Into the Wild Farm Foster Application

Which Rescue or Rescues are you interested in fostering? (Name/'s)

First & Second Choices

If unavailable what would your Foster Preference be? (Check all that apply)

Check each option that you are interested in.

Are you willing to work with us to correct any possible behavior issues that the rescue may have?

Do you have a trainer that you would use if needed? Yes / No (If Yes / Provide Information)

Name

First NameLast Name

Date of Birth?

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number

Area CodePhone Number

Please fill out the entire application. All questions marked with a ( * ) are required and they must be answered. If they are not, the application will not submit. If any of those marked required do not pertain to you, mark (N/A) in order to move forward with the application process.

List the Names & Ages of any additional (Adult) family members or those who live in your home.

List the Names & Ages and Relationship to you of any Children under the age of #18 who live with you or who visit your home on a regular basis.

List the Employers, Occupations & Hours of Everyone who lives in your home?

Do you Own or Rent your home?

Choose which best describes your living situation.

If a Rental, does your lease permit you to have animals?

If living in an apartment / condo are there any restrictions on dog ownership or Breed? (Explain)

Landlords Name;

First NameLast Name

Landlord's Phone #

Area CodePhone Number

Do you have a yard with a fenced in yard?

If Yes, Please describe in detail including the Type & Height of fence and any Security measures taken to prevent animals from escaping or being harmed by predictors.

Please be specific with your description.

IF No, Please describe how you plan to exercise the rescue ?

How many hours per day will your Rescue be left alone?

Please describe in Detail what the Rescues living situation will be. (Please give a detailed description including hours when no one will be home.)

Please be very Specific with your answer .

Have you had rescues previously?

If Yes, name, ages, breed? Describe: Where you got them, where they are now and if re homed why?

Please be specific

Other animals living in your home? (Click all that apply)

Are your pets currently UTD on Vaccinations?

Are your pets on Heart-worm Preventative?

Are your pets Spayed or Neutered?

List ALL family Pets/ Include the Following: (Type / Breed / Age / Dates of last Vet. appointment & Vaccinations, Heart-worm, Flea meds. & Spay/Neuter dates)

Have any of your pets ever displayed any food or other aggression's toward other animals or humans?

If so, please give a detailed description. (Include: Date of any bite incidents)

List all previous pets that you've owned in the past 5 yrs. (Include: Years owned & where they are now.

Name & Address of Current Vet

Name

Street Address Line

CityState

Zip Code

Phone Number

Area CodePhone Number

Name & Address of Groomer

Name

Street Address Line

CityState

Zip Code

Phone Number

Area CodePhone Number

Provide 3 personal References including at least 1 person who lives with you. (Include: How they know you).

By signing electronically, I agree that the information I have provided in this foster application is complete and correct. I understand that any false or misleading information will invalidate this and any future applications.

I further declare that I am financially and physically able to provide temporary care for a rescue animal. Into the Wild Farm will provide veterinary care and, when available, food and other approved supplies for foster animals. I understand that these resources are dependent upon availability and donations. If I am able to contribute food or other supplies during the foster period, it greatly supports the rescue’s ability to save more lives, but it is never required. I agree to provide a safe, loving environment and meet the daily care needs of my foster animal while it is in my care.

I understand and agree to maintain required identification tags and/or microchip registration provided by Into the Wild Farm, including verification with the assigned number. I understand the requirements and grant permission for Home Checks at random, both prior to and during the foster period.

I submit that if a Home Check reveals falsification, misrepresentation, or failure to meet foster requirements, Into the Wild Farm reserves the right to remove the animal from my premises without reimbursement of any expenses incurred.

I acknowledge that all animals placed with me by Into the Wild Farm remain the property of the organization until formally adopted through its process. I will not transfer, rehome, or make decisions on behalf of Into the Wild Farm regarding the foster animal without express written approval.

I understand that I am responsible for exercising reasonable care, sound judgment, and ordinary safety precautions while the foster animal is in my care and for complying with all instructions, restrictions, and safety requirements provided by Into the Wild Farm. To the fullest extent permitted by law, if the foster animal is injured, causes injury to any person or animal, or causes damage to property as a result of my negligence, gross negligence, reckless conduct, failure to exercise reasonable care, or failure to follow such instructions or restrictions, I agree to accept financial responsibility for the resulting losses, claims, and reasonable expenses. These expenses may include veterinary or medical treatment, repair or replacement of damaged property, and other costs directly arising from the incident. I further agree to reimburse and indemnify Into the Wild Farm for such expenses or third-party claims to the extent they result from my acts or omissions.

If pledges or donations are raised on behalf of the foster animal, Into the Wild Farm will make every reasonable effort to apply available pledged funds toward the animal’s needs and provide support as resources allow. However, I understand that pledged funds are not guaranteed and assistance will depend on availability.

I release Into the Wild Farm, its Board, volunteers, and representatives from any liability I may incur from the foster process or by the rescue animal while in my care.

If a foster animal dies in my care, I will notify Into the Wild Farm immediately (same day; within hours of discovery) by phone and written message. I will not dispose of or make aftercare arrangements for the body without ITWF's direction, and I will comply with ITWF's instructions for handling the remains. ITWF will arrange and cover reasonable, pre-approved aftercare costs so this is not an undue financial burden on me as a foster.

Initials

Please sign below:

Type your full name as entered above

Date

Into the Wild Farm Foster Application

Foster Personal Information

Yourself & Family

Home Environment

Rescue Animal Living Space & Care

Current & Previous Pets

Vets & Personal References

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