Foster Application for RAIN- Online

Full Name*

First NameLast Name

Date of Birth*

E-mail*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number - Home

Area CodePhone Number

Phone Number - Cellular

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Do you live in a:*

Do you:*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information or attach a copy of your lease or letter authorizing foster

Household Setting

RuralCity

Describe the Activity Level in your Home

Busy/NoisyModerate Comings/GoingsQuiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?

YesNo

Are all members of your Family agreeable to Fostering a Dog?

YesNo

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm, Living/Deceased)

Would you be willing to have a RAIN Volunteer call your veterinarian for a reference check? (Please authorize vet to speak with us)

YesNo

Veterinarian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you have a preference for foster?

Are you willing to foster for any animal that meets your criteria above?

YesNo

If not, what animal do you wish to foster?

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

SmallMediumLarge

Please describe the type of animal you are willing to foster and the legth of time you are able to help(Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes*

Are you willing to take your foster dog to vet appointments at a convenient time for you?*

YesNo

If No please explain*

Are you willing and able to medicate your foster, even if it is just a monthly heartworm or flea preventative?*

YesNo

We cannot guarantee an animal to be housebroken, are you equipped to train with love and patience?*

YesNo

Have you had any experience with with an emotionally or physically neglected or abused animal?*

YesNo

If Yes please explain*

Are you willing to use a crate for a dog if recommended?*

YesNoOption3

Do you have a fenced yard?*

YesNoPartial

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?*

What are you plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility*

I fully understand that this is a legal and binding contract.

I fully understand that the animal(s) I am fostering is and remains the property of Rescue Animals in Need Inc.

I fully understand that I am voluntarily providing a temporary foster home for this animal as an unpaid service to Rescue Animals in Need Inc

I have not paid a fee for this animal.

I understand that I may not under any circumstance give away, sell or lose this animal without the written permission of Rescue Animals in Need Inc. I understand that in the event that I lose this animal I will be responsible to Rescue Animals in Need Inc for the full adoption fee of the animal.

I fully understand that Rescue Animals in Need Inc makes every effort to maintain

healthy animals. Any signs of disease, injury, or other abnormalities are noted to the best abilities of Rescue Animals in Need Inc. I understand that it is not always possible to know when an animal is incubating a disease or has genetic defects causing it to become ill after placement in a foster home. If at any time I become aware of a health or behavioral issue, I will contact Rescue Animals in Need Inc. immediately and transport the animal to the veterinarian or location of their choice.

I understand that Rescue Animals in Need Inc will not provide food and supplies for this animal during the foster period. I agree to incur these expenses as part of the responsibilities of a foster. However, I understand that all medical expenses will be paid for by Rescue Animals in Need Inc. unless otherwise agreed upon in writing or injury/illness is caused by neglect by myself, my family or guests..

I understand that I must call to have an authorized member of Rescue Animals in Need Inc. pre-arrange all veterinary appointments with their specified veterinarian. The only exceptions are life and death situations where emergency care is vital.

I assume personal responsibility for the humane and loving care of this animal while in my possession.

I will not breed this animal or allow it to be bred.

I will not use this animal for fighting, occult activity, or laboratory research of any type.

Furthermore, I will not knowingly surrender this animal into any of these or similar

situations.

This animal, if a cat, will not be let outdoors. This animal, if a dog, will not be left totally outdoors and will only be allowed outdoors in an enclosed yard or while on a leash and will be supervised at all times.

This animal will not be left in the unsupervised care of children fo any length of time.

I understand that in the case of inhumane and/or cruel treatment to this animal while in my care, that I am in breach of this contract and the animal will be returned to Rescue Animals in Need Inc. immediately. Furthermore, in the case of inhumane and/or cruel treatment of this animal, I could face prosecution under local, state, and federal laws and will be liable for any medical care and other costs incurred by RAIN.

I understand that if I can no longer foster this animal, I will contact a representative from Rescue Animals in Need to arrange for another foster home, giving a minimum of 48 hours notice.

I understand that if any of the supplies are not returned to Rescue Animals in Need Inc. at the time of the adoption of this animal, I will be responsible for replacing them at my own cost.

I agree that all arrangements to adopt out this animal and all adoption fees must be

handled by an authorized Rescue Animals in Need Inc. representative.

I agree to immediately return this animal at the request of Rescue Animals in Need Inc.

I understand that in order for my foster animal to get adopted, I will be required to bring the animal to a minimum of TWO adoption fairs per month, generally held every Saturday or Sunday at Petco on Daniels and 41 in Ft. Myers from 11:00am to 4:00pm.

I hereby release Rescue Animals in Need Inc. of any and all liabilities for damages or injuries caused by this animal while under my possession.

I understand that in signing this agreement to become a foster home, the conditions above are in full force. I also agree to be kind and loving to this foster animal and agree to notify. Rescue Animals in Need Inc. of any changes in the animal or my personal situation that may affect the care of the animal.

I understand that Rescue Animals in Need Inc. may schedule an in home visit at any time to check the condition of the animal while in foster care.

I agree to hold harmless Rescue Animals in Need Inc. their officers and employees for any damages and/or injuries incurred to myself, my pets, or any other person or property while acting as a foster home for one or more of their animals. The risk of injury from the activities involved in this adoption program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation in this pet adoption. , for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Rescue Animals in Need Inc. their directors, officers, officials, agents, volunteers and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ AND AGREE TO THE TERMS ABOVE INCLUDING THE RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Failure to provide inaccurate information will result in immediate termination of this agreement and return of the animal to Rescue Animals in Need Inc.

Date

MonthDayYearHourMinutesAM/PM Option

Your name*

Co-Applicant name (if applicable)

Attach Landlord Permission/Lease

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RAIN Online- Foster Application