Dockery's Amazing Rescues Foster Application

Please inital at the bottom of this section indicating your concurrence to each statement.

I acknowledge receiving the animal(s) described and agree to provide foster care for the animal(s) including food, water, and shelter, and to administer supplied medications as required.

I understand that in the event of a natural disaster such as a hurricane or other event I will be responsible for my foster pet during an evacuation and will provide him/her a safe place during the evacuation. If I am unable to do so I will contact a Dockery's Amazing Rescues as soon as possible.

I understand that I must arrange for any veterinary care services through D.A.R. in advance should the need arise. I acknowledge that D.A.R. will not reimburse me for veterinary services that were not explicitly authorized through D.A.R.

I understand that the animal(s) remain the sole property of D.A.R. and I agree to return the animal(s) to D.A.R. upon request.

I acknowledge that I do not have any right or authority to keep or place foster animals in other homes without approval from D.A.R..

Should I decide to adopt the animal, I understand that I must notify D.A.R. of this intent, submit an application for approval, and pay the applicable adoption fee within one week of notifying D.A.R. Animals remain the property of D.A.R. until the formal adoption process has been completed.

I understand that I am fostering a stray or abandoned animal and therefore, D.A.R. cannot guarantee the animal’s temperament or health. Despite health screenings, the possibility exists that an animal could be harboring illness or parasites that could be transmitted to other pets.

I expressly release D.A.R. from any liability and any damages arising out of this foster care arrangement.

Please write initials if you agree to the above statements

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

E mail:

example@example.com

RESIDENCE INFORMATION

Number of adults in household?

Number of Children?

Ages of Children?

Does anyone have known allergies? If so, please explain

Do you live in a House, Condo, Apartment, Townhouse, Trailer Home?

Do you own or rent?

If you rent, please fill out the landlord's information below

Name

First NameLast Name

Phone Number

Have all adults in the household been consulted and do they agree to foster this pet?

Will the fostering of this pet comply with your subdivision/apartment regulations?

ANIMAL CARE INFORMATION

What preparations have you made (or will make) to care for this cat(s)?

How long have you considered this decision?

Who will be responsible for care of this pet?

Where will this pet be kept during the day?

At night?

Where will this pet be kept if you go on vacation?

Is a family member usually at home during the day? No or Yes

How will you transport this cat(s)?

How would you prevent heartworms?

Is the pet(s) you have now (or was the last pet you owned) on heartworm prevention?

YesNo

What will you do if the pet demonstrates the following behaviors?

Jumps on Furniture/Counters:

Damages Furniture/Drapes

Not Using Litter Box

Not getting along with other pets:

Difficulty adjusting to household:

What traits would you consider undesirable?

How many pets do you have?

List below pets which are currently in your household:

Type (Dog, Cat, other):

Sex (Male or Female):

Age:

Spayed/neutered and up to date on vaccines?:

Date

Signature of Foster Care Applicant: