Mama Rhea FOSTER APP

Are you applying to be a:

Dog FosterCat FosterBothOther

Full Name*

First NameLast Name

Occupation*

Age*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Primary Phone Number*

Area CodePhone Number

Do you live in a:*

Occupation:

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information bl

How long have you lived at this address?*

Describe your Homes Activity Level*

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Members of Household

	Name	Age	Relationship to Applicant
1
2
3
4
5
6

Does Anyone in your Household have Allergies to Animals?*

YesNo

Are all members of your Family agreeable to Fostering?*

YesNo

Have you ever owned a cat before?*

YesNoYes, but it was rehomed

Have you ever owned a dog before?*

YesNoYes, but it was rehomed

If the cat or dog was rehomed, please explain the circumstances leading up to the decision.

Please tell us about any pets you currently have or have had in the past 10 years.

	Name	Breed	Age	Length of Ownership	Spayed/Neutered?	Declawed?	Indoor Only, Outdoor Only, or Both	Up to Date on Shots?	Living/Deceased/Other?
1
2
3
4
5
6
7

Why are you interested in fostering?*

Are you willing to foster an animal of any age?*

YesNo

If not, what age would you consider?

Dog fosters: What size dog are you willing to foster? (Check all that apply)*

SmallMediumLargeNot Applying as a dog foster

Please describe the type of cat and/or dog you are willing to foster (IE include breed, coat length, personality traits, energy level, hypoallergenic)*

Please describe any restrictions on fostering (IE weight, gender, child friendly)

Are you willing to take your foster to vet appointments?

YesNo

Please promote your pet on social media and attend adoption events. Must make yourself available for meet and greets with approved adopters to help get pets adopted.

Do you drive or have access to a vehicle to bring your foster to weekend adoption events?*

YesNo

If No please explain

Are you willing and able to medicate your foster? (We will provide the medicine)*

YesNoOther

We cannot guarantee a dog to be housebroken and/or cat to be litter box trained, are you equipped to train with love and patience?*

YesNoOther

Do you have a fenced yard?

YesNoPartialNot applying as dog foster

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the foster be left alone?*

Dog fosters: What are you plans to exercise your foster?

Please list any parks near by or trails, how many walks a day, approximate length, etc.

Where will the animal be kept during the day?*

Where will the animal be kept at night?*

Vet Reference: Full Name*

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

If you have fostered for other organizations in the past, please list them here:

Any additional information that you would like to provide?

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully.

I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Mama Rhea animal fostered by me.

I certify that the above information is correct, and I understand that the information will be verified.

I understand that by submitting this form electronically, I agree to release and covenant to hold harmless MAMA RHEA ANIMAL RESCUE and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster animal.

I accept full responsibility for the animal(s) actions at all times, and release MAMA RHEA ANIMAL RESCUE from any liabilities or damages that may be incurred because of fostering such animal(s).

I agree to have MAMA RHEA ANIMAL RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the animal(s) anymore that I will return the animal(s) to MAMA RHEA ANIMAL RESCUE and try to give MAMA RHEA ANIMAL RESCUE a 2 week period to try and find another suitable foster for the animal(s).

Date*

MonthDayYear

Your name*

E-mail*

Secondary Phone Number

Area CodePhone Number

Foster Application

References