CLAWA Rescue Animal Foster Application

Name

First NameLast Name

DOB:

Address

Street Address

Street Address Line 2

City, State, Zip

Driver's License #:

State:

Email:

example@example.com

Phone:*

Person to contact in case of emergency:*

Are you interested in fostering or fostering to adopt?

FosteringFostering to adopt

Was there a certain dog you were interested in fostering or fostering to adopt? If yes, name of dog interested in.

Do you:

Do you have a fenced in yard? If yes, what kind of fence & height?

Are there any slats/openings that could allow a small dog to get in/out?

Please list all persons living with you: (if none, write n/a)

Is everyone in your home aware that you have applied to foster?

Is everyone agreeable to having a foster at home?

YesNo

If no, please explain:

Please list all animals living with you: (if none, write n/a)*

Veterinarian Name and Phone #:

Hours per day that foster(s) will be left alone:

During the week:

Less than 4 hours4-8 hours8-10 hoursMore than 10 hours

During the weekend:

Less than 4 hours4-8 hours8-10 hoursMore than 10 hours

While left alone, foster(s) will be:

Are you able to transport foster to vet and adoption events:

YesNo

Do you understand that sometimes a complete history and temperament of a rescue dog may not be known?

Please provide three (3) personal references including contact information: Name, phone, relationship and years known:

Do you have any concerns about fostering? If so, please explain:

By submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. I understand that if I am accepted as a foster, that I am not the rightful owner of the dog and any medical decisions/rehoming decisions will be made by CLAWA Animal Rescue. I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in an immediate termination of the foster contract and the foster dog to be returned. CLAWA Animal Rescue shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons and for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, including claims and damages arising in whole or part from the negligence of CLAWA Animal Rescue. I agree to notify CLAWA Animal Rescue of any injuries such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible. I fully understand and am aware of all medical/behavioral issues the dog has.

By signing and submitting this application, you agree and acknowledge that CLAWA Animal Rescue may run a soft background check.

**Note all adoption monies received are considered donations to the rescue and are not refundable nor transferable*

Signature

Date:

Date

Printed Name:

CLAWA Animal Rescue Foster Application