Foster Application and Contract

Foster Application and Contract
ALL ABOUT YOU!
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If you have lived at your current address for less than one year, please provide your previous address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
Phone*

Area CodePhone Number
Date of Birth*

MonthDayYear
Will you agree to a background check, if one is deemed necessary?*

YesNo
Do you have Homeowners/Renters insurance?*

YesNo
Please provide your Homeowners/Renters insurance carrier and policy number*
Have you ever fostered an animal before?*
If yes, what organization did you foster with?
When considering a foster dog or cat, do you have any preferences?*

Single AdultSingle Puppy or KittenMultiple dogs (adults or puppies)Medical or Rehab dogNursing or Pregnant Dog/CatWeaned Litter
What energy level would work with your lifestyle?*

Mellow - couch potatoActive - Short walks and dog park playEnergetic - Running buddy
Personal and Veterinary References
Reference #1

Not a Family Member
Name*

First NameLast Name
Cell phone number*

Area CodePhone Number
Reference #2

Not a Family Member
Name*

First NameLast Name
Cell Phone number*
Veterinary Reference
Your most recent or current veterinarian*
If you do not have a recent or current vet, please type "N/A"
All About Your Home
List your family pets, what type of pet, how long they have been with you and where they are now.
If you do not currently have pets, please type "N/A"
If you currently have pets, are they spayed/neutered?*

All of my pets have been spayed/neutered at the age appropriate timeI do not currently have petsSome of my pets are spayed/neutered, but not allI do not believe in spaying or neutering my animalsOther
If you answered that some of your pets are not spayed/neutered or if you don't believe in spaying or neutering, please explain why.*
Are all of your pets up to date on their vaccinations?*

YesNoI do not currently have pets
Are you willing and able to transport your foster dog(s) or cat(s) to events and veterinary appointments?*

YesNo
Are you aware that we often have animals who are in need of medical attention who may require extra patience, medications, etc?*

YesNo
Do any of the pets in your home have behavior problems or illnesses? If yes, please describe.*
Has your home ever been exposed to Parvo or Distemper?*

YesNo
If yes, how long ago was the exposure?*
If no, please type "N/A"
Do you have an area to quarantine the dog or cat from other pets if necessary?*

YesNo
Do you rent or own your home?*

RentOwn
If you rent, does your landlord allow pets?*

My landlord does not allow pets but I am planning on relocating soon.Yes, my landlord allows petsI own my own home and do not need approval from a landlord
How long will the dog/cat be left alone and where we he/she spend time when they are alone?*
Have you or a member of your household been charged with or convicted of any animal welfare law violations (i.e. neglect, cruelty, abandonment, etc) or been charged or convicted with a sex crime or domestic violence? If yes, please explain.*
Describe any experience you have had with obedience training, medical or behavioral issues. Please describe your philosophy of training and how you plan to train your foster dog/cat while he/she is with you.*
Important Things to Know
Please click and indicate that you have read and understand the following statements:*

If I have visitors in my home, I must keep my foster dog kenneled or in a separate room for the duration of the visit with an exception made for eating and toileting.If I choose to allow the foster dog to be in the presence of visitors in my home, I take full responsibility and liability for any injury that may occur as a result.
Foster Agreement
Please read each statement and click the box to indicate that you have read and understand. Keep in mind that this a legal, binding contract.*

I will be professional and respectful in my dealings with people inside the rescue and with the general public.If, at any time, I wish to withdraw from this program, I will provide the rescue with 72 hours notice to properly transfer my foster to another foster home. I understand that it make take a week or more to find a new foster home.If an animal is not adapting in my home, I will notify rescue staff so that another foster home can be arranged. I understand that it may take a week or more to find a new foster home.It will be my responsibility to transport the animal to the new foster location.I agree to contact EPCCR immediately in the case of: aggression towards people or other animals, medical issues, emergencies of any kind, or a lost foster animal.I agree to update all of my information with EPCCR accordingly regarding: new animals in the home, new children in the home, moving, personal information changes, vacations, etc.I understand that a representative of EPCCR will be doing an in home visit prior to the approval of my foster application and annually thereafter.I understand that EPCCR reserves the right to approve or deny my application for any reason.I agree to participate in periodic animal wellness checks and home visits as the rescue deems necessary.I agree to provide all fosters in my care a calm, loving, healthy environment, and will only use positive reinforcement techniques. My foster will be fed, given fresh water and housed per EPCCR and PACFA recommendations and guidelines.I understand that EPCCR reserves the right, at any time, for any reason to request that a foster be returned to the rescue, if this request is not met within 24 hours of receipt of the request, the appropriate authorities will be contacted, and legal action may be taken as necessary.I agree that animal bites or other injuries to humans and other animals do occur and that all animals have the potential to carry and transmit diseases, including zoonotic diseases that can be transferred from animals to humans. I understand that El Paso County Canine Rescue will make every attempt to prevent any damage the foster dog may inflict on another person, another animal or any property, or for the transmission or transfer of any disease or parasite to other animals or people within the fostering household, and no attempt will be made by me or anyone on my behalf to hold EPCCR responsible.I agree to follow the recommendations given by EPCCR staff and understand that by refusing or declining to follow any recommendations set forth will result in forfeiture of any compensation from damages or illnesses that may occur.I will not take my foster dog or cat out of town for any reason without prior notification and authorization from the directors of the EPCCR.I will not have any person outside my household watch my foster dog or cat without notifying rescue staff and receiving approval from the directors of EPCCR.I will NOT, under any circumstance, give away or sell the animal to another person, relative, rescue group, Humane Society, shelter, pound, or experimental laboratory or similar organization.I understand and agree that, as the home (temporary or otherwise) of a fostered animal, I must adhere to all relevant zoning and animal control codes and ordinances, whether local, county, or state, as stated in PACFA guidelines.I understand and acknowledge that I do not own this animal and that the animal is the property of EPCCR and I must abide by the guidelines set forth by EPCCR and PACFA. I will not provide veterinary care without authorization and I will not keep the dog or cat from EPCCR staff if it is deemed necessary to remove the dog or cat from my care.
Signature*

Clear
By signing I affirm that I understand and agree with each statement above and that I have filled out this form in good faith and it is accurate to the best of my knowledge.
Verification*
Should be Empty:

ALL ABOUT YOU!

Personal and Veterinary References

Reference #1

Reference #2

Veterinary Reference

All About Your Home

Important Things to Know

Foster Agreement