CQAAI - FOSTERING APPLICATION/AGREEMENT

What type of animal are you wanting to foster?

Cat Dog Livestock Wildlife

PLEASE NOTE: IF AND WHEN FOOD IS AVAILABLE AND DONATED TO US, WE WILL SUPPLY FOOD FOR OUR FOSTER ANIMALS. IF NOT, WE DO ASK THAT THIS IS THE ONLY COST THAT YOU INCUR. WE COVER ALL VETTING COSTS NECESSARY AND HAVE FOOD BOWLS AND BEDS ETC FOR YOU TO USE

Full Name *

First Name Last Name

Phone Number *

Phone Number

E-mail *

Age (Must be 18+) *

Copy of your Current Photo ID

Address *

Street Address

Street Address Line 2

City State

Postal Code Country

Do you live in a: *

Do you:

Own Rent Live with Parents Other

If Renting: Please indicate landlord contact information or a letter stating you can have animals

Household Setting

Rural Suburban Urban

Describe your Homes Activity Level *

Busy/Noisy Moderate Comings/Goings Quiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age) *

Does Anyone in your Household have Allergies to Animals? *

Yes No

Are all members of your Family agreeable to Fostering? *

Yes No

Please List any Pets you have (Please include Name, Breed, Age, Desexed, UTD Vaccines, Heartworm) *

Do you have a preference in sex of foster? *

Male Female No Preference

Are you willing to foster an animal of any age? *

Yes No

If not, what age would you consider?

What size are you willing to foster? (Check all that apply) *

Small Medium Large All

Are you willing to take your foster animal to vet appointments at a convenient time for you? *

Yes No

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative? *

Yes No

We cannot guarantee a foster animal to be housebroken, are you equipped to train with love and patience? *

Yes No

Have you had any experience with with an emotionally or physically neglected or abused animal? *

Yes No

Are you willing to use a crate for a animal if recommended by vet for healing purposes? *

Yes No

Do you understand that all CQAAI Cats are to be indoors permanently or in an enclosure? *

Yes No

Do you have a fenced yard? *

Yes No Partial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

Take Photo of your fencing

How many hours in a day would the foster be left alone?

Terms & Conditions By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any CQAAI animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless CQAAI and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster animal.

I accept full responsibility for the animal(s) actions at all times, and release CQAAI from any liabilities or damages that may be incurred because of fostering such animal(s).

I agree to have CQAAI conduct a home visit inspection if necessary, to be able to approve my foster application.

I agree that if I'm unable to foster the animal(s) anymore that I will return the animal(s) to CQAAI and try to give CQAAI a 2 week period to try and find another suitable foster for the animal(s). Please note as we don't currently have brick and mortar facilities, sometimes this may not be an immediate removal of foster animal.

Date

Month Day Year

Signature *

Clear