Foster Application
I'm Interested in Fostering:
Adult Dog
Puppy 6 weeks- 1 year
Neonatal puppies
Mom and Puppies
Adult Cat
Kitten 6 weeks - 1 year
Neonatal kittens
Mom and kittens
Name
*
First Name
Last Name
Email
*
example@example.com
Age:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
-
Area Code
Phone Number
Emergency Contact:
*
First Name
Last Name
Emergency Contact:
*
-
Area Code
Phone Number
List names of everyone in your household [include relationship and age]:
*
Describe Home activity level
*
Busy/Noisy
Moderate
Quiet w/ Occasional guest
Type of Housing:
*
Home
Apartment/Other
Own
Rent
Military
Does anyone in your household have allergies to animals?
*
Yes
No
Unknown
Is everyone in the household agreeable to fostering an animal?
*
Yes
No
Landlord's Name:
*
Landlord's Phone Number:
*
-
Area Code
Phone Number
List all animals in your home [include age, species (dog, cat, etc.) and breed (Chihuahua, Boxer, etc.)]:
*
Are all animals in your home current on vaccinations? Are they spayed/neutered? Provide your veterinarian's name and phone number.
*
Have you ever fostered for a rescue group in the past?
*
Yes
No
Name of your employer and number of hours away from home each day:
*
Where would the foster animal be kept when you are home?
*
Indoors
Outdoors
Where would the foster animal be kept when you are AWAY from home?
*
Indoors
Outdoors
If outdoors:
*
Yard
Patio
Kennel
Garage
Other
Fenced?
*
Yes
No
How high is your fence?
If indoors:
*
Kennel
Free Roaming
Other
Are you willing to foster a rescue with behavioral issues?
*
Yes
No
Explain
Do you agree to bring the foster animal to all required appointments at the shelter for potential adoptions, vaccinations, procedures and/or care?
*
Yes
No
Do you agree to administer medication to the foster animal, if necessary/requested?
*
Yes
No
We cannot guarantee a dog or cat to be housebroken. Do you agree to train with love and patience and utilize recommendations of shelter staff?
*
Yes
No
Do you agree to use a crate for a dog if recommended by shelter staff?
*
Yes
No
Provide three (3) references:
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
PLEASE ACCEPT THE FOLLOWING TERMS PRIOR TO SUBMITTING APPLICATION
*
I have completed this questionnaire and comprehend it fully. I understand that applying does not ensure approval. I understand that providing untruthful, incomplete, or omitting answers may cause my application to be rejected. I agree that failure to comply with the requirements set forth in this application or with the instructions given by Old Drum Animal Shelter (ODAS) staff (at any time) can result in the forfeiture of any animal I may foster. I certify the above information is correct and give permission for ODAS staff to contact references or verify any, and all, information provided in this application. I agree to release and covenant to hold harmless Old Drum Animal Shelter and its members from any claims, damages, costs or actions incurred as a result of the care or actions of any foster animal. I accept full responsibility for the foster animal's actions at all times and release Old Drum Animal Shelter from any liabilities or damages that may be incurred as directly related to fostering an animal. I agree to comply with all requests to bring the animal to ODAS for required/requested appointments and to contact ODAS directly if there are any health concerns for the foster animal while in my possession. I will NOT seek veterinary care elsewhere and, if for any reason I did, agree that I would be responsible for any, and all, costs incurred for same. I understand, and agree, that if I'm unable to foster the animal, I will return it to ODAS and will give ODAS a two-week period to intake the animal or find another suitable foster for the animal if kennel space is not available at that moment. I agree to keep the foster animal in Johnson County and will always have the animal in my possession. If for any reason I leave town (i.e. vacation) and cannot keep the animal in my possession, I will contact ODAS to make arrangements for the foster animal's care in my absence and will NOT arrange care for it elsewhere or with anyone else without permission from ODAS. I understand ODAS may request the foster animal be returned without notice at any time, and for any reason, and agree to return said foster animal immediately upon request.
Todays Date
*
-
Month
-
Day
Year
Date
Electronic Signature
*
Submit Form
Submit Form
Should be Empty: