CBCRI Foster Application

Today's Date

MonthDayYear

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Do you rent or own?

RentOwnLive With Family

If renting, may we contact your landlord?

YesNo

Landlord Name

First NameLast Name

Phone Number

Area CodePhone Number

Name of dog you are fostering.

I understand and agree that I may be asked to foster longer than initially expected and I will notified by 10 Lives Interlake Rescue of any limitations I may have at the time this agreement is made*

I Agree

How long are you able to foster?

1 Month1-3 MonthsUntil Adopted

I agree to seek veterinary care, follow up and/or check-ups when necessary and follow the 10 Lives Rescue animal care protocol for my foster pet. I also understand that 10 Lives Rescue will provide food, cover veterinary costs, and supplies needed for my foster pet.*

I Agree

I agree that any expenses for the care of my foster pet such as food, medical visit/care, supplies which I incur will be presented to the Rescue in the form of receipts for reimbursement from 10 Lives Rescue. I will discuss any expenses with a representative from 10 Lives Rescue prior to purchase if possible.*

I Agree

I understand and agree that there is a possibility that my foster pet may have a communicable disease and I will administer all medications as prescribed by the veterinarian and follow after-care instructions.*

I Agree

I also understand and agree that I must undergo a home-check to be done by 10 Lives Rescue designee prior to any pet I am offering to foster.*

I Agree

Are you able to transport your foster pet to and from adoption events approved and/or sponsored by 10 Lives Rescue?*

YesNoWill Consider

Is there any additional information you would like to provide? Also, if you have fostered for another rescue, please provide that information. Example: Have you ever fostered for another rescue? If so, please state the name and telephone number of the rescue.

By signing (typing your legal name) in the space below, you are certifying that all information is correct and true and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print this for your records and retain as verification of your application.*

First NameMiddle NameLast Name