Animal Foster Application Form

Please remember to hit "SUBMIT" at the end or your information will not be saved and sent to us. Contact us at mcneelyfarmilyrescue@gmail.com with any questions regarding this form. Thank you!

Full Name*

First NameLast Name

Age*

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Phone Number - Home*

Area CodePhone Number

Phone Number - Cellular*

Area CodePhone Number

Employer*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Work Phone Number *

Area CodePhone Number

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information so that we may verify that you may have pets in your home

Household Setting

RuralSuburbanUrban

Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

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

Does Anyone in your Household have Allergies to Animals?*

YesNo

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

YesNo

Please List any Pets you have Living in the home (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm)*

Would you be willing to have a McNeely Farmily 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 McNeely Farmily Rescue and Sanctuary any needed information relative to the foster/adoption process. And that by not doing so will slow down the process.

Would you consider a potential foster to adopt situation*

YesNo

Do you have a preference in sex of foster?*

MaleFemaleNo Preference

Are you willing to foster a dog or cat of any age?*

YesNo

If not, what age would you consider?

What size dog are you willing to foster? (Check all that apply)*

SmallMediumLarge

Please describe the type of dog or 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*

I understand that if the foster animal needs a veterinary appointment for an issue that I will contact McNeely Farmily Rescue and Sanctuary so that they may make an appointment with the rescue's veterinarian. Transport to and from may be negotiated by both parties, however the responsibility falls on the rescue.

Are you willing to take your foster dog or cat to vet appointments at a convenient time for you?*

YesNo

If No please explain

Are you willing and able to medicate your foster, (with provided medications with instructions should it need them) even if it just a monthly heartworm preventative?*

YesNo

We cannot guarantee a dog 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 animal?*

YesNo

If Yes please explain

Are you willing to use a crate or enclosure for a foster animal 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 you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility. (If the foster is senior then excercise is to the best of its ability)*

I promise to maintain communication with the rescue in regards to any/all matters concerning the foster.

Do we have any foster dog(s) or cat(s) that you have heard of and are interested in fostering?

By sending this electronically, I acknowledge that I have completely read this questionnaire 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 McNeely Farmily Rescue and Sanctuary 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 McNeely Farmily Rescue and Sanctuary and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog or cat. I accept full responsibility for the dog(s) or cat(s) actions at all times, and release McNeely Farmily Rescue and Sanctuary from any liabilities or damages that may be incurred because of fostering such dog(s) or cat(s). I agree to have McNeely Farmily Rescue and Sanctuary complete reference call checks and conduct a home visit inspection to be able to approve my foster application. I agree that if I'm unable to foster the dog(s) or cat(s) anymore that I will return the dog(s) or cat(s) to McNeely Farmily Rescue and Sanctuary and try to give McNeely Farmily Rescue and Sanctuary a maximum 2 week period to try and find another suitable foster for the dog(s) or cat(s).

Date*

MonthDayYear

Your name*

Co-Applicant name (if applicable)

DO NOT USE YOUR PHONE OR TABLET TO FILL OUT THE FOSTER APPLICATION AS IT IS NOT COMPATIBLE!!!!