TLC Rescue: Dog Adoption Application

Pinelands Unleashed Rescue Co.

Foster Application
Foster care is temporary care provided by responsible, compassionate and caring adult volunteers for Pinelands Unleashed Rescue Co. animals until they can be adopted to quality homes.

Providing a good home environment with proper socialization, exercise and loving care gives our foster animals a better chance of being placed more quickly.

We do not operate a shelter and rely on our foster homes for the success of our adoption program. Being able to place animals in foster homes allows us to increase the number of animals we can rescue.

PUR will provide food, litter, crates, bedding, toys and other items as needed for the animal while it is in your care at home. PUR will provide necessary veterinary care for foster animals and provide continued support and guidance to the foster family.

You will be expected to keep the foster animal safe and secure, provide food, water, love and respect, exercise enrichment, socialization, basic obedience and house training as needed to make the foster animal more adoptable and better suited to the right home. PUR retains ownership of all animals placed in foster care and will make all decisions regarding the adoption and placement of the animals fostered. The foster parent is responsible for transporting the foster animals to and from pet adoptions and vet appointments as required, unless other arrangements are made.

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 in this application. I certify that all the information contained in this application is true and correct and I understand the responsibilities I will undertake as a foster parent. I understand that although PUR 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 there exists a risk of injury or illness to my own or other animals, to me, my family and other persons who come into contact with any PUR animals, as well as risk of personal property loss or damage. I understand that I receive foster care animals at my own risk and can decline to accept any animal for which PUR has asked me to provide care. I acknowledge that PUR 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. I assume the risk of all injuries and/or property loss or damage in connection with my foster volunteer duties for PUR. I assume liability to provide adequate controls to prevent such damage or injury. I indemnify and hold harmless PUR from any negligence caused by me.

I hereby release PUR, its officers, directors, participants, volunteers and affiliates from any and all claims, actions, liabilities, damages and costs of any kind arising out of fostering, transportation or any other work or activity with any animals connected with PUR.
Please answer all questions. If a question does not apply, please enter "N/A".
Are you 18 years of age or older? (PUR foster parents must be at least 18.)

YesNo
Name of the animal you want to foster*
Foster Applicant's Name*
First & Last Name
Co-Foster Applicant's Name
First & Last Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Foster's E-mail*
Co-Foster's E-mail*
Phone Number*

Area CodePhone Number
Phone Type*

CellHomeWork
Names and ages of all permanent residents of your home (adults/children)*
Do you currently have any pets?*

YesNo
If you currently have pets, please list them below.
Are your current pets altered?

YesNoWill be within the next 30 days, appointment has been scheduled. (We will call your vet to verify this.)
If your current pets are not altered, please explain why below.
Vet reference (please call your vet and give permission to release information to us)*
Vet name, address & phone number
One Personal Reference*
Are you planning to move in the near future?*

YesNo
If moving soon, to what city/state?
When will you be ready to foster this animal?*

TodayThis weekendWithin a weekWithin a monthNot ready yet, just researching
Do you foster for any other rescues or shelters?*

Yes, application is pendingYes, just an email inquiry, no app yetYes (provide shelter/rescue name below)
Name of Rescue/Shelter for which currently fostering
Is anyone in your home allergic to any animals?*

NoYesOther
Does anyone in your home fear animals?*

NoYesOther
Does anyone in your home smoke?*

YesNo
Are you familiar with dog regulations in your area?*

YesNo
If you answered no to the question above, please contact your town/county/condo assoc and ask them what the regulations are.
If yes, please describe local dog regulations and restrictions:
I/We live in a*

Single Family HomeDuplex/TwinCondo/TownhomeTrailerApartment
Do you rent or own this property?*

RentOwn
Renters, have you contacted your landlord to find out if there's any restrictions on the kind or size of dog you can have?

YesNoNot yet, but I willIt's written in our lease
If you rent, you must show us a written letter from your landlord or a copy of the section of your lease stating that you are allowed to have dogs and showing any limitations.

If you live in a condo or townhome, you must show us written proof that you are allowed to have a dog there and show any restrictions.
Approximate square footage of your home*

Less than 800 square feet800-1,000 square feet1,000-1,500 square feet1,500-2,000 square feetOver 2,000 square feet
Do you have a yard?*

Yard, fenced with a vertical fenceYard, fenced with invisible fencingYard, no fenceNo yard (apartment/condo/townhome)
If vertical fence, what is your fence height?

2' high3' high4' high5' high6' high
Do you work outside the home?*

YesNoOne applicant is home/works from homeWe work different shifts
If you both work outside the home, how many hours per day are you away?
How many hours per day will this animal be alone? Please explain.*
Have you discussed fostering with all members of your household?*

YesNoYes, adults have discussed. Kids don't know yet.
What activity/energy level do you prefer?*

Wild and crazy is coolLeash trained daily jogging partner would be excellentMedium energy, plays a bit then hangs out with youLow energy, walks slowly on leash, a total couch potatoOther
Please check all that apply. My foster animal will...

Be kept outside most of the timeBe kept indoors most of the timeBe left outside during the work day while we are awayBe kept inside while we are awayBe crated when we are not homeHave free reign of the house when we are not homeBe taken to formal obedience classesBe trained by me/usTake frequent car rides with usBe kept on a lead line/cable in the yardBe mostly interacting with adultsBe interacting frequently with children under 8Be interacting frequently with older childrenMust be housebroken prior to adoptionWill be housetrained by usWill be walked more than one mile per day every dayWill be walked occasionallyBe attending formal group obedience classes with usBe trained by us without the advice of a trainerHave private sessions with a trainer as neededBe attending agility classesBe taking frequent car rides/trips with usBe boarded when we go on vacationStay with family when we go on vacationBe given away to someone else if we feel it's not a good match for usBe turned in to a shelter if we can't keep itBe going camping with usBe going on boat trips with usBe outside with a dog house in a fenced areaBe outside chained/tethered to a dog houseBe free roaming on the farm (unfenced)Other
Please take time to think, be honest with yourself and us when answering this question. What are you absolutely NOT willing to deal with when fostering an animal with us?*

HousebreakingChewingJumpingPulling on leash during walksCounter surfingObedience trainingFear of menFear of womenFear of childrenMouthiness (may sometimes snag your hand or arm instead of the toy in play and will need redirection/training)GrowlingBarkingRough play with my dogHigh activity levelFood/toy aggression/not willing to share with other dogsFood/toy aggression with peopleWhining/cryingBlindnessLimited SightDeafnessSeparation AnxietyDiabetesSpecial DietLong Term MedicationIncontinence / Leaking UrineTaking classes with the dogGets stressed/carsick when riding in vehicleDoesn't know how to climb stairsCan't climb stairs due to age/arthritis/health issuesHeart conditionSkin allergiesFood allergiesTrimming nailsYeast on coat or in earsEar mitesFleasTicksHeartworm preventativeAnnual heartworm/lyme combo testingI will do whatever it takes to help this dog adjust and work with a trainer to help resolve any training needs.Other
What would cause you to return a foster?*
What do you feel is a reasonable amount of time for a foster to adjust to life with you/your family?*
Additional reference (if desired)
Do you have any additional comments, questions or concerns?*
I understand that completing this application does not guarantee I will be allowed to foster an animal, and that the application is a tool to help Pinelands Unleashed Rescue Co. determine if my family/home is a good fit for fostering. I acknowledge that all information provided on this form is true and correct. I understand that any misrepresentations may result in my not being approved and/or removal of the foster animal from my possession. I also certify that I have never been convicted of animal cruelty or neglect.

I agree to allow a representative from Pinelands Unleashed Rescue Co. to contact my veterinarian for a reference and also agree to allowing a home visit prior to fostering.
Please read the above, check this box, sign, and click Submit.*

I/We have read and understand all of the above.
Foster Applicant's Signature*
Co-Foster Applicant's Signature
Signature date*
After you submit this form, we will review the submission and contact you as soon as we can. Feel free to email us with any questions:

pinelandsunleashedrescueco@gmail.com

Pinelands Unleashed Rescue Co. reserves the right to reject any application based on information obtained during this screening process. Please understand that our primary goal is the health, happiness, and safety of our rescue animals.

We are Registered, 501(c)3 Non-Profit Organization Focused on Animal Rescue in the Tri-State Area.
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Pinelands Unleashed Rescue Co.