Foster Application for Second Chances Pet Rehab & Sanctuary

Are you applying to foster a cat or a dog?

CatDogNo Preference

Please list what cat/dog you are applying to foster for- If you do not have one in mind please list what type of foster you are comfortable with fostering- medical fosters, bottle babies, age, size, and breed*

Full Name*

First NameLast Name

Date of Birth*

Drivers License Number*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Cellular*

Area CodePhone Number

Secondary Phone Number

Area CodePhone Number

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

Describe the activity level in your Home

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please list all people living in the household (Include Name, Relationship, and Age)*

Does anyone in your household have allergies to animals?

YesNo

Are all members of your family agreeable to Foster?

YesNo

Please list any pets you have (Please include Name, Breed, Age, Altered, Sex)*

Vet information: Name of clinic, phone number and address*

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

YesNo

If No please explain

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

YesNo

We cannot guarantee a foster to be housebroken, are you equipped to train with love and patience?

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

Do you agree to a home check before a foster is in your care (This can include pictures depending on location of home) and do you agree to random home checks as S.C.P.R.S. deems necessary?*

YesNo

Do you agree to keep S.C.P.R.S updated with your foster animal(s) needs and how they are doing over all? Do you agree to alert S.C.P.R.S. immediately if a foster needs medical attention?*

YesNo

Some of your roles as a foster are as follows but are not limited too: Feeding, cleaning, medicating, sending updated pictures in a timely manner, ect... Do you agree to this and to love and take care of your foster as if they were your own pet?*

YesNo

Do you agree to keep your new foster(s) quarantined from the other pets or fosters in the home for at least 2 weeks and have the means to do so? Do you understand that although the animal may seem healthy that it could have symptoms that have not yet presented themselves?*

YesNo

Do you understand that S.C.P.R.S. will NOT cover any vet bills that may incur for your personnel pet(s) or foster(s) from another rescue in result of them coming in contact with a foster pet from S.C.P.R.S.?*

YesNo

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 S.C.P.R.S. animal fostered by me. I fully understand that the foster animal is the property of S.C.P.R.S. and they can choose to remove the animal at anytime from my care if I do not comply with all of the terms presented to 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 S.C.P.R.S. and it's members from any claims, damages, costs, harmless or actions incurred because of the care or actions of the foster animal. I accept full responsibility for the foster(s) actions at all times, and release S.C.P.R.S. from any liabilities or damages that may be incurred because of such foster(s). I agree that if I am unable to foster anymore that I will return the animal(s) to S.C.P.R.S. and try to give S.C.P.R.S. a 2 week period to try and find another suitable foster for the animal(s).

Full Name

First NameLast Name

Date & Time

MonthDayYearHourMinutesAM/PM Option