TLC Rescue: Dog Adoption Application

Harlee's Angels Rescue, Inc.

Volunteer and Foster Application and Foster Care Agreement
Submitting this application does not mean you are committing to a dog, nor does it guarantee you will be approved to volunteer or foster. It is simply a tool we use to help both you and us identify a good potential match for your family and lifestyle.

Please help us with this process by answering the following questions fully and completely. THANK YOU!
Applicant's Name*
First & Last Name
Co-Applicant's Name
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Applicant's E-mail*
Co-Applicant's E-mail*
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Are your current pets altered?

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
Vet reference (please call your vet and give permission to release information to us)*
Vet name, address & phone number
One Personal References*
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to foster a dog?*

TodayThis weekendWithin a weekWithin a monthVolunteering only, not fostering
Are you a foster with any other rescues or shelters?*

Yes, application is pending to fosterYes, currently foster for one or more rescues or sheltersNoOther
Is anyone in your home allergic to dogs?*

YesNo
Does anyone in your home fear dogs?*

YesNo
Does anyone in your home smoke?*

YesNo
Are you familiar with dog regulations in your area?*

YesNo
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
If yes, please describe local dog regulations and restrictions:
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeMobile Home/TrailerApartmentCamper/RV
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoNot yet, but I willIt's written in our lease
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
If vertical fence, what is your fence height?

2' high3' high4' high5' high6' high
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shifts
If you both work outside the home, how many hours per day are you away?
How many hours per day will this dog be alone? Please explain.*
Have you discussed this fostering and/or volunteering with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.Other
We will be speaking to all adult residents to confirm everyone is aware of this application process and wants to have a foster dog added to the family. Please do not submit this application if you are "trying to talk someone into" fostering this dog or think "once they meet the dog, they will want to". In those scenarios, you are welcome to email us to discuss the dog, but we would like all adults in the home to be involved in that email discussion.
Upon meeting the dog, what would give you cause to not want to foster it? Please explain.*
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. My foster dog will...

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usTake frequent car rides with usBe kept on a lead line/cable in the yardBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenMust be housebroken prior to fosteringWill be housetrained by usWill be walked more than one mile per day every dayWill be walked occasionallyBe attending formal group obedience classes with usHave private sessions with a trainer as neededBe attending agility classesBe taking frequent car rides/trips with usBe boarded when we go on vacationStay with family when we go on vacationBe going camping with usBe going on boat trips with usBe outside with a dog house in a fenced areaBe outside chained/tethered to a dog houseBe free roaming on the farm (unfenced)Other
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with while fostering?*

HousebreakingChewingJumpingPulling on leash during walksCounter surfingObedience trainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingCounter surfingBlindnessLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergiesTrimming nailsYeast on coat or in earsEar mitesFleasTicksHeartworm treatmentI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Take to vet appointments.Other
Where will your foster dog sleep?*

In a crate, not allowed in our bed at allIn our bed, if it wantsWherever it wants to sleepIn our room on the dog bedOther
Who will be responsible for the animal?*
If necessary, how will you discipline the animal?*
Have you had any experience with an emotionally or physically neglected or abused dog?*
If yes, please explain in the box above.
Are you willing and able to medicate your foster, even if its just montly heartworm preventative? All medication is provided by the rescue. *
Most of the dogs we get into rescue are not fully housebroke. Are you equipped to train with LOVE and PAITENCE?*
We get puppy mill/breeder release dogs. They are usally unsocialized, scared and not housebroken. Are you willing to read the information given to you about these dogs on how to help them, listen to and follow our Director and Medical Directors advice when fostering these dogs?*
Are you willing to take your foster to vet appointments at a convenient time for you?*

YesNoOther
Do you drive or have access to a vehicle to bring your foster to the vet, events and/or appointments?*

YesNoOther
Additional reference (if desired)
Do you have any additional comments, questions or concerns? Anything else you would like us to know?*
I understand that completing this application does not guarantee I will be allowed to foster a dog and that the application is a tool to help Harlee's Angels Rescue, Inc determine if this dog and my family are a good fit for each other. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the foster dog from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Harlee's Angels Rescue, Inc to contact my vet for a reference and also agree to allow a home visit prior to fostering this dog. If I am approved to foster a dog, I agree to hand sign a foster contract.

I understand that all rescue dogs from Harlee's Angels Rescue, Inc are the sole property of Harlee's Angels Rescue, Inc and I have no legal rights to the dog.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Applicant's Signature*

Clear
Co-Applicant's Signature

Clear
Signature date*
Foster Care Agreement

Harlee’s Angels Rescue, Inc. considers Foster Families to be essential to the welfare and proper placement of our rescued dogs, and wishes the experience to be enjoyable and free of misunderstandings. Please read the following guidelines, and sign below, indicating that you understand and agree to the terms. All occupants of the foster home over the age of 18 must understand, agree to the terms in this agreement and indicate such by signing this agreement. The Person(s) agreeing to foster the dog, (the FosterFamily) will follow all relevant procedures and guidelines set forth by Harlee’s Angels Rescue, Inc. regarding the foster dog, and will make no decisions or actions regarding the dog’s veterinary care (including euthanasia) or placement without prior approval of a Board member.
1) The dog remains the property of Harlee’s Angels Rescue, Inc., and can be removed from the Foster Family by a Board Member or designee at any time and without prior notice.

2) Foster-related expenses: Updated January 17, 2024.

a) Harlee’s Angels Rescue, Inc. will pay for foster-related expenses resulting from the dog's care, including but not limited to initial veterinary examination, necessary vaccinations, spaying/neutering, any other previously approved veterinary care testing, or treatment. Dog food is provided by the Foster Family unless prescribed. If you need help providing food, please let a Harlee’s Angels Rescue, Inc. board member know. You may use your vet if you do not wish to use the rescue vet. However, you will only be reimbursed for the amount the rescue vet would charge.
Example: rescue vet exam $18, your vet $50. We would reimburse you $18. Not the additional $32.

(1) Shots:

(a) Rabies

(b) DHPP

(2) Heartworm check

(3) Exam

(4) Spay or Neuter (heart and lungs are checked at that time)

(5) Fecal and/or Deworming (regional coordinators have deworming medications)

(6) Microchip (please have the vet scan before microchipping to make sure the dog isn’t already chipped)

ii) Any other reasonable and necessary expenditures not resulting from carelessness, abuse, or neglect on the part of the Foster Family will be paid only with the prior approval of a Board Member. The Foster Family agrees to use Harlee’s Angels Rescue, Inc. approved Veterinarians or provide Harlee’s Angels Rescue, Inc. with information about the Veterinarians you would like us to consider using. The veterinarians submitted to Harlee’s Angels Rescue, Inc. must be approved. We will use one (1) vet within a 60-mile radius.

iii) Conversely, any medical costs related to carelessness, abuse, or neglect on the part of the Foster Family will be paid for by the Foster Family.

3)   Foster Family Responsibilities: Basic Care Updated January 17, 2024.

a)    The Foster Family shall provide the dog with humane care and maintain it following all current state, county, and municipal laws and ordinances while the dog resides with the Foster Family.

b)    The Foster Family shall provide the dog with a fully fenced yard or other humane means of exercise. The dog shall not be kept chained or constantly outdoors and never left outside unattended. A leash shall always be used when taking the dog outside if no fence is available. The dog shall be kept primarily indoors and shall never be allowed to sleep outdoors at night.

c)     The Foster Family shall treat the dog as a household pet and family member, and shall never use it for breeding, as an attack dog, or exclusively as a guard dog.

i)      The Foster Family will not foster any dog if there are unaltered family pets already in existence at the home of the Foster Family.

ii)     The Foster Family agrees to provide the dog entrusted to its care with adequate food, water, shelter, affection, socialization, exercise, and medical care as they would their dog. The Foster Family also agrees to provide any basic training or treatment necessary to the well-being of the dog and to help increase its adoptability.

iii) The foster family agrees not to feed the dog Purina or any products manufactured by Purina or MARS Corporation. If they need assistance with food costs, they will contact Lee or Tami.

4)    Foster Family Responsibilities: Veterinary care Updated January 17, 2024.

a) The Foster Family is responsible for transporting the foster dog to and from veterinary appointments. If this cannot be performed by the Foster Family, please ask for assistance with transportation. We will use one (1) vet within a 60-mile radius. ALL vet records MUST be in the rescue name, not the foster family's.

i)      The Foster Family must take action to ensure prompt veterinary care for the foster dog when there is any sign of illness or injury. If the foster dog is not spayed/neutered when the Foster Family takes possession of the foster dog, the procedure will be scheduled.

ii)     The Foster Family agrees not to euthanize any animal without prior approval from a Harlee’s Angels Rescue, Inc. board member unless in an emergency making prior approval impossible. A Harlee’s Angels Rescue, Inc. board member approval will be given only in a) a case of emergency where the injured animal under veterinary care is deemed in consultation with the veterinarian to be terminally ill and suffering and/or b) in the case of terminal illness that undermines the quality of life for the animal.

iii)    The Foster Family will keep the dog clean, properly groomed, and free of fleas and ticks. They will be on heartworm-preventative medication and fully vaccinated. Heartworm preventatives

1. Are bought monthly by the Foster Family and reimbursed through PayPal once the receipt picture is texted or emailed to the Director or President.

2. The rescue will purchase the preventative and have it mailed, or the foster family will pick it up at the vet office or pharmacy.

Triflexis is STRICTLY prohibited and will NOT be given to ANY of the dogs in our rescue.

iv) If the foster family feeds the dog Purina or any products manufactured by Purina or MARS Corporation they will be solely responsible for all medical costs incurred when the dog becomes sick.

5)    Foster Family Responsibilities: Housing

i)      The dog shall reside at the Foster Family’s address. If the dog cannot be kept by the Foster Family, the Foster Family shall notify Harlee’s Angels Rescue, Inc. immediately.

ii)     The dog shall not be sold, abandoned, or relinquished to a pound, shelter, or rescue group other than Harlee’s Angels Rescue, Inc.

(1)   Transferred, or given to any individual or retail or wholesale establishment for sale or resale to the public or to any research institution where medical experimentation or other practices occur.

iii)    If the Foster Family is going out of town, Harlee’s Angels Rescue, Inc. must be notified of the arrangements that have been made by the Foster Family for the foster dog's care before the Foster Family leaves town. Leaving the foster dog with an unapproved individual or at an unapproved location is unacceptable. Harlee’s Angels Rescue, Inc. is not responsible for arranging for the care. If you need help finding care, please inform the Board members and post on the volunteer page.

iv)    The Foster Family understands that Harlee’s Angels Rescue, Inc. and its representatives have limited information regarding the temperament and habits of a rescued dog. The Foster Family will take all reasonable precautions (through the use of crates, leashes, supervision, and common sense) to ensure that the dog does not run loose, become a nuisance, destroy property, injure or become injured by another dog, or injure or become injured by any person or persons.

v)     A foster dog under four months of age, or any foster dog not fully vaccinated shall not be taken out in public places where there is the potential for infection or injury.

6)    Communication with the Division Director:

a) It is imperative that the Foster Family regularly contact the Division Director, either by text, Facebook DM, or email, with an update on the dog. Written communication is a must for proper record-keeping on each dog.

i)      All communications initiated by the Division Director must be responded to within 24 hours of receipt by the Foster Family.

b)    The Foster Family agrees to contact their Division Director or a Harlee’s Angels Rescue, Inc. board member as soon as humanly possible in the case of:

i)      Emergencies of all manners concerning Harlee’s Angels Rescue, Inc. or their animals.

ii)     Questionable care is given by any veterinarian or employee of a veterinarian for a Harlee’s Angels Rescue, Inc. animal.

iii)    Abnormal behavior with any Harlee’s Angels Rescue, Inc. animal.

iv)    Any Harlee’s Angels Rescue, Inc. animal that has bitten any other animal or persons.

v)     Change your status, i.e., new address and/or phone numbers, new baby, etc.

vi)    Any questions you may have that are not covered in this policy.

7)    Adoptions:

a)    Harlee’s Angels Rescue, Inc. Division Director handles all adoptions. Under no circumstance will the Foster Family conduct any adoption of any Harlee’s Angels Rescue, Inc. animal without prior written agreement with a Harlee’s Angels Rescue, Inc. board member.

b)    The Foster Family agrees to be courteous, helpful, and honest to potential adopters, and to fully cooperate in accommodating those who wish to see the dog when a meet and greet is set up. The Foster Family will provide Harlee’s Angels Rescue, Inc. with a fair assessment of the dog’s interaction with the potential adopters and their impression of the likely success of such a placement.

c) The Foster Family must provide the adopting family with all veterinary records of the foster dog and all other relevant documents describing the foster dog's behavior, diet, type of treats, behavior, etc. once the adoption is completed and authorization is given to release this information to the adopter.

d)    The Foster Family will NOT post the dog's medical history or behavioral issues on social media without permission from Harlee’s Angels Rescue, Inc. You may share any post-Harlee’s Angels Rescue, Inc. provides on your foster dog.

e) Foster Families wishing to adopt their foster dog must follow the standard adoption process. An application will be completed and processed, and the full fee for the foster dog will be charged.

8) The Foster Family agrees to always act in a way that positively represents Harlee’s Angels Rescue, Inc. The Foster Family shall avoid conflicts of any nature and never talk to newspapers, TV, or any related press about Harlee’s Angels Rescue, Inc. without written approval from a Harlee’s Angels Rescue, Inc. board member.

9) Release of Liability

The Foster Family recognizes that Harlee’s Angels Rescue, Inc. is not responsible for damages caused by any foster dog while caring for the Foster Family. The Foster Family does hereby release, discharge, and hold harmless Harlee’s Angels Rescue, Inc. and any person, firm, or corporation charged or chargeable with liability, their heirs, administrators, executors, successors, and assigns, from any claims, damages, expenses, loss of services, actions, and causes of actions, whether known or unknown belonging to the said Foster Family due to any action or occurrence from the date of this agreement arising out of or in connection with the fostering of a dog, except for those expenses specifically described in this document.

10) Enforcement of Agreement

The Foster Family agrees to pay any expenses, including court costs and reasonable attorney fees, in enforcing the terms and provisions of this agreement.
The UNDERSIGNED Foster Family hereby acknowledges having read the terms of this Agreement and does hereby agree to abide by each one of the rules of fostering set forth above.
Signature*

Clear
After you submit this form, we will review the submission and contact you as soon as possible. Feel free to email us with any questions.

Harlee's Angels Rescue, Inc reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is our rescued dogs' health, happiness, and safety.

Lee Stevens

lee@harleesangels.com

Tami Fowler

tami@harleesangels.com

We are Registered, 501(c)3 Non-Profit Organization
Should be Empty:

Harlee's Angels Rescue, Inc.

Foster Care Agreement