LBHR Foster Application Form

How did you hear about Little Beans' Hope Rescue?*

Full Name*

First NameLast Name

Age

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you live in a

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

RuralSuburbanUrban

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

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

Yes, DogsYes, CatsYes, Dogs and CatsNo

YesNo

Have you fostered a cat or dog before? If so, when and can you tell us about the overall experience you had?

Please list any pets you have or had (Please include Name, Breed, Age, Altered, Fixed, UTD Vaccines, Living/Deceased)*

MaleFemaleNo Preference

YesNo

If not, what age would you consider?

Please describe the your ideal foster. Please include personality traits you are comfortable with and you are able to work with an untrusting/shy foster.

YesNoDepends on schedule

YesNo

If Yes please explain

YesNo

YesNoPartial

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

YesNo

Vet Reference: Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Personal Reference #1 Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

Personal Reference #2: Full Name*

First NameLast Name

Relation to applicant(s):

E-mail

Phone Number

Area CodePhone Number

Foster understands and agrees that the pet (s) is the property of Little Beans' Hope Rescue. Foster does not have any ownership of the pet(s); all such rights remain fully with Little Beans' Hope Rescue, unless adoption proceedings are approved.

Pet shall not be sold, given to, placed in the care of, offered or delivered for adoption to another person, organization or any other entity including, but not limited to, a family member, friend, rescue facility, research facility, or shelter. Pet must be returned to Little Beans' Hope Rescue if, for any reason, Foster can no longer care for the pet.

Violation of this agreement will result in travel costs, court costs and attorney fees payable by Foster if legal action or
travel is necessary for Little Beans' Hope Rescue to recover the pet(s).

Foster understands that Pet(s) has intrinsic value and is not replaceable, so if the pet is euthanized, lost or otherwise
unable to be returned to the Rescue due to the negligence or intent of Foster to circumvent Rescue’s ownership or possession of said pet, it is agreed that the Foster will be in breach of this agreement and is subject to pay liquidated damages to the Rescue.

Foster agrees not to transfer custody of Pet to anyone other than a representative of Little Beans' Hope Rescue, and agrees to return the pet to the Rescue upon request.

Foster agrees to notify Rescue, without delay, if Foster can no longer care for or keep the pet(s). Foster agrees to give Little Beans' Hope Rescue reasonable time to re-home Pet or place in an approved foster home, if available. Foster must notify Rescue of any behavioral problems that have occurred at any time before returning the pet.

Foster understands and agrees that ANY non-emergency veterinary care for the pet(s) must be approved PRIOR TO charges being incurred. Rescue can be contacted for authorization by email by phone. All veterinary authorizations must be made by an authorized agent of Rescue;no other individual is authorized to make authorization for any veterinary care.

Foster agrees to abide by the decision of Little Beans' Hope Rescue in regards to authorizing any medical care for Pet, including the denial of such authorization. Should Foster not get a reply to email or voicemail within 24 hours, he/she is directed to contact Rescue again as both means of communication can be affected by forces not under Rescue's control.

In the event of a life or death emergency, the pet is to be immediately treated and Rescue is to be notified as soon as possible or within 24 hours. If the attending veterinarian
feels the condition of or injuries to said pet are not conducive to reasonable recovery or quality of life for the Pet, said pet is to be humanely euthanized. Foster understands and agrees that any unauthorized veterinary care will not be reimbursed and Foster will be responsible to pay those charges.

Foster agrees to give Pet all required medications or treatments as needed and prescribed by the veterinarian. When it is time for Pet to be spayed or neutered, foster agrees to coordinate the surgery with Rescue.

Foster agrees to take Pet to Rescue adoption events when it is reasonably convenient for the Foster. If Foster cannot take Pet to the adoption event, arrangements will be made for the Pet to be in attendance.

Foster agrees to take Pet to veterinary appointments, meet and greet appointments , etc. Little Beans' Hope Rescue will coordinate with Foster to make sure said appointments are
convenient for Foster.

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

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any LITTLE BEANS' HOPE RESCUE animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless LITTLE BEANS' HOPE RESCUE and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster cat.

I accept full responsibility for the cat(s) actions at all times, and release LITTLE BEANS' HOPE RESCUE from any liabilities or damages that may be incurred because of fostering such cat(s) or dog(s).

I agree to have LITTLE BEANS' HOPE RESCUE complete reference call checks and conduct a home visit inspection/video call to be able to approve my foster application.

I agree that if I'm unable to foster the cat(s) anymore that I will return the cat(s) to LITTLE BEANS' HOPE RESCUE and try to give LITTLE BEANS' HOPE RESCUE a 2 week period to try and find another suitable foster for the pet(s).

Date

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Your name*

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