CQAAI - FOSTERING APPLICATION/AGREEMENT

What type of animal are you wanting to foster?

CatDogLivestock

PLEASE NOTE: WE WILL SUPPLY BISCUITS BUT NOT WET FOOD OR CAT LITTER UNLESS IN SPECIAL CASES BUT WHEN WE DO GET SOME DONATED TO US, WE WILL SUPPLY IT TO OUR FOSTER CARERS FOR OUR ANIMALS IN CARE. IF NOT, WE DO ASK THAT THIS IS THE ONLY COST THAT YOU INCUR, WHICH WE CAN SUPPLY A TAX RECEIPT FOR VIA EMAIL FOR DONATION OF PRODUCT WHEN YOU PROVIDE US WITH YOUR PURCHASE RECEIPT. WE COVER ALL VETTING COSTS NECESSARY. WE CAN ALSO SUPPLY FOOD BOWLS

Full Name*

First NameLast Name

Phone Number*

Phone Number

E-mail*

Age (Must be 18+)*

Copy of your Current Photo ID

Address*

Street Address

Street Address Line 2

CityState

Postal Code

Do you live in a:*

Do you:

OwnRentLive with ParentsOther

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

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet 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?*

YesNo

Are all members of your Family agreeable to Fostering?*

YesNo

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

Do you have a preference in sex of foster?*

MaleFemaleNo Preference

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

YesNo

If not, what age would you consider?

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

SmallMediumLargeAll

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

YesNo

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

YesNo

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

YesNo

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

YesNo

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

YesNo

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

YesNo

Do you have a fenced yard?*

YesNoPartial

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

MonthDayYear

Signature*

Clear