Country Acres Rescue- Temporary Foster Application
Contact Email: countryacresrescuesc@gmail.com
This FOSTER application is for a:
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Dog
Please indicate if there is a certain dog/type of dog that you are looking to foster.
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Personal Information:
Full Name:
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Date Of Birth
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E-mail:
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example@example.com
Street Address:
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City:
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State:
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Zip:
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Cell Phone:
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Format: (000) 000-0000.
Do you have your own reliable means of transportation?
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Yes
No
Please upload a photo of your driver's license or ID that clearly shows your name, date of birth and address.
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Emergency Name:
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Emergency Contact #:
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Format: (000) 000-0000.
Home Information:
Type of Dwelling:
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Home
Apartment/Condo
Townhome
If not a homeowner, do you have the landlord's permission to have a pet?
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Yes
No
I own my home/condo/apt/townhome
If you live in a condo or apartment what are the association's rules about pets?
Do you have Children?
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Yes
No
Names of all persons living in your household, their relationship to you and their ages:
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Your Companion Animals:
Do You have Pets?
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Yes
No
How many and kind of pet(s) do you presently have in your home?
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General Information:
What is your work schedule outside the home (when are you gone):
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Where would the pet be left when he/she is alone or when you are away from your home?
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Indoors
Outdoors
If outdoors:
Yard
Enclosed Patio/Sunroom
Garage
Dog Run
Other
If Indoors:
Free Roaming
Crated
If Other, Explain
Fenced yard?
Yes
No
Dog Experience:
Have you ever fostered for a rescue group in the past?
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Yes
No
What kind of animal did you foster?
If you fostered, name of rescue group and name and phone number of your contact:
Foster Questions:
Do you agree to keep the foster dog separated from your personal pets if the dog requires slow introductions or has not yet been confirmed to be dog-friendly?
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Yes
No
Are you willing to foster a rescue with behavioral issues?
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Yes
No
Depends
If you answered DEPENDS list the kinds of dogs you would NOT be willing to foster?
Are you willing to set up and attend meetings with potential adopters?
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Yes
No
Please note if you need a crate, harness and/or leash for the foster
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How would you like potential adopters to reach out to you for meet and greets? Please note best way (e-mail, text, call) and the point of contact (phone number / e-mail)
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Is there anything you would like us to know that we haven't asked:
Guidelines and Agreements:
I agree to indemnify, defend and hold harmless Country Acres Rescue and any of their employees or agents, from and against any and all losses, damages, costs, expenses including reasonable attorneys’ fees, obligations, duties, fines, penalties, interest charges or other liabilities including settlement amounts, paid or incurred as a result of any claims, demands, lawsuits, damages, actions, judgments or proceedings, 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, including but not limited to, any liability caused by accident or other occurrence resulting in bodily injury, death, sickness or disease to any person(s) or damage or destruction to any property, real or personal, tangible or intangible.
Agree
I understand that although Country Acres Rescue takes reasonable care to screen animals for foster care placement, Country Acres Rescue makes no guarantees, claims, representations, or warranties, either express or implied, as to the health, behavior, temperament or actions of any foster animal(s). I hereby assume all risk of injury to myself, members of my household or any third parties, other pets, or damage or destruction to any property, real or personal, tangible or intangible.
Agree
I agree to report any incidents including but not limited to the dog being 'lost', aggression, etc. to Country Acres Rescue within 2 hours.
Agree
I agree to respond to communications from Country Acres representatives within 12 hours.
Agree
Do you agree to take your foster dog to their spay/neuter appointment or work with us to ensure someone else can?
Agree
I agree to respond to inquiries from interest parties of my foster animal within 24 hours.
Agree
Do you understand that anyone interested in adopting your foster animals (including yourself) must go through the standard adoption process?
Agree
I acknowledge and agree that Country Acres Rescue retains full legal ownership of the fostered animal(s) and that the fostered animal(s) remains the property of Country Acres Rescue.
Agree
I agree that the final disposition of any fostered animal(s) will be determined solely by Country Acres Rescue. If Country Acres Rescue requests the return of the animal(s), the animal(s) will be returned within twenty-four (24) hours.
Agree
I agree to provide humane care, adequate shelter, and food to the foster animal(s) while in my care. I agree that I will be the primary caretaker of the fostered animal(s) and agree to ensure, and take full responsibility for, the health and well-being of the fostered animal(s).
Agree
I acknowledge that Country Acres Rescue is not liable for any veterinary expenses of the foster animal(s) should the foster care provider seek veterinary treatment from any outside source not pre-authorized. Such veterinary care is not authorized by the terms of this Agreement.
Agree
Digital Signature:
By placing my full name and today's date in this box, I have read and fully understand this Agreement, Waiver and Release set forth above. I am eighteen (18) years of age or older. This document is binding upon me, my heirs, children, wards, personal representatives and anyone entitled to act on my behalf.
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