Foster Application 2022 PDF

First Name

LastName

Email

example@example.com

Street

City

State

ZIP

Landline Phone Number

Work Phone Number

Mobile Phone Number

Emergency Contact phone:

Date of Birth

Date

Current Employer

Number of Years with Employer

What type of ponies are you able to Foster? Fillies? Mares? Geldings? Colts? Stallions?

You can list more than one.

Do you have children? If yes, please list their ages and explain how they will help with the care of your foster pony.

Are you currently a volunteer with the Newfoundland Pony Conservancy Center (NPCC)? If yes, how long?

Do you live at the house site where the equines will be fostered? If no, please explain.

Lot size of property (in acres)

Do you own the home in which you plan to foster?

If you are renting the home, will your landlord allow you to have equines on the property?

Have you or a member of your family ever been charged with or convicted of animal abuse or neglect? If yes, please explain.

Have animals that have ever been in your possession been seized by law enforcement? If yes, please explain.

Are you able to provide transport for your foster pony?

What type of trailer do you currently use?

Would you be willing to breed a foster pony under our mentorship?

Would you be willing to foster a Newfoundland pony with health issues?

Would you be willing to foster an older/senior Newfoundland pony?

Would you be willing to foster a pregnant mare or a mare with foal?

Do you currently own any horses or farm animals? If so, please list all breeds, sex, and number of each

What was the date your equines were last vaccinated?

What vaccinations did your equine(s) receive?

What is your deworming protocol?

What do you feed your current equines? How frequently?

How often are their feet trimmed?

In the past 5 years, have you had any equines/farm animals die in your care? If yes, please explain.

How often do you plan on having a farrier trim your foster pony?

Please describe your experience with equines/farm animals

If you have other farm animals, do you have adequate facilities to initially separate your foster pony and feed them separately? Please explain.

Will your Newfoundland Pony be stalled or have access to a run-in at all times?

Is there debris in the pasture such as tree limbs, metal, glass, trash, other? Please describe.

Do you have liability insurance? It is required for fostering.

What type of fencing do you have?

Who is your veterinarian? (name, address, phone number, distance from your facility.)

Who is your farrier? Please list contact information.

Upon approval for NPCC's Newfoundland Pony Foster Program, I agree to abide by all policies pertaining to the program and uphold my responsibilities to NPCC and the foster Newfoundland Ponies in my care at all times. I certify that the information is true and accurate to the best of my knowledge. I understand that providing false information can lead to removal from the NPCC Foster program. I agree to allow any member of the Board of Directors access to the facility where my foster pony(s) are kept at any time to evaluate their care; 24 hour notice will be given when possible. If care is found to be lacking, the pony(s) may be immediately removed from the location. You may be permanently dropped from the foster program and prevented from future association with the Newfoundland Pony Conservancy Center.

Please sign that you have read and understand the above statement

Clear

Date

Liability Statement - All Foster homes are responsible for all liability when the fostered pony is in their care. Do you understand this statement? Please Initial: I, my successors and/ or assigns, and legal representation if needed, agree to take responsibility for all damages during the care of this pony, fully releasing the Newfoundland Pony Conservancy Center of all liability while they are in my care. I understand fully what my responsibility is legally. At any time that I desire to end this foster agreement, I will return this pony to NPCC, or will ask that a time be scheduled to return the fostered animal to the sanctuary. The pony will be in the same or better condition for returning to the sanctuary.

Signed in agreement and understanding of all statements made within this application:

Date