Save-A-Soul Rescue North Foster Application

SAVE-A-SOUL RESCUE NORTH
FOSTER APPLICATION
Name
Street address
Apt./Suite
City
State
Zip code
Phone: Cell
Home
Work
Email address
example@example.com
Driver's License Number
Birthdate

MonthDayYear
Date
1. Occupation
Place of business
2. Current living arrangement:

OwnRentOther
Type of residence:

HouseApartmentOther
3. Landlord's name and telephone number, if applicable
4. How long have you been at your current address?
5. If answer to above is less than 1 year, please give your previous address:
City and State
Zip
6. If applicable, how many children do you have?
7. If applicable, how many adults (not including yourself) live in your home?
8. If applicable, please list the animals you have had in the past 5 years. Please list pet's name, breed, age, spay/neuter status, vaccination status, current living status (still living at home, passed away, etc.).
9. Please list the name of your current veterinarian
Address
City and State
Phone
10. Does everyone in your household want to foster? If not, please explain
12. Do any members of your family have allergies to animals?

YesNo
If yes, please elaborate which allergies.
13. This foster animal needs to get along with dogs.

YesNo
14. This foster animal needs to get along with cats.

YesNo
15. This foster animal needs to get along with other animals.

YesNoOther
16. I have

indoor dog(s)outdoor dog(s)indoor cat(s)outdoor cat(s)livestockOther
17. I need a foster that will tolerate being alone ________ hours a day.
18. When I am not at home, or not able to supervise the foster, it will be:

Loose in the houseIn a room in the houseCrated in the houseIn the garageIn the yardOther
19. I have:

A fenced yardA stationary tie-outAn outdoor runInvisible fencingA dog houseOther
20. Someone in my home is nervous or unsure of dogs/or cats:

Very (e.g., bitten as a child)Somewhat (has had no experience)No
21. The noise/activity level in my home is usually:

LowMediumHigh
22. Please include one reference if you do not have a veterinarian reference. The reference should not be an immediate family member.
Name
Address

Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone
Relationship
21. How did you hear about Save-A-Soul Rescue North?
22. Will you be willing to foster:

Sick/ Injured catSick / Injured dogYoung kittensYoung puppiesMother cat w/kittensMother dog 2/puppiesBottle baby kittensBottle baby puppiesCat needing socializationDog needing socialization
The length of time an animal requires foster care is dependent on the individual animal and its individual needs. Some animals are ready for adoption within a week, while as others may take several weeks to months to be ready to find their forever home.
22. If a foster needs immediate medical attention, are you able to provide necessary transportation?

YesNo
23. Are there any factors that may limit your foster work?
Please read and sign.

Waiver of Liability

I will be doing volunteer work for Save-A-Soul Rescue North, and I do hereby knowingly, freely, and voluntarily waive my right or cause of action of any kind whatsoever arising as a result of such activity from which my liability may or could accrue against Save-A-Soul Rescue North or its agents or employees jointly and individually.

I fully understand the risk of bringing a foster animal into my home and take full responsibility for any damage a foster animal may cause. I do not expect Save-A-Soul Rescue North to reimburse me for any damages caused by an animal that I choose to foster.

I fully recognize the possible dangers associated with the work of Save-A-Soul Rescue North and I freely consent to this waiver. I understand that Save-A-Soul Rescue North may terminate my services as a foster parent at any time, with or without reason.
Signature (please type your name)
Date

MonthDayYear
Date
Should be Empty:

SAVE-A-SOUL RESCUE NORTH

FOSTER APPLICATION