Furever Friends and Rescue - Foster Parent Application/Hold Harmless Agreement

Date

A foster home is a temporary home for a dog or cat until our rescue is able to find a permanent home. Thank you for offering to become a foster parent for our rescue organization. To be considered as a foster home you must:

Filling out this application does not guarantee that the dog or cat you choose will be available to you. We place dogs and cats based on criteria which are in the best interest of the pet. After completing the Foster Parent Application, please review and complete our Foster Parent Hold Harmless Release. The release must be signed before Furever Friends will place a dog or cat for fostering.

Full Name*

First NameLast Name

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Your Age Range*

21-2526-5051-65Over 65

Driver's License Number*

Primary Phone*

CellWorkHome

Best Time to Call

Secondary Phone*

CellWorkHome

Please provide the name, address, and telephone number of two (2) references and their relationship to you.
Please only include one (1) family member.

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Relationship*

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Relationship*

How many people (not including yourself) live in your household?

Adults: *

Children:*

Do you live in a:*

Do you:*

OwnRentOther

If Renting: Please indicate landlord contact information

Household Setting*

RuralSuburbanUrban

Describe your Home Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, and Age)*

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering a Dog/Cat?*

YesNo

Please List any Pets you have/had Living or Deceased (Please include Name, Breed, Age, Altered, Sex, Vaccine Status, Heartworm, Living/Deceased)*

Would you be willing to have a Furever Friends and Rescue Volunteer call your veterinarian for a reference check? (Please authorize vet to speak with us)*

YesNo

Veterinarian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

I understand that I need to contact my veterinarian and let them know that they have my permission to give Furever Friends and Rescue any needed information relative to the fostering process. And that by not doing so will slow down the process

YesNo

Have you picked out one of our rescue cats or dogs to foster?*

YesNo

If so, what this the animal’s name?

Canine:

Agreeable to Foster a Dog and/or Puppy:*

YesNo

Age Group (choose all that apply)*

Neonatal puppies, birth to 6 weeks (bottle babies)Puppy, 6 weeks to 6 monthsAdolescent, 6 months to 18 monthsAdult, 18 months – 7 yearsSenior 7+ years

Gender*

MaleFemaleNo Preference

Feline:

Agreeable to Foster a Cat and/or Kitten:*

YesNo

Age Group (choose all that apply)*

Neonatal Kittens, birth to 4 weeks (bottle babies)Kitten, 4 weeks to 1 year oldAdult, over 1 year oldSenior 7+ years

Gender*

MaleFemaleNo Preference

What size dog/cat are you willing to foster? (Weight in lbs- Check all that apply)*

Please describe the type of dog/cat you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes*

Are you willing and able to take your foster dog/cat to the rescue-approved Veterinarian if required (no cost to you)?*

YesNo

If No please explain

Are you willing and able to medicate your foster (e.g., antibiotics, ear drops, eye drops, etc.), even if it just a monthly heartworm preventative?*

YesNo

We cannot guarantee a dog/cat to be housebroken, are you equipped to train with love and patience?*

YesNo

Have you had any experience with with an emotionally or physically neglected or abused dog/cat?*

YesNo

If Yes please explain

Are you willing to use a crate for a dog if recommended?*

YesNo

Do you have a fenced yard?*

YesNoPartial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the foster be left alone?*

What are your plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility*

What's your animal handling experience? (choose all that apply)*

I have never handled a dog or cat.I have had some dog/cat experience (e.g., had a dog/cat growing up, babysat pets, etc.).I have raised a dog/cat on my own.I have had experience with all sorts of dogs/cat.I have had experience with dogs/cats of difficult temperaments.I have had experience caring for a pregnant dog or cat.I have had experience raising puppies or kittens until ready for permanent home.I have had experience socializing dogs/cats (e.g., exposure to other pets, new people, children and other experiences)

Have you been a foster home for another rescue organization before?*

YesNo

If yes, where and when?

Any other information you would like to provide?*

Please initial indicating your understanding and agreement with the below foster program.

TERMS OF THE AGREEMENT

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

All of the above information is true and complete. I agree to follow all the rules and procedures of Furever Friends and Rescue (FFR). I understand that I will decide whether or not to foster any particular animal. I will not hold FFR responsible for any damage, injury, or harm caused directly or indirectly to any person or property by any foster animal.

I assume the risks of being bitten, scratched, injured, made ill, or frightened by dogs, puppies, cats, and/or kittens in connection with my volunteer work for FFR. I hereby agree to hold harmless FFR, its individual members, and any venue at which FFR may hold an adoption event, or fundraising event from any and all known or unknown, anticipated or unanticipated, suspected or unsuspected while I am fostering and/or volunteering for FFR.

If I fail to abide by the terms of this Application & Waiver or if I am otherwise unable to meet the requirements of the foster and/or volunteer program, which are subject to change from time to time, I understand that I will be terminated from the program. I also understand that I may at any time be removed from my position as a foster and/or volunteer by action of the board of directors, and that I will be notified in writing or email should that occur.

I, the undersigned, have read the above requirements and conditions and understand them fully. I hereby certify that I am at least twenty-one years of age and that all statements made on this form are true and correct.

Date*

MonthDayYear

Applicant Name*

Applicant Signature:*

Co-Applicant name (if applicable)

Co-Applicant Signature (if applicable):

Foster Parent Application/Hold Harmless Agreement

Foster Parent's Information:

Please provide the name, address, and telephone number of two (2) references and their relationship to you.
Please only include one (1) family member.

Household Information:

Type of Foster:

Dog/Cat Handling Experience:

Foster Parent Hold Harmless and Release

Foster Parent Application/Hold Harmless Agreement

Foster Parent's Information:

Please provide the name, address, and telephone number of two (2) references and their relationship to you.Please only include one (1) family member.

Household Information:

Type of Foster:

Dog/Cat Handling Experience:

Foster Parent Hold Harmless and Release

Please provide the name, address, and telephone number of two (2) references and their relationship to you.
Please only include one (1) family member.