First and Last Name:
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D.O.B./Age
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Street Address
*
City:
*
State:
*
Zip:
*
Cell Phone:
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Home Phone:
Work phone:
Email Address:
*
Is everyone in the home in agreement to foster?
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Yes
No
Do you have children (under age 18) living in the home?
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Yes
No
If yes, please list their names, ages & if they have experience with pets.
Do you have children (under age 18) that regularly visit your home?
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Yes
No
Do you have any current pets?
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Yes
No
If yes, please list each pet (name, breed, age, sex, spay/neuter status, vaccine status)
Veterinary Practice Name:
Veterinary Practice Phone:
Veterinarian's Street Address:
Veterinarian's City:
Veterinarian's State:
Do you work with any other rescue organizations?
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Yes
No
Do you understand that we are a foster based rescue and the amount of time to foster varies and may take weeks or months? Fosters are asked to keep their foster animals until adopted or allow us time to find another approved foster home.
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Yes
No
Are you able to quarantine our foster(s) away from other animals for 10 - 14 days?
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Yes
No
Are you able to take your foster to our vet (Animal Hospital of Marion)?
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Yes
No
Do you agree to house your foster(s) indoors?
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Yes
No
Do you agree to keep our foster cat(s) indoors at all times?
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Yes
No
Do you agree to only allow our foster dogs outside into a secure fenced area or to walk them on a leash?
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Yes
No
What are interested in fostering (check all that apply):
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Adult Cats
Pregnant Cats
Nursing mother cat with kittens
Kittens
Adult Dogs
Pregnant Dogs
Nursing mother dog with puppies
Puppies
Farm Animals
Pocket Pets (rats, mice, hamsters, rabbits, etc)
If you would like to comment more on your experience with the above, please do so here:
Is there anything else you'd like us to know or any questions that you have?:
In case of emergency, who should we contact? (name and phone #)
Do you understand that if you are interested in adopting a foster animal (foster fail) that you must notify us before another application is approved? Once a foster animal is posted to Petfinder, Adopt-A-Pet, and Rescue Me, applications will be accepted & processed.
*
Yes
No
This Foster Agreement (“Agreement”) is entered into as of the date set forth below by Mercy Fund Animal Rescue (MFAR). WHEREAS, the Foster has voluntarily contacted MFAR and has expressed an interest in working with animals in the care and custody of MFAR. In consideration of MFAR’s agreement to allow the foster to view and/or interact with such animals, the foster hereby, for his/her heirs, his/her personal representatives, and him/herself represent and warrant as follows: 1. The foster is fully aware of the risks that animals pose and have elected to view and/or interact with one or more animals in the care of MFAR voluntarily. The foster knowingly assumes all risks that exposure to animals may pose, including but not limited to serious bodily injury and/or death. 2. THE FOSTER HEREBY WAIVES, RELEASES DISCHARGES, HOLD HARMLESS, AND PROMISES TO INDEMNIFY AND NOT TO BRING SUIT AGAINST MFAR, its directors, officers, volunteers, staff, and all other agents, and attorney for any of the referenced parties and any other parties acting for or on behalf of the referenced partied from an and all rights and claims which the foster has or which may hereafter accrue to the foster and from any and all damages which may be sustained by the foster directly or indirectly in connection with, or arising out of, the foster’s exposure to such animals.
By writing your name here, you are agreeing to the above liability waiver.
By writing your name here, you are stating that you are the parent/guardian of the above applicant and you grant your permission for them to volunteer with The Last Resort Rescue.
Anything else you would like to say, please note it here:
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