Precious Paws Animal Foster Application

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Email address*

Are you interested in a specific pet that you have met at the shelter or seen on our website? Please let us know who your top choices are. *

Please list the name and phone numbers of 2 references. *

How many people are in your household?*

What are the ages of the people in your household?*

Where do you live? *

HouseApartmentCondo/townhouseOther

Do you own or rent?*

Own my own homeRentLive with parents or homeownerOther

If you rent, provide the name and phone number of your landlord. If you live with your parents or the homeowner, please provide their name and phone number. *Required if you do not own your home*

How many hours will your pet be left alone each day?*

To adopt an animal, you must be at least 18 years of age, have the consent of all adults living in the household, have verifiable identification, have landlord's consent (if renting), be familiar with your local animal ordinances, be able to afford veterinary/daily care, and pass our screening process. Do you agree to this?*

I agree

Do you have any animals in your home currently?*

YesNo

If yes, do what kind of animals do you have in your home?

CatDogOther

Length of time with you:

Is this animal(s) still with you?*

YesNo

Are all of your animals spayed/neutered?*

YesNoNot applicable

If not, please explain why:

Name of Veterinarian Clinic:*

What is the first date you can start fostering?*

Approximately, what is the last day these fosters can be in your home?*

I would prefer to foster:*

How many at one time (if a mom and her litter, or motherless kittens/puppies)?*

Are you willing to foster animals who may be sick, need hospice are, or medical care such as insulin injections?*

YesNo

Do you have experience bottle feeding, giving oral or ocular medications, injections?*

YesNo

Which veterinary clinic location is most convenient for you to take them for their check-ups?*

What supplies will you need?*

If for some reason, this adoption does not work to the advantage of me/my family and the animal, I agree to contact Precious Paws Humane Society and give them first option to re-acquire the animal before any further placement or euthanasia is attempted. I agree that I shall not transfer ownership of the animal unless Precious Paws Humane Society elects not to exercise this option within 5 business days of my notifying them of my wish to return the animal. If the dog/cat is returned, I understand that no refund monies shall be returned to me. I have read, understand, and agree to this statement.*

I agree

Failure to fulfill this stipulation of this application (such as, but not limited to, falsifying information, verified animal neglect/cruelty/mistreatment) will result in forfeiture of the adopted animal back to Precious Paws Humane Society. I have read, understand, and agree to this statement.*

I agree

I grant Precious Paws Humane Society of Chisholm the right to make periodic visits to the Foster's premises for the purpose of checking on the health and general welfare of the animal. If, for any reason, I am unable to provide care for the animal, I agree to return the animal to Precious Paws Humane Society of Chisholm. I shall not offer the animal for sale or give the animal to any third party without the prior written consent of Precious Paws Humane Society of Chisholm. I agree that Precious Paws Humane Society of Chisholm shall have the right of immediate possession of the animal, if, in the judgement of Precious Paws Humane Society of Chisholm, the animal is receiving inadequate care, is being improperly housed or handled. I agree to pay Precious Paws Humane Society of Chisholm the sum of $300 as liquidated damages in the event the terms of this contract are breached; this liquidated damage value does not bar Precious Paws Humane Society of Chisholm from seeking the return of the animal by judicial process or other legal means if necessary. If legal action is instituted, I agree to pay reasonable attorney's fees and court costs. An individual who has surrendered his pet to an animal shelter in the previous year is not eligible to foster/adopt an animal. No foster privileges/adoptions will be granted to individuals known to hoard/collect animals, or to those individuals convicted of/subject to legal action for animal neglect/cruelty. The animal remains the property of Precious Paws Humane Society of Chisholm until the animal has been spayed or neutered. I agree to notify Precious Paws Humane Society of Chisholm if I have a change of telephone number or address. I further agree to notify Precious Paws Humane Society of Chisholm of any incident involving animal control and/or complaints arising from said ownership of the animal. If the animal becomes lost or stolen, I agree to notify Precious Paws Humane Society of Chisholm immediately. I acknowledge that I have read, understood, and agree to all of the above statements and condition.*

I agree

Purpose of this agreement: This form releases Precious Paws Humane Society of Chisholm (PPHSC) from all liability and risks posed in the act of an interested party meeting with an animal owned by PPHSC. Release of Liability: I agree to bring no action or claim against PPHSC or their officers or agents, by reason of this visit. If this is a "meet and greet" involving an animal I own, I understand that I am responsible for my animal's actions. I understand that PPHSC is not making any representations or warranties about any animal's temperament or behavior. I acknowledge and agree that PPHSC is not responsible for any injury, damage, or harm caused by any animal and I herby release PPHSC from any and all liability for any injury, damage, harm, expense or liability I incur. I also agree to indemnify PPHSC from any and all such claims and to pay, without limitation, any costs related to such injury, damage or liability, including the case of litigation, any attorney's fees incurred by PPHSC in its defense. Assumption of Risk: I acknowledge that meeting with any animal can post a risk to my safety and the safety of any minors accompanying me. Such dangers include, by way of example and not limitation, the risk that the animal can bite, trip, and knock down people, especially children, and can fight with other animals. I also understand that if an animal I own is taking place in a "meet or greet", PPHSC is not liable for any injuries or damages that my animal sustains. Accordingly, the undersigned(s) assumes the risk of injuries, losses, damages, costs, and expenses by of any sort due to this visit. I understand and agree that PPHSC shall not be help responsible for the same. I hereby declare that I have fully read and understand the terms of this release, and release PPHSC from all liability for myself, any animal I may own, and minors accompanying me. I agree to sign this form in person when approved.*

I agree

I hereby declare that I am aware: A) That animals are different from human beings in their responses to human actions. B) That the actions of animals are often unpredictable. C) That an animal's behavior may change after it leaves the shelter and accustoms itself to a home or other different environment. D) That Precious Paws Humane Society of Chisholm makes no claims as to the temperament, health, or mental disposition of any animal put up for adoption. We may only testify as to the animal's temperament and health as observed while in our care. I acknowledge that I have read, understood, and received a copy of Precious Paws Humane Society of Chisholm's Animal Foster Contract Terms. I hereby accept possession of, title to (subject to the conditions of the foster/adoption contract), and responsibility for the animal fostered and agree to release and discharge Precious Paws Humane Society of Chisholm forever from liability for any injury or damages to any person or property caused by the fostered animal, and from any causes of action, claims, suites, or demands whatsoever that may arise as a result of injury or damages. I acknowledge that I have read, understood, and agree to all the above statements and conditions.*

I agree

Please print name and date:*