roommate understand that they are subject to the AAHA guidelines while there is a foster animal in the home:

YESNO

Do you have permission to have a foster animal:

YESNO

Do you have a fenced yard:

YESNO

Type of fence:

Height of fence:

Size of Yard:

(City lot, acreage, etc)

How long have you lived in your current location:

Do you plan on moving in the near future:

YESNO

Where will the animal be kept during the day:

Where will the animal be kept during the night:

Will this be your first experience caring for a pet:

YESNO

Can you provide the pet regular meals (quality 3 STAR, approved food) and nourishment:

YESNO

List any pets BY NAME that you currently own and if they are spayed/neutered and on heartworm prevention:

Do your pets get along with other animals:

YESNO

If you have had other pets in the last 5 years, what became of them:

Are your pets up to date on vaccinations:

YESNO

List any additional names that your pets vetting records might be listed under (husband, wife, prior that owner, etc):

May we contact your veterinarian for a reference check:

YESNO

Do you give your veterinary clinic permission to release records to an AAHA representative for foster screening purposes:

YESNO

Veterinary Clinic Name:

Veterinary Clinic Number:

Area CodePhone Number

Veterinarian's Name:

Can you provide transportation to a veterinarian named by AAHA for treatment approved by AAHA:

YESNO

Do you understand that a pet placed with you for fostering will be owned by AAHA and that any medical treatment or other veterinary services must be authorized by AAHA:

YESNO

Do you understand that veterinary visits or services NOT approved by AAHA will be the financial responsibility of the foster family:

YESNO

Number of Adults in home:

Number of Children in home:

Age of Children:

Under a year old1-5 years5-10 years10-15 years

Do all members of the household want to foster this pet:

YESNO

Are you willing to make a commitment to this pet:

YESNO

FOSTER AGREEMENT

(AGREEMENT WILL BE SIGNED & COMPLETED DURING HOME VISIT).

A.A.H.A. FOSTER FAMILY AGREEMENT

Arkansans Assisting Homeless Animals (A.A.H.A.) considers our Foster Families to be essential to the welfare and proper placement of our foster animals and wishes the experience to be enjoyable and free from misunderstandings. The purpose of foster care is to allow a dog, cat, etc. to live in a home environment while awaiting permanent placement. This permits the Foster Family to evaluate the foster animal, and to work with the foster animal to reincorporate him or her back into a home environment. The exposure the foster animal gets from being treated as "one of the family" (walks, outings, etc...) often speeds up the adoption process. Please note that we have the following guidelines:

The Foster Family will follow all relevant procedures and guidelines of AAHA regarding the foster animal placed in the foster home and will not make decisions or take actions regarding the foster animal's veterinary care or placement without prior approval from AAHA.
The Foster Family will provide the foster animal with humane care and maintain the foster animal in accordance with all current state, county and municipal laws and ordinances while the foster animal resides with the Foster Family.
The Foster Family will provide the foster animal with necessary exercise and will not keep the foster animal chained or restrained. AAHA foster animals will not be kept as "outside only" foster animals. NPOTG puppies will NOT be allowed outdoors until they are 10 days past their second vaccine.
The Foster Family agrees to provide the foster animal with adequate food, water, shelter, affection, socialization, exercise, medical assistance, and to strive to increase the adoptability of the foster animal. If assistance with food is needed, AAHA will provide food upon request. FOOD MUST BE 3 STARS OR BETTER ON DOG FOOD ADVISOR.
If the foster animal cannot be kept by the Foster Family, the Foster Family shall notify AAHA immediately. The foster animal SHALL NOT BE SOLD, ABANDONED, RELINQUISHED TO A SHELTER OR POUND OR ANY THIRD PARTY. AAHA WILL SEEK LEGAL ACTION IF THE FOSTER DOG IS ABANDONED OR LEFT WITH ANYONE OTHER THAN A REPRESENTATIVE OF AAHA. The Foster Family must also understand that if they opt out of fostering the animal, it takes time to find an ADEQUATE replacement Foster Family and the animal must remain in the current Foster Family care until a replacement is found.
THE FOSTER FAMILY UNDERSTANDS THAT AAHA AND ITS REPRESENTATIVES HAVE LIMITED INFORMATION REGARDING THE TEMPERAMENT OF THE FOSTER ANIMAL OR ITS HABITS. THE FOSTER FAMILY WILL TAKE ALL REASONABLE PRECAUTIONS (THROUGH THE USE OF CRATES, SLIP LEADS, SUPERVISION AND COMMON SENSE) TO ENSURE THE FOSTER ANIMAL DOES NOT RUN LOOSE, BECOME A NUISANCE, DESTROY PROPERTY, INJURE OR BE INJURED BY ANOTHER ANIMAL OR INJURE OR BE INJURED BY ANY PERSON.
The foster animal is and shall remain the property of AAHA and may be removed by AAHA from the Foster Family at any time and without prior notice. Foster family MUST return the animal and all AAHA supplies within 24 hours of request by an AAHA board member. No exceptions!
The Foster Family agrees to be courteous, helpful and honest to potential adopters.
The Foster Family agrees that NO MEET AND GREETS will be performed without an approved application on file AND prior approval from an AAHA representative (Brandy Buie). This includes potential adopters coming to your home, meeting at an arranged location, etc. MEET AND GREETS ARE NOT ALLOWED WITHOUT PRIOR CONSENT!!
In the event the Foster Family wishes to permanently adopt a foster animal after the Foster Family has been with our team for 6 MONTHS, an AAHA Adoption Contract must be submitted to AAHA along with the requested adoption fee. Foster Families are NOT given preference over an outside applicant. AAHA makes ALL decisions regarding the placement of the foster animal. FOSTER ANIMALS CANNOT BE ADOPTED BY THE FOSTER FAMILY PRIOR TO A FOSTER PERIOD OF 6 MONTHS!!
The Foster Family should ensure that all their personal pets are up to date on their vaccinations (including and without limitation Bordetella, distemper/parvo, rabies), on a regime of heartworm prevention, and sterilized prior to bringing the foster animal into their home.
The Foster Family agrees to participate in FOSTER PLAY DATE at least ONCE A MONTH in Cabot at the Cabot Animal Shelter Agility Yard on Sundays from noon-2pm unless you are fostering a “banned breed”. This time allows our foster animals to become socialized with other animals and people in a contained environment.
The Foster Family agrees that they will be fully responsible for any injury/death that occurs from taking the foster animal to a public dog park.

Initial that you have read and fully understand the above information:

________________

THE FOSTER FAMILY DOES HEREBY RELEASE, DISCHARGE AND HOLD HARMLESS ARKANSANS ASSISTING HOMELESS ANIMALS AND ANY PERSON, FIRM OR CORPORATION CHARGED OR CHARGEABLE WITH LIABILITY TOGETHER WITH THEIR HEIRS, ADMINISTRATORS, EXECUTORS, SUCCESSORS AND ASSIGNS FROM ANY AND ALL CLAIMS, DAMAGES, COSTS, EXPENSES, LOSS OF SERVICES, ACTIONS OR CAUSES OF ACTION, WHETHER KNOWN OR UNKNOWN, BELONGING TO THE FOSTER FAMILY DUE TO ANY ACTION OR OCCURRENCE ARISING OUT OF OR IN CONNECTION WITH THE FOSTERING OF A PET FOR AAHA.

BY SUBMITTING A FOSTER HOME APPLICATION, YOU HAVE ACKNOWLEDGED YOUR AGREEMENT TO THE FOREGOING TERMS AND CONDITIONS.

I, _______________________________________, STATE THAT I HAVE READ THE ABOVE GUIDELINES AND FULLY UNDERSTAND AND AGREE TO FOLLOW THE RULES AND REGULATIONS SET FORTH BY ARKANSANS ASSISTING HOMELESS ANIMALS. I UNDERSTAND THAT AAHA CAN/WILL SEEK LEGAL ACTION IF I REFUSE TO RELEASE THE FOSTER ANIMAL OR LOSE THE ANIMAL AT ANY TIME. I UNDERSTAND THAT I HAVE NO SAY IN THE TYPE OF HOME OR WHERE THE ANIMAL IS PLACED. THE DECISION IS SOLEY UP TO AN ARKANSANS ASSISTING HOMELESS ANIMALS REPRESENTATIVE (BRANDY BUIE).

I, _______________________________________, UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL VETERINARY EXPENSES ASSOCIATED WITH AN INJURY OR MEDICAL CONDITION/CONCERN THAT OCCURS TO THE FOSTER ANIMAL DUE TO FOSTER FAMILY NEGLIGENCE. THIS DOES NOT INCLUDE HEARTWORM TREATMENT OR ANY OTHER “ROUTINE” AILMENT THAT AN ANIMAL MAY EXHIBIT. EXAMPLES INCLUDE BROKEN LIMBS DUE TO JUMPING OFF BEDS OR DOG FIGHTS OVER TOYS OR BONES. THESE ARE ONLY EXAMPLES AND DO NOT LIMIT THE SCOPE OF INJURY OR MEDICAL CONDITION LISTED ABOVE.

Signature:

__________________________________________________________

Spouse/Significant Other/Roommate:

___________________________________________________________

Date: ____________________________

THIS SECTION ONLY PERTAINS TO YOU IF YOU ARE SURRENDERING AN ANIMAL OR BRINGING AN ANIMAL INTO THE RESCUE:

I, _______________________________________, UNDERSTAND THAT I AM BRINGING AN ANIMAL(S) INTO AAHA AND AM COMMITTED TO FOSTERING IT UNTIL IT IS ADOPTED….NO MATTER HOW LONG THIS TIME PERIOD MAY BE. IF I CHOOSE TO BREAK THIS CONTRACT AND NO LONGER CARE TO PARTICIPATE IN THE FOSTERING OF THIS ANIMAL(S), I WILL BE RESPONSIBLE FOR BOARDING EXPENSES IF AN APPROVED REPLACEMENT FOSTER IS NOT FOUND IN A TIMELY MANNER. (THIS ONLY APPLIES IF YOU ARE BRINGING ANIMALS INTO OUR RESCUE RATHER THAN HAVING AN ANIMAL PLACED IN YOUR HOME BY OUR RESCUE; SURRENDER FORM APPLIES). IF I CHOOSE TO REMOVE THE SURRENDERED ANIMAL FROM THE AAHA PROGRAM, I WILL BE RESPONSIBLE FOR REIMBURSING ALL ACQUIRED EXPENSES TO AAHA IMMEDIATELY OR FACE LEGAL CHARGES.

Signature:

__________________________________________________________

Spouse/Significant Other/Roommate:

___________________________________________________________

Date: ____________________________