Castaways Foster Application Form

Castaways Rescue is an all-volunteer, veteran owned non-profit, dog welfare organization dedicated to the rescue and placement of stray, neglected and abused dogs. Castaways Rescue is completely funded through fundraising efforts and public donations. All of our pets are cared for by foster homes, and as such, fosters are critical to our continued ability to save and place dogs. We sincerely appreciate your application and willingness to open your heart and home to a Castaways dog.

Full Name*

First NameLast Name

Age

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Do you have medical insurance?

YesNo

Do you live in a:

Do you:

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

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 a Dog?

YesNo

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)*

Do you have a preference in sex of foster?

MaleFemaleNo Preference

Are you willing to foster a dog of any age?

YesNo

If not, what age would you consider?

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

SmallMediumLarge

Please describe the type of dog you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.

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

YesNo

Do you drive or have access to a vehicle to bring your foster to events and appointments

YesNo

If No please explain

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

YesNo

We cannot guarantee a dog 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 dog?

YesNo

If Yes please explain

Are you willing to use a crate for a dog if recommended?

YesNo

Do you have a fenced yard?

YesNoPartial

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

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

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.

Vet Reference: Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Foster Obligations (Check all to indicate compliance) :

Provide a home for the dog for a period of up to 8 weeks or until the dog is adopted, whichever is first.Provide shelter, fresh water, food, and adequate exercise and attention.Keep Castaways informed of any medical issues and obtain authorization before using Castaways approved Veterinary clinics.Notify Castaways if unable to continue caring for the foster dog and allow Castaways up to 72 hours to make alternative arrangements.When the dog is outdoors, ensure the dog is either on a leash and properly supervised if not in a fenced in area.Never give or sign over the dog to any other person or entity without the consent of a Castways representative.

TERMS AND CONDITIONS

By sending this electronically, I certify the above information is correct, and I acknowledge that I have completely read this questionnaire and comprehend it fully.

I accept full responsibility for the dog(s) actions at all times, and release Castaways Rescue, Jones County, the Sheriff, and their employees, agents, and officials of any and all manner of claims, demands, actions, causes of action, suits, debts, expenses (including reasonable attorneys’ fees), sums of money, promises or damages whatsoever, in law or in equity, known or unknown, whether heretofore asserted or not, arising directly or indirectly out of or related to the fostering of such dog(s).

I understand that in any case I am found neglible in the care of a dog resulting in unforseen medical expenditures, I may be held liable for veterinary expenses, i.e. preventable accidents or injuries due to improper supervision, non-compliance with special instructions, and/or third party negligience transpiring from events taking place without prior notification to Castaways.

I agree to have Castaways Rescue complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

Date

MonthDayYear

Your name*

E-mail

Castaways Rescue Obligations:

1) Pay all fees for the dog's scheduled care at a Castways approved veterinary clinic.

2) Continuously evaluate Foster/dog relationship.

3) Find alternative arrangements for the dog if the foster is no longer able or willing to care for the dog.

4) Provide the Foster with all relevant information available concerning the dog's health and temperament.

Castaways Rescue Approved Veterinary Clinics:

Academy Animal Hospital, Jacksonville, NC 910-353-3131

Holly Ridge Veterinary Clinic, Holly Ridge, NC 910-803-2190

Emergencies: ECVR, Wilmington 910-790-1070