Chi-Paw Rescue,Inc. Dog Foster Application

Today's Date

MonthDayYear

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

If renting, may we contact your landlord?

YesNo

Landlord Name

First NameLast Name

Phone Number

Area CodePhone Number

Name of dog you are fostering.

I understand and agree that I may be asked to foster longer than initially expected and I will notify Chi-Paw Rescue,Inc. of any limitations I may have at the time this agreement is made*

I Agree

How long are you able to foster?

1 Month1-3 MonthsUntil Adopted

I agree to seek veterinary care, follow up and/or check-ups when necessary and follow the Chi-Paw Rescue,Inc. animal care protocol for my foster pet. I also understand that CPR will provide food, cover veterinary costs, and supplies needed for my foster pet.*

I Agree

I agree that any expenses for the care of my foster pet such as food, medical visit/care, supplies which I incur will be presented to CPR in the form of receipts for reimbursement . I will discuss any expenses with a representative from Chi- Paw Rescue,Inc. prior to purchase if possible.*

I Agree

I understand and agree that there is a possibility that my foster pet may have a communicable disease upon discharge from animal shelter and I will administer all medications as prescribed by the veterinarian and follow after-care instructions.*

I Agree

I also understand and agree that I must undergo a home-check to be done by Chi-Paw Rescue,Inc. designee prior to any pet I am offering to foster.*

I Agree

Are you able to transport your foster pet to and from adoption events approved and/or sponsored by Chi-Paw Rescue,Inc.?*

YesNoWill Consider

Are you able to volunteer your time for walking, feeding, and assisting at an adoption event sponsored by Chi-Paw Rescue,Inc.?*

YesNoWill Consider

Please indicate the distance you would be willing to travel to transport your foster pet to/from adoption events approved and/or sponsored by CPR.

Is there any additional information you would like to provide? Also, if you have fostered for another rescue, please provide that information. Example: Have you ever fostered for another rescue? If so, please state the name and telephone number of the rescue.

You will be expected to keep the foster animal safe and secure; return it to CPR when requested to do so; not promise the animal to anyone or imply that you have the authority to approve a potential adoption. Chi-Paw Rescue, Inc. retains ownership of all animals placed in foster care and will make all decisions regarding the adoption and placement of the animals fostered.

Foster services performed by an individual are voluntary and are without any express or implied promise of salary, compensation, or payment of any kind.

I have read and understand the questions and statements above. I certify that all the information contained in this application is true and correct. I understand that although CPR takes reasonable care to screen animals for foster care placement, it makes no guarantees relating to the animals' health, behavior or actions. I understand that I receive foster care animals at my own risk and can decline to accept any animal for which CPR has asked me to provide care. I acknowledge that CHi-Paw Rescue,Inc. is not responsible for any property damage or personal injury suffered by me, members of my household, including my own animals, or any third parties during a foster placement, and I assume liability to provide adequate controls to prevent such damage or injury. I acknowledge that this application remains the property of CPR.

I agree to give care and shelter to a rescued dog for a limited period. I understand that I am accepting this dog as my own, until a new home can be found. I also understand that Chi-Paw Rescue,Inc. may have no prior knowledge of the dog’s temperament, and I will therefore take all due care to protect myself and others who may come in contact with this animal.

I will indemnify, defend, and hold CPR harmless from damage to property, or harm to persons or other animals caused by this rescue animal.

By signing (typing your legal name) in the space below, you are certifying that all information is correct and true and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print this for your records and retain as verification of your application.*

First NameMiddle NameLast Name

Signature

Foster Application

Do you own or rent?