Pound Pitties Foster Application

Name:

First NameLast Name

Date of birth:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Driver's license # and state issued in:

Email:

Phone Number

Please enter a valid phone number.

Person to contact incase of an emergency:

name and number

Are you interested in fostering or fostering to adopt?

fosteringfostering to adopt

Was there a certain dog you were interested in fostering or fostering to adopt? If yes, name of dog interested in:

Do you:

Own HomeRent HomeOther

Do you have a fenced in yard? If yes, what kind of fence & height?

Are there any slats/openings that could allow a small dog to get in/out?

Please list all persons living with you: (if none, write N/A)

Is everyone in your home aware that you have applied to foster?

YesNo

Is everyone agreeable to having a foster at home?

YesNo

If no, please explain:

Please list all animals living with you and ages: (if none, write N/A)

Veterinarian Name and Phone #:

Hours per day that foster(s) will be left alone:

During the week:

less then 4 hours4-8 hours8-10 hoursmore then 10 hours

During the weekend:

less then 4 hours4-8 hours8-10 hoursmore then 10 hours

While left alone, foster(s) dog will be:

individual crateshared cratein a restricted area of the homefree to roam

Are you able to transport foster to vet and adoption events:

YesNo

Do you understand that sometimes a complete history and temperament of a rescue dog may not be known?

YesNo

Please provide three (3) personal references- including contact information: Name, phone, relationship and years known:

Do you have any concerns about fostering? If so, please explain:

By submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. I understand that if I am accepted as a foster, that I am not the rightful owner of the dog and any medical decisions/rehoming decisions will be made by Pound Pitties Rescue. I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in an immediate termination of the foster contract and the foster dog to be returned. Pound Pitties Rescue shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons and for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, including claims and damages arising in whole or part from the negligence of Pound Pitties Rescue. I agree to notify Pound Pitties Rescue of any injuries such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible. I fully understand and am aware of all medical/behavioral issues the dog has.

By signing this application, you agree and acknowledge that Pound Pitties Rescue may run a soft background check.

**Note all adoption monies received are considered donations to the rescue and are not refundable nor transferable*

Signature:

Date:

Date

Print Name:

Pound Pitties Foster Application

POUND PITTIES DOG RESCUE FOSTER APPLICATION