Trial Waiver Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Dog's Name* This field is required.

4

I agree to indemnify and hold harmless FAF, its officers, directors, agents, successors, assigns, all members of FAF from and against any and all demands, claims, causes of action or judgments, and any and all expenses (including, without limitation, reasonable attorneys fees) incurred in connection with this agreement, including, without limitation, claims of any third party for injury to person, loss of life, or damage to property.* This field is required.

YESNO

5

I hereby understand and agree that FAF makes no representations, guarantees or warranties, expressed or implied, about the foster animal(s) mentioned above temperament and is hereby absolved from any liability for future damages or injuries caused by said animal.* This field is required.

YESNO

6

I agree to care for the pet in a humane and responsible manner and to provide clean and adequate shelter, food, fresh water and veterinary care. If I determine in good faith that the foster animal is in need of emergency veterinary care, I will contact FAF immediately at 808.763.8662 and take him/her to the nearest veterinary clinic. Cost of emergency vet care will be paid for by applicant and FAF on a case by case basis.* This field is required.

YESNO

7

I further agree that the pet shall reside inside my home and shall not be allowed to roam freely. I agree to contact FAF in the event that I can no longer adequately care for said animal, if the dog escapes or runs away while in my care, and will notify FAF immediately if there are any changes to the above information. I or FAF reserves the right to terminate this agreement with or without cause in the sole discretion of either party.* This field is required.

YESNO

8

Safety procedures: If you need to return this dog for any reason, please notify FAF as soon as possible at 808-763-8662 or 808-208-4351.* This field is required.

YESNO

9

I agree to use proper walking harness or martingale collar for the duration of the trial. If I do not have one, one will be provided.* This field is required.

YESNO

10

I will provide a travel carrier or car restraint when transporting FAF dog.* This field is required.

YESNO

11

By signing this document, I certify that I have read and understand the statements above and that the information in this application is true and correct. * This field is required.

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