foster home agreement

HAINES ANIMAL RESCUE KENNEL
A PLACE FOR PETS AND THEIR PEOPLE

PO Box 1533, Haines AK 99827 www.harkalaska.org I (907) 766-3334

Foster Home Agreement You must be 18 years of age.
Your Information
Name
Date

MonthDayYear
Date
Mailing address
Physical address
City
State
Zip
Phone (H)
Phone (C)
Email
example@example.com
# Children in home
# Pets in home
DL #
Average hours per day away from home
Pet information
Name of animal requested
Date

MonthDayYear
Date
Species
Breed(s)
Gender
Conditon of Foster Care
Please initial
1. provide proper and adequate food, water and humane treatment at all times.
2. Provide accessible housing that offers protection from weather.
3. Notify HARK immediately if veterinary care is required.
4. Notify HARK of any incidents or injuries the animal was involved in.
5. Ensure the animal will not be unattended and running at large or in violation of the Haines Borough Ordinances.
6. If at any time I choose not to continue to foster, I will immediately notify and arrange for return of the animal to HARK.
REFERENCE 1 Name
Phone
Address
Relationship
REFERENCE 2 Name
Phone
Address
Relationship
Foster Disclosure and Release
Please initial
1. animals are different from human beings in responses to human actions.
2. The actions of animals are often unpredictable.
3. Animals should be closely supervised when they are with children.
4. An animal's behavior may change after it leaves the shelter and accustoms itself to a home or other different environment. HARK urges all fosters care-givers to exercise caution when introducing the animal to new situations until the animal becomes fully adjusted to its new environment.
5. HARK makes no claims or representations as to the temperament, health, or mental disposition of any animal. For this reason HARK cannot accept any liability for animals in foster care.
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

HAINES ANIMAL RESCUE KENNEL