Coopers Chance Foster a Pet Application

Cooper's Chance Animal Rescue

Foster A Pet Application
Thank you for your interest in fostering a rescued pet. We have many ways you can foster, and we always allow a trial run before deciding to foster any pet. Cooper's Chance provides all supplies, food, and vet care; you give a safe and comfortable home. Together we help rescued pets find forever families.

The process is easy, begins with this short questionnaire so we can find the right fit for your home. A Team Member will contact you to discuss foster pets and answer any questions you may have. We do not require home visits or long interview processes, and no experience is necessary.
Date*

MonthDay Year
Date
Name of the dog you are interested in:*
Referred By

Applicant Information
Applicant's full name:*
Co-Applicant's full name (if living in same household as Applicant):*
If there is only one applicant please type N/A
Street Address:*
City, State, Zip*
Major Cross Streets
Applicant's Phone:*

Area Code Phone Number
Co-Applicant's Phone:

Area Code Phone Number
Applicant's E-mail:*
Co-Applicants E-mail:
Applicant's Employer:*
Co-Applicant's Employer:

Pet Foster Information

Give details for your foster needs.
When can you start to foster a pet?
Date you can accept pets
Which foster program are you interested in?

Foster A PetDoggie Day Out - Just the daySlumber Pawty - WeekendMedical / Hospice
How long can you foster a pet in your home?
2 weeks, 30 days, 6 months, etc
What I'm looking for in a foster pet:
Gender, breed, temperment, age, etc.
Do you have a fully fenced yard?*

YesNo
Do you agree to keep the pet indoors?*

YesNo

Household Information
Are there other pets in the home? *

YesNo
Breed, Age, Gender of Current Pets
What other pets have you had, how long did you have them, and were they with you their entire life?
Do you have children who live with you or visit frequently?*

YesNo
Ages of children
Do you own or rent?*

OwnRent
Renters must provide a copy of written permission to complete adoption.
Additional notes you would like us to know
I/we am/are at least 18 years of age. All of the information I/we have given is true and complete. I/we understand that CCAR has the right to refuse my/our application. I/we understand that CCAR has the right to reclaim any foster or adopted dog/cat if doing so is in the dog/cat’s best interest. I/we agree that CCAR and its representatives bear no responsibility for any and all damage costs or expenses, liquidated or otherwise incurred, resulting from fostering or adopting, including but not limited to, damage or injury to persons or property by the dog while in foster care or adopted, and in this connection, I/we release, indemnify and hold CCAR harmless from any and all liability of any and every nature and cause directly or indirectly relating to this placement.
Applicant Signature*

Clear
Date*

MonthDay Year
Date
Co Applicant Signature

Clear
Date

MonthDay Year
Date
Should be Empty:

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Cooper's Chance Animal Rescue