Minnalousha May's Cat Hideaway(MMCH) FOSTER CARE APPLICATION

OTHER PETS
Will you be able to keep the foster animal separate from your own if necessary?

YesNo
Have you had animals before?

YesNo

OTHER PETS

	Type of Animal	Breed	Age	Sex	How long have you had them?	Spayed or Neutered?	Kept inside, Outside or Both
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Do you have a doggie door?

YesNo
I have answered the questions on page 1 and 2 of this Foster Care Application truthfully and completely. I understand that although Minnalousha May's Cat Hideaway (MMCH) takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the health of an animal, behavior, or actions. I understand that the right to foster any animal for MMCH may be withdrawn at any time. I understand that I receive foster care animals at my own risk and can reject or return any animal for which MMCH has asked me to provide care. I indemnify and hold MMCH free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind, and description which may occur to or be suffered by me, members of my household, or any third parties by reason of activities arising out of this agreement.
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By joining Minnalousha May's Cat Hideaway (MMCH) Foster Care Program, you are asked to comply with the policies of MMCH and the expectations of the foster program.
Please read and initial each of the items listed below:
1. I understand my responsibilities as a Foster Parent and have asked any questions I might have. I feel prepared to take on the role of Foster Parent.
2. I understand that continued participation in the foster program depends on my cooperation with expectations presented to me.
3. I understand that my foster pet will only be treated by a veterinarian chosen by MMCH or my pet may be treated by authorized personnel of MMCH. I further understand that I will not be reimbursed for expenses incurred at my own veterinarian and I am to notify Risa (702-553-7744) if my foster pet shows signs of illness.
4. I understand that MMCH is not responsible for any illness occurring or veterinary care required for foster parents' own pets.
5. If I decide to adopt my foster pet, I must finalize this when they become adoptable.
6. I am willing to take my foster pet to and from weekly adoptions as needed.
7. I understand that my foster pet is not to be given to anyone (or kept as my own pet) until authorized paperwork is complete and authorized by a designated member of MMCH.
8. I understand that my foster pet could possibly become quite ill and not survive or have to be euthanized and the decision to euthanize will be made by the veterinarian chosen by MMCH.
9. I understand that MMCH is not responsible for any damage done by my foster pet to any of my property or my Landlord(s) property including, but not limited to flooring, furniture, people or other pets in my home.
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10. I will not allow unsupervised children to play with my foster pet, never let unrestrained pets around my foster pet and will ensure that the foster pet's surroundings are escape-proof.
11. I understand that teen/adult foster pets will not be confined to a cage or room outside my home. I will not let my foster pet have access to a doggy door, torn screen or open window.
12. I will call Risa (702-553-7744) if I notice any change in my foster pet's behavior, including: extreme lethargy, loss of appetite, breathing difficulty, green nasal secretions, lack of weight gain, death or escape of my foster pet.
13. If I am renting I will have the approval of my Landlord(s).
14. My own animals, over 6 months of age, have been altered.
15. I agree to permit an onsite premises visit by a representative of MMCH.
16. I am to give ample notice when supplies are running low. MMCH will provide all supplies.
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Minnalousha May's Cat Hideaway(MMCH) FOSTER CARE APPLICATION

APPLICANT INFORMATION

YOUR HOUSEHOLD Please list family members & others who live in your household, including roommates, students, etc.

OTHER PETS