Clone of Midland County Pit Stop Foster Application Form

This application must be filled out in its entirety to be considered for fostering. False or incomplete applications will be considered null and void.

All approved fosters will be required to complete and adhere to our foster contract which will be sent to you once you're approved to foster.

Foster's transport help is needed to complete vetting (in Midland, MI) and spay/neuter (in Mt. Pleasant or Clare, MI)

Application Information:

Filling out an application does not guarantee foster approval. We reserve the right to deny any application.
All meet & greets and adoptions take place at Lil' Pear Tree, 702 S. Saginaw Rd Midland, MI.
When fostering a dog, all other dogs in the home must attend the meet & greet to ensure compatibility.
Applications are processed in the order they are received.

Vetting History Check:

Our application department will be contacting your current/recent vet(s) and asking for vetting history.
- All current and recent pets must be spayed/neutered.
- Current and recent pets must be consistently up-to-date on vaccines.
- Annual heartworm testing is required and pets need to be on a Heartworm preventative at least six months out of the year consistently.

Special Requirements:

If any foster pets have special requirements, like a fence or medication they're currently on, that will be discussed early on in the application process.

Today's Date*

Date

Full Legal Name (First, Middle, Last)*

Date of Birth*

Date

Physical Address (PO Boxes are not accepted)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Please provide three references who are not considered family or living with you.*

Number of adults living in your household?*

Number of children in your household?*

Spouse/Roommate's name (first, middle, and last name)*

Spouse/Roommate's Date of Birth*

Date

Please list anyone else, 18 years or older, who lives in your home (first, middle and last name) and date of birth*

I give Midland County Pit Stop permission to do background checks on all adults, 18 years and older, in the home. **PLEASE INITIAL***

RentOwn

If you rent, please indicate your landlord's name or Property Management. We will contact to verify pet policies. If this does not apply, please indicate "NA" in the rental questions*

Landlord or Property Management's Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

How long have you lived at this address?*

CitySuburbRural

YesNo

Is it fenced? If so, how high is the fence? Please note some dogs may require a fenced yard but not all do. Interviewer can make sure you are aware of any requirements.*

I am aware virtual home visits are required prior to adoption approval and placement by an Foster Liaison. **PLEASE INITIAL***

YesNo

Dog FriendlyCat FriendlyChild Friendly

Are there specific breeds, weight limits, or sizes you prefer to foster or have experience with?*

What hours is the primary caretaker typically at home?*

In the event the main caretaker is unable to care for the foster pet, Midland County Pit Stop should be contacted to make other arrangements. **PLEASE INITIAL***

YesNo

Are there medical reasons your pet has not been vaccinated or on preventatives regularly and consistently? (this would need to be confirmed by your vet during the vet check)*

Please list all pets in the last 5 years, including name, age, breed/mix, veterinarian contact information, spayed/neutered, up to date on vaccinations, annual heartworm test and if on monthly heartworm preventative. Please provide complete information.*

What is the name of the vet you are currently established with?*

I give Midland County Pit Stop Permission to check with previous and current veterinarians prior to foster approval and placement by an Foster Liaison. I agree to contact all previous and current veterinarians and give permission for Midland County Pit Stop to call.*

**Please read and initial**

YesNo

If yes, please explain:

Tell us about your experience with pets

YesNo

IndoorOutdoorBoth

If you do not have other pets, how will you socialize the foster pet?*

How many hours a day will the foster pet be alone?*

Where will the foster pet stay when no one is home?*

Where will the foster pet stay when you are home?*

When going out of town or on vacation, Midland County Pit Stop must be given notice in advance to make arrangements for the foster pet. **PLEASE INITIAL***

Once an application to foster a pet is approved by the foster liaison, a meet & greet will be arranged. **PLEASE INITIAL***

PERSONAL OR PROPERTY DAMAGE AND/OR INJURY I acknowledge and agree that if the adopted animal bites or causes other injuries to humans and other animal, I will not hold Midland County Pit Stop of Midland Michigan responsible. I understand that all animals can carry and transmit diseases, including zoonotic diseases that can be transferred from animals to humans. I understand that Midland County Pit Stop will not be responsible for any damage the adopted animal may inflict on another person, another animal or any property, or for the transmission or transfer of any disease or parasite to other animals or people in the household. No attempt(s) will be made by me or anyone on my behalf to hold Midland County Pit Stop responsible. I hereby release Midland County Pit Stop and its agents, representatives/liaisons, and volunteers, and agree to indemnify and hold same harmless from any and all actions, causes of action, suits, debts, dues, accounts, covenants, agreements, judgements, claims and demand of any nature whatsoever arising out of my adoption of a pet from Midland County Pit Stop. I understand that if I am approved as an adoptee to a pet, I must abide by this agreement and that this agreement applies to any and all dogs/cats that I adopt from Midland County Pit Stop.

**Please read and initial**

I understand that if I am approved as a foster to a pet, I must abide by this agreement and that this agreement applies to any and all dogs/cats that I foster from Midland County Pit Stop.

**Please read and initial**

Midland County Pit Stop board requires one signature on all foster and adoption applications. It is understood by the board that this singular signature will cover the entire household at the time of signing. However, ultimately the main point of contact and the responsible party is the individual signing the required documentation.

**Please read and initial**

Full Name*

First NameLast Name

Today's Date*

Date

APPROVED BY (Midland County Pit Stop Foster Liaison)

Date

MCPS Pet Foster Application

Our Pet Foster Policy

Your Information

References

Home/Family Information

Current/Previous Pet Information

Veterinary Care

Foster Pet Care Plan

If for any reason you are unable to care for or keep the foster animal, contact Midland County Pit Stop.

A signature will be required upon approval of application. Please note that you will be contacted from our application processor by email or text.

Please call or text 989-948-1096 to confirm we have received your application. Applications are processed in the order received.

MCPS Pet Foster Application

Our Pet Foster Policy

Your Information

References

Home/Family Information

Current/Previous Pet Information

Veterinary Care

Foster Pet Care Plan

**If for any reason you are unable to care for or keep the foster animal, contact Midland County Pit Stop. **

A signature will be required upon approval of application. Please note that you will be contacted from our application processor by email or text.

Please call or text 989-948-1096 to confirm we have received your application. Applications are processed in the order received.

If for any reason you are unable to care for or keep the foster animal, contact Midland County Pit Stop.