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Holiday Foster Application 2023-2024
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1
Full Name
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First Name
Last Name
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2
Are you a currently registered ACS foster?
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3
Are you a City of San Antonio employee?
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4
Which department do you work for?
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5
Date of Birth
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Date
Month
Day
Year
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6
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Algeria
American Samoa
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Angola
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Antigua and Barbuda
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Canada
Cape Verde
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China
Christmas Island
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Israel
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Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
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South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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7
Phone Number
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8
E-mail
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9
Emergency contact (must be someone other than yourself)
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Please enter a valid phone number.
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10
What are you interested in fostering? Check all that apply
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For this event to get animals into foster homes quickly ACS wil be matchmaking the animals for you. Please be honest about what you can handle and safely foster until Oct 20th. We want this to be a great experience for you! All animals have to be sterilized for event, which requires them to be 2lb+ by Oct 10th. At this time bottle and gruel babies will no longer make the event.
Kittens, eating on own. Quite and cute and so much fun
Adult cat
Puppies, we are going to be honest, it's a lot of poop. Will come in groups of 2 to make it enjoyable
Small - Medium Dogs
Large - Extra Large Dogs
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11
Any other parameters for what you can and can't have?
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Breed restrictions, gender, no# of kittens and puppies
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12
What supplies will you need for the pet while in your care?
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Crate
Blanket
Dishes
Leash/Collar/Harness
Food
None, I have all needed supplies!
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13
I understand this is a minimum commitment of a 2 weeks
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YES
NO
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14
Do you have any pets currently living in your home?
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YES
NO
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15
Do you have the ability to keep your foster pet(s) separate from your pets?
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This is to prevent an unknown disease infecting your pet or any unseen behavorial issues.
YES
NO
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16
I understand that my foster pet may have come in contact with a contagious disease before coming to ACS and they are NOT yet showing symptoms. If my personal pet is NOT vaccinated with a current Rabies, DHPP/FVRCP and Bordatella vaccines I understand that they could become infected and I will have to treat my pet at my personal vet at my own cost.
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YES
NO
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17
Please select the sterilization status of all the pet(s) in your home where the foster will reside.
*
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* Select all that apply
Neutered male dog
NOT neutered male dog
Spayed female dog
NOT spayed female dog
Neutered male cat
NOT neutered male cat
Spayed female cat
NOT spayed female cat
I do not have pets at home
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18
Patron Conduct Policy
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19
I have read and understand the ACS Patron Code of Conduct Policy and understand that my conduct in regards to positive communication with the department begins at the time this foster application is submitted
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20
I understand the pet I am fostering will need to be brought back to ACS to participate in an adoption event. I am required to participate in a minimum of one of these events. The events will be held on the following Saturdays: Dec 23, Dec 30, Jan 6 and Jan 13.
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21
I understand that the pet I have taken into temporary foster care may need to be be brought back to ACS at the dates and times assigned by ACS staff for vaccines and surgery.
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22
I understand that I should keep my foster pet separate from any pets I have at home and that I should not be introducing them together. I understand that this is to reduce the possibility of the animals in my care from getting sick or injured.
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23
I acknowledge that during my service with ACS, I may become privy to private or confidential information regarding, but not limited to: ACS, its employees, impounded animals, and customers/clients. I hereby agree to hold all such information in the strictest confidence and shall not disclose or discuss such private or confidential information with any third party.
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24
I understand that the behavior of animals is sometimes unpredictable and some animals are capable of inflicting diseases, serious personal injury, death, or extensive property damage. I understand that my foster activities on behalf of ACS may place me in a hazardous situation and could result in injury to myself, family, pets, or personal property. I agree to indemnify, defend and hold ACS and its agents, officers, directors, and employees free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgments of every kind and description that may occur to or be suffered by me by reason of activities arising out of this agreement.
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I further agree to indemnify, defend, and hold ACS, its agents, officers, directors, and employees harmless from and against any and all claims, demands, liabilities, causes of action, damages, costs (including reasonable attorneys' fees and disbursements) and judgements made or incurred by or found against them, resulting from or arising out of: (i)any breach or default by me of any term or provision of this agreement; or (ii) any negligent or willful act or omission by me with respect to my services pursuant to this Agreement.
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26
I understand that ACS, without notice or hearing may terminate my foster status at any time, for any reason, with or without cause.
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27
I understand that ACS will email me within 48 hours with an update on the status of my application. Some emails are sorted to spam so please check your spam mail. IF you do not receive an email within 24 hours please email acsfoster@sanantonio.gov for an update.
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28
Signature
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