Justice for Samson

Justice for Samson

Foster form
Foster Form Agreement

All questions with an asterisk are required
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employer information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Size of dog you are looking to foster?
Gender of dog you are looking for?
Do you currently have other pets?

Names types ages please
Names This is a fill in the blanks field. Please add appropriate blank fields and text.
This is a fill in the blanks field. Please add appropriate blank fields and text.
Type This is a fill in the blanks field. Please add appropriate blank fields and text.
How active of a dog are you looking for?
A dog who is
Age of dog you're looking for
Please check all that apply
Would you consider fostering
Please choose all that apply
Length you are Willing to foster
Type a question
I live in

Other
Renters

Please fill out the following information for landlord
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Names and ages of all individuals living at address
Name

First NameLast Name
Age
Name

First NameLast Name
Age
Age
Name

First NameLast Name
Name and phone of current vet's
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name and number of past vets
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I will committ to
With love, patience ,and rewards
Do you have a fenced in yard
Type a question
What type of fence do you have

Other
Would you like more information on the following
Type a question
Please give 3 references

1 family member and 2 friends
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any JFSAR animal fostered by me.I certify that the above information is correct, and I understand that the information will be verified.I understand that by submitting this form electronically, I agree to release and covenant to hold harmless JFSAR and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog.I accept full responsibility for the dog(s) actions at all times, and release JFSAR from any liabilities or damages that may be incurred because of fostering such dog(s).I agree to have JFSAR complete reference call checks and conduct a home visit inspection to be able to approve my foster application.I agree that if I'm unable to foster the dog(s) anymore that I will return the dog(s) to JFSAR and try to give JFSAR a 2 week period to try and find another suitable foster for the dog(s).
Signature
Should be Empty:

Justice for Samson

Foster Form Agreement

Employer information

Do you currently have other pets?

How active of a dog are you looking for?

Age of dog you're looking for

Would you consider fostering

Length you are Willing to foster

Renters

Names and ages of all individuals living at address

Name and phone of current vet's

Name and number of past vets

I will committ to

Do you have a fenced in yard

Would you like more information on the following

Please give 3 references