Blue River Animal Rescue Foster Application

Full Name

First Name Last Name

If your name on Facebook is different from the name above, what is your name on Facebook?

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail

Phone Number

Area Code Phone Number

How did you hear about us?

What is the name of the dog you are interested in fostering?

Why are you interested in fostering?

Type of dwelling:

Do you rent or own?

If you rent or reside in another person's home, please provide their name and phone numbers

If you rent, are animals allowed? Any breed restrictions?

How long have you lived there?

Do you have secure fence?

Have you had dogs before?

Have you ever had to give up a dog?

If yes, for what reason?

Is everyone in the household in agreement to fostering an animal?

How many other pets do you have and what are they?

Are all of your animals spayed/neutered and up to date on all vaccines?

Anyone in household allergic to animals?

Who will train, feed and exercise animal?

Have you ever given medication to a sick animal before?

Where will the dog be kept at night?

Will the dog be tied up?

Who is your Vet?

Have you ever fostered an animal before? If yes, for what rescue?

Provide a reference that is not family member

First Name Last Name

Reference Person's Number

Area Code Phone Number

May we visit your home before fostering?

Blue River Animal Rescue retains guardianship and control of all animals in foster care. The staff will make all final decisions regarding their placement. Foster animals are NOT to be given away or kept – any adoption of an animal in foster care MUST go through the Blue River Animal Rescue adoption process with all applicable and accompanying Blue River Animal Rescue forms and fees. Fostered pets will not be transferred to the custody of another person, shelter, humane society, SPCA, or other entity without the express written consent and permission of Blue River Animal Rescue. I agree that I will not place the fostered pet in another home without the express written consent of Blue River Animal Rescue, whether that placement is temporary or permanent.

Yes No

I understand that there are some risks associated with taking in foster animals. I acknowledge that the health and disposition of this animal has been assessed to the best abilities of the Blue River Animal Rescue staff, despite the lack of past records for this animal. I agree that my existing family pets will be current on all shots and foster pets will be kept isolated from family pets for a minimum of 7-14 days (10-14 days for cats) for the protection of all animals and to limit the risk of spreading any possible contagious disease. Blue River Animal Rescue is not responsible for other pet(s) becoming ill by being exposed to a Blue River Animal Rescue foster pet and cannot reimburse any related veterinary medical expenses.

Yes No

INDEMNIFICATION – I ACKNOWLEDGE THAT INCIDENTS INVOLVING FOSTERED ANIMALS DO OCCUR AND MAY RESULT IN INJURIES AND/OR DAMAGES TO HUMANS, OTHER ANIMALS, AND/OR PROPERTY. I AGREE TO DEFEND, HOLD HARMLESS, INDEMNIFY, AND PROTECT BLUE RIVER ANIMAL RESCUE FROM ANY CLAIM OR SUIT FILED BY ANYONE AS A RESULT OF ANY SUCH INCIDENT OR ANY OTHER INCIDENT INVOLVING THE FOSTERED PET ARISING WHILE THE FOSTERED PET IS IN MY CARE. IN ADDITION, I AGREE THAT BLUE RIVER ANIMAL RESCUE WILL NOT BE RESPONSIBLE IF THE FOSTERED PET SHOULD DAMAGE OR DESTROY PROPERTY BELONGING TO ME, MY HOUSEHOLD, OR OTHERS, OR IF THE ANIMAL TRANSFERS ANY DISEASE, INFECTION, AND/OR PARASITES, INTERNAL OR EXTERNAL, TO ANY PERSON OR ANIMAL WHILE THE FOSTERED PET IS IN MY CARE

Yes No

IBY CHECKING "I AGREE" BELOW, THE UNDERSIGNED FOSTER CARETAKER ACKNOWLEDGES THAT HE/SHE HAS READ AND UNDERSTANDS THE TERMS OF THIS AGREEMENT AND AGREES TO SAME WITHOUT RESERVATION. I hereby certify that the information provided to Blue River Animal Rescue is true and correct. I understand that any falsification discovered during the foster process may result in the nullification of this foster and my disqualification from future consideration as foster caretaker. I take full responsibility for the animal while in my care as a foster.

I agree

* I / we agree that if we adopt a dog, we will provide professional vet care, a nutricious diet, and a loving home.

*We also agree that we will return the pet to Blue River Animal Rescue if we can no longer keep it.

*No member of our household has ever been convicted of cruelty to animals.

*We agree to keep the pet as an indoor pet and will never leave the pet chained up outside for long periods of time.

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Blue River Animal Rescue Online Foster Application Form