Foster Application/Agreement

Full Name*

First NameLast Name

Birth Date*

MonthDayYear

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number - Primary*

Area CodePhone Number

Phone Number - Secondary

Area CodePhone Number

Phone Number - Work

Area CodePhone Number

Co-Applicant name (if applicable)

Do you live in a...*

Do you.....*

OwnRentLive with ParentsOther

If Renting: Please indicate landlord contact information

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

Why do you want to be a foster?*

Are all members of your family/household agreeable to fostering?*

YesNo

Please list any pets living in the home, whether yours or someone elses. (Please include name, breed, age, sex, whether up-to-date vaccines, spayed or neutered, etc.)

	Name	Age	Breed	Sex	UTD Vaccines	Altered
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6
Pet #7

Do you have a veterinarian?*

YesNo

Veterinarian Name

Address

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number

Area CodePhone Number

Date of last veterinary visit.

Date

Reason for last veterinary visit?

Routine check-up, foxtail in ear, etc.

Do you authorize a Second Chance Kitty (Hereinafter referred to as SCK) Representative to contact your veterinarian for a reference check if desired?*

YesNo

SHOULD THE FOSTER ANIMAL REQUIRE MEDICAL ATTENTION DUE TO AN AVOIDABLE ACCIDENT/INCIDENT WHILE IN YOUR CARE, ARE YOU WILLING TO ACCEPT FINANCIAL RESPONSIBILITY? I.E., ANIMAL INGESTS SOMETHING TOXIC, ESCAPES YOUR CONTROL AND IS INJURED. SCK WILL COVER ALL MEDICAL EXPENSES NOT RELATED, AS WELL AS SPAYING/NEUTERING, VACCINATIONS, TESTING, ETC.*

YesNo

Are you willing to foster any age cat?*

YesNo

What type of cat(s) were you interested in fostering? (Check all that apply)*

Bottle FeedingYoung, weaned kittens with no motherTeenage to adultSeniorSpecial Needs (could include strict special diets)Quarantine 14-day intake (requires ability to isolate)Friendly mother with nursing kittensFeral mother with nursing kittens

Please explain any experience with any of the above types of animals or foster care?

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

YesNo

Are you willing and able to medicate your foster(s) if necessary?*

YesNo

Litterbox use is instinctual, occasionally a cat may need "retraining". Are you willing to train with love and patience and clean litter box, try different litters, etc., if necessary?*

YesNo

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

YesNo

If yes, please explain.

Are you willing to use a crate/kennel for quarantine/isolation if recommended?*

YesNo

Is someone home during the day?*

YesNo

If no, where would the foster(s) be kept during your absence?

kennel, bedroom, etc.

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

hours per day

How much time can be spent socializing, playing, grooming, or otherwise interacting with the foster(s)?*

amount of time, hours per day, etc.

Will you provide the necessary toys, cat trees, scratching posts, clean litter boxes, food, etc., for this animal?*

YesNo

Are you willing to invest the necessary time and patience required to work with the animal to earn trust and socialize so it will be adoptable?*

YesNo

How much time will the foster(s) be allowed to run around for exercise?*

What space or type of enclosure will the animal be kept, and size?*

spare bedroom, bathroom, 42 inch kennel, etc.

Who will be the primary care giver?*

In absence of primary care giver, who will provide care?*

Under what circumstances would you return the foster animal(s)? Check all that apply*

Any veterinary treatment initiated by the foster must be PRE-APPROVED by SCK Representative in writing or reimbursement will not be given. Unless otherwise discussed and approved in writing, all veterinary care will be completed by a SCK partnered veterinarian. I have read and agree to this condition.*

YesNo

A home visit may be required. Are you willing to allow a SCK Representative to visit your home if requested?*

YesNo

Have you ever fostered an animal before?*

YesNo

If so, was it independent or for an organization and when, please explain?

If you encounter behavior problems such as scratching, biting, litter box problems, clawing furniture, destroying property, how would you deal with these issues?*

What provisions will you make for the pet should you become unable or unwilling to care for the foster animal(s) and what type of notice will you provide SCK should you elect to terminate the foster agreement?*

Please provide us with two (2) references NOT living with, or related to you.

Reference #1*

First NameLast Name

Reference #2*

First NameLast Name

I understand if approved for fostering and my foster animal accidentally goes missing SCK shall be notified immediately. *

Initial

I agree I will NOT sell, trade, gift, abandon, rehome, or surrender to any public or private animal shelter or another party. If I am unable or unwilling to care for the foster animal(s). I will return ONLY to SCK. Rehoming of foster animals is NOT permitted.*

Initial

I agree to care for the animal in a humane manner and be a responsible foster animal guardian. This includes supplying adequate quality food, clean fresh water, shelter, attention, training, exercise, flea and tick prevention, maintain current vaccinations and medical care as directed by SCK.*

Initial

It is understood this application is subject to the approval of SCK and if any information is found to be untrue/deceptive at anytime, the agreement shall be terminated and foster animal(s) confiscated by SCK, and any supplies returned.*

Initial

I agree if fostering a cat, the cat(s) will be kept strictly indoor only.*

Initial

I agree if fostering a dog, the dog will not be allowed outdoors without proper supervision and will be leashed if not in a secured parameter; but shall NOT be tethered. The dog shall be allowed to sleep inside the home.*

Initial

I agree to keep SCK informed of my current phone number and address at all times.*

Initial

I agree to keep SCK updated with photos, text messages, on how my foster(s) and I are doing, and to respond to messages and calls in a reasonable amount of time.*

Initial

I understand and agree that SCK makes no guarantee about the animal's temperament and is not responsible for future damages or injuries caused by the animal(s) and that fostering is at my own risk, SCK shall not be held liable.*

Initial

I agree and understand the fostered animal(s) is/are the exclusive property of SCK, who has complete authority and decision control regarding the care and adoption of all foster animals. I do not have authority to promise, give or adopt a foster animal to anyone.*

Initial

I understand that while volunteering/fostering for SCK, I must comply with all requirements, rules and regulations established by SCK.

I understand that any and all information such as the names, address and phone numbers of owner surrenders, adopters, and cruelty cases I may have knowledge of are to be kept private and confidential. This information is not to be released to the general public or given to potential adopters.

I understand that SCK rescues stray and unwanted animals, almost exclusively cats. Because many of these animals come from unknown origins and backgrounds, SCK makes no claims or representations regarding the health, temperament or disposition of animals. I understand these animals may be unpredictable in their behavior and may bite, scratch or otherwise cause harm whether intentionally or unintentionally. I also understand the status of the health and vaccinations (including rabies) is often unknown. In signing this agreement I am verifying that I understand and assume all risks involved to myself, family, friends, neighbors, pets (whether visiting, housemates, neighborhood and/or personal pets) in volunteering with SCK, included but not limited to; being scratched, injured, frightened or bitten by the animals in connection with my volunteer activities with SCK.

I indemnify, defend and hold SCK, their officers, board members and other volunteers harmless from any and all claims, lawsuits, injuries, property damages, all actions, causes of actions, claims, demands, losses or rulings, costs, expenses or compensation sustained by any animal or any person in connection (including travel) with my volunteer activities with SCK. I understand and assume the risk, and agree to be legally bound by the terms and conditions stated herein. This waiver includes myself, all of my family members and decedents forever from seeking any legal action against SCK.

I have read and understand this notice and agree to hold SCK harmless should any such circumstances arise as mentioned above.

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully and understand my electronic signature is as binding as an original.

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 denial, disassociation and forfeiture of any SCK 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 SCK as indicated above.

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

I agree to have SCK complete reference call checks and conduct a home visit if required to approve my foster application.

I agree that if I'm unable to continue fostering, that I will return the animal(s) to SCK, ideally with a two week notice in order to find another suitable foster parent for the animal(s).

Date application completed*

DateHourMinutesAM/PM Option

Signature*

Clear

Printed Name*

Signature

Clear

Co-Applicant Printed Name (if applicable)