HHHS Foster Agreement - by electronically signing below, I agree that I understand what is expected of me as a foster caregiver and what I can expect from the HHHS foster program:

I have read the HHHS Foster Care Manual
I agree to follow all HHHS policies and procedures including the procedures outlined in the manual
I understand that I am registering to be a foster parent for Helping Hands Humane Society, but the Kansas Department of Agriculture has the right to make a home visit at anytime they feel necessary
Since my companion animals are susceptible to any illnesses brought into my home by foster animals, my own animals are current on vaccinations including bordatella (dogs), which is not a routine vaccination
I understand that any treatment needed for my own companion animals is my responsibility and I will not be reimbursed
I understand that if I take a foster animal directly to any veterinary facility without prior approval from HHHS, HHHS will not be responsible for any of the costs incurred
A crate, food, litter, toys, bowls and necessary vet care and medications will be provided to me at no charge by Helping Hands Humane Society as long as they are available
If I can no longer keep the foster animal, I must contact the HHHS Foster Care Coordinator to make arrangements to return the animal
If I want to adopt the foster animal, I must notify the Foster Care Coordinator
All decisions made by HHHS management are final

 

Helping Hands Humane Society Foster Care Release and Waiver of Liability Form

releases Helping Hands Humane Society, Inc (hereinafter, “HHHS”), both non-profit corporations organized and existing under the laws of the State of Kansas and each of its directors, officers, employees, agents, and other volunteers.

The Foster Care Provider(s) desires to provide foster care services for HHHS and engage in activities related to serving as a volunteer.  Foster Care Provider(s) understands that the scope of Foster’s relationship with HHHS is limited to a Foster Care position and that no compensation is expected in return for services provided by Foster Care Provider(s); that HHHS will not provide any benefits traditionally associated with employment to Foster Care Provider(s); and that Foster Care Provider(s) is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Foster’s services to HHHS.

1.      Acknowledgement of Risk: I acknowledge that animal rescue operations entail known and unanticipated risks which could result in physical or emotional injury, paralysis, death to myself and other persons, and also to property damage.  Risks include, but not limited to, the following; bites, scratches, torn skin, bruises, illness or disease and the possibility of transmitting such disease or illness to third parties or other animals, and damaged clothing or other property.  I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

2.      Waiver and Release: I, the Foster Care Provider(s), release and forever discharge and hold harmless HHHS and its successors and assigns from any and all liability, claims and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to HHHS. I understand and acknowledge that this Release discharges HHHS from any liability or claim that I may have against HHHS with respect to bodily injury, personal injury, illness, death or property damage that may result from the services I provide to HHHS or occurring while I am providing volunteer services.  Furthermore, I hereby indemnify and hold HHHS harmless for any attorney’s fees or costs to enforce this Release.

3.      Insurance: Further I understand that HHHS does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property. I expressly waive any such claim for compensation or liability on the part of HHHS beyond what may be offered freely by HHHS in the event of such injury or medical expenses incurred by me.

4.      Medical Treatment: I hereby Release and forever discharge HHHS from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with HHHS.

5.      Photographic Release: I grant and convey to HHHS all right, title and interests in any and all photographs, images, video or audio recordings of me or my children or my likeness or voice made by HHHS in connection with my providing volunteer services to HHHS for the purposes of promoting HHHS services, events, or other promotional materials.

6.      Other: As a Foster Care Provider(s), I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Kansas and that this Release shall be governed by and interpreted in accordance with the laws of the State of Kansas. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of the Release shall not be affected.

By signing below, I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily.

Helping Hands Humane Society Foster Care Provider Agreement

make the following statements and voluntarily enter into this Foster Care Agreement (hereinafter “Agreement”) to provide temporary care as a foster caregiver for Helping Hands Humane Society, Inc. (hereinafter “HHHS”).

 

By signing below I agree to the following statements and agree to abide by all of these statements during my tenure as a HHHS Foster Care Provider.

 

 

1.      I understand that any animal(s) I foster is/are the property of HHHS, and I agree to turn it/them over to HHHS immediately upon request. I agree to bring any animal(s) fostered by me to the shelter for exams, vaccinations, weight checks, or other reason deemed necessary by HHHS at a mutually agreed upon date and/or time.

2.      I agree to comply with all other federal, state, and local laws that pertain to companion animals and pet ownership in the jurisdiction where I reside.

3.      I have never been convicted of animal cruelty, neglect, or abandonment. I agree to notify HHHS if I am convicted of animal cruelty, neglect, or abandonment in the future.

4.      I acknowledge that I have received a copy of the HHHS Foster Care Manual (“Manual”), and that I have read the Manual. I agree to fully comply with the policies, guidance and requirements set forth in the manual as applicable to my foster animal.

5.      I agree to not take my foster dog(s) or my foster cat(s) to dog parks, off-leash areas, daycare facilities, crowded public areas, or any similar locations, unless given prior approval by the HHHS Foster Coordinator. I understand that I will be solely responsible for any injury or damage caused by my foster animal if I do not comply with this provision.

6.      I agree that Any animal(s) fostered by me will be fed, watered and exercised appropriately. I agree to provide an adequate and nutritious diet, including any necessary supplements, Hill’s exclusive products, as provided by HHHS.

7.      I agree that animals will not be kept outside unless otherwise discussed and approved by HHHS and the animal(s) that I foster will reside in my home, will be kept as household pets, and will not be used for any other purpose.

8.      I understand that HHHS will take every precaution to ensure that any animal(s) I foster are reasonably healthy and that any known health problems will be disclosed to me prior to my taking the animal into my home, but HHHS cannot be held responsible for any unforeseen health problem that may develop after the animal(s) is/are in my care. I understand that HHHS may require me to return my foster animal(s) to the shelter to assess or treat any health problem, at its discretion.

9.      I understand that I am not authorized to seek outside veterinary care for HHHS foster animals without approval from HHHS staff or the HHHS foster coordination team and may be dismissed from the foster program for doing so. If I choose to treat the animal(s) at a veterinarian of my choice, I understand that I will assume full responsibility for payment of the vet bill, and that HHHS will be unable to reimburse me for any such payment.

10.  I agree to notify the HHHS immediately by phone if my foster animal(s) becomes lost or separated from me.

11.  I agree to notify the HHHS Foster Coordinator immediately by phone if my foster animal demonstrates any aggressive behavior, including, but not limited to, biting a person or another animal.

12.  I assume responsibility for any events that occur in connection with my fostering of an animal for HHHS. I understand the possibility of my children or others being bitten, scratched, or contracting disease does exist. I agree to be responsible for my children and anyone else handling any animal(s) fostered by me in a safe and hygienic manner, and will not hold HHHS responsible for any injuries that may result from my failure to do so. I AGREE TO NOTIFY A PACC REPRESENTATIVE IMMEDIATELY OF ANY BITES THAT BREAK THE SKIN that occur to any person or animal while any foster animal is in my care.

13.  I agree to keep my foster animal(s) separate from my own pets, and that the possibility of foster animals fighting, injuring, or spreading illness to my own pets does exist. I agree that I will keep my own pet up to date on vaccines and de-wormers according to my own veterinarian, while I am fostering any animal(s) for HHHS I understand that if I choose to allow my foster animal(s) and my own pet(s) to have access to each other, I do so at my own risk, and will not hold HHHS liable for any illness or injury that may occur to my own pet(s).

14.  I agree to provide adequate, positive socialization for any animal(s) fostered by me to help ensure their temperament will be as sound as possible. I agree to disclose any and all observed behaviors of the foster animal(s) to HHHS. I also agree, when requested, to give a progress report to HHHS I agree to bring my foster animal(s) in to the shelter for any required vaccinations, de-worming, or other medication prescribed and provided by HHHS at no cost to me. When the foster period is over, I will call HHHS to return the animal(s), and will do so at the agreed upon time.

15.  I understand the potential for contagious illness is high in animals. Therefore, I agree not to mix any of my foster animals or animals from more than one litter unless approved by HHHS. I also agree not to foster animals from any other organization while I am fostering for HHHS.

16.   Any animal fostered by me is to be adopted to a permanent home only under the supervision of HHHS, to an adopter approved by HHHS, even if the adopter is me or a member of my household. All foster animals MUST be returned to HHHS for sterilization and completion of adoption paperwork prior to permanent adoption. I understand that I may recommend a permanent home for my foster(s) but it is ultimately the decision of HHHS for the placement of that animal and all of the above conditions must apply, and the adopter must pay the adoption fee.

17.  I agree to receive and respond to calls and emails concerning my foster animal(s), from any HHHS staff member.

18.   I agree to transport the animal to HHHS to receive medical treatment as requested by the HHHS Foster Coordinator or HHHS staff.

19.   I agree to assume the risks implicit in working with animals who may have been abandoned, neglected, mistreated, or who may suffer from an illness or disease. My participation in the HHHS Foster Program is entirely voluntary and without the promise or expectation of compensation. I have no known physical or mental condition that would impair my ability to participate in the HHHS Foster Program. I understand that while HHHS staff carefully monitors all animals, HHHS may have limited knowledge of their behavioral and medical backgrounds. Therefore, I understand that HHHS makes no warranties or representations regarding my foster animal’s health, behavior, temperament, age, or breed. I further understand that environmental changes may affect and change the temperament of my foster animal(s).

20.  I understand that the outcome of an animal(s) is solely determined HHHS and its staff members and is based upon the health, behavior, and emotional wellbeing of the animal(s).

21.  I understand and agree that the City of Topeka/Shawnee County, its members, officers, directors, agents and elected officials have no liability or responsibility of any nature for injuries or damage to any person, animal, or property which may be caused by my foster animal(s) or my participation in the HHHS Foster Program. I, for myself and my heirs, executors, administrators and assigns, hereby release, indemnify and hold harmless the City of Topeka/Shawnee County, its members, officers, directors, agents, elected officials, and their heirs, administrators, executors, successors, and representatives from all liability for and all risk of damage or bodily injury or death that may occur to me (including any injury based on negligence) now or hereafter in connection with my foster animal(s) and my participation in the HHHS Foster Program. I expressly agree that this release, waiver and indemnity is intended to be as broad and inclusive as permitted by the State of Kansas and that if any portion is held invalid, the remainder shall continue in full force and effect.

 

By my signature below I affirm that all statements and stated agreements contained in this document are truthful, I affirm that I have read and understand this Agreement in its entirety, and I agree to abide by the terms of this Agreement. 

Thank you for your interest in fostering with HHHS! Your profile submission should make its way to our Foster Care Coordinator. If you do not hear back from anyone within 3-5 days, please email foster@hhhstopeka.org to ensure your application was received.