Balooja's Foundation Pet Foster Contract
A 501(C)(3) Rescue Organization
Sal Valdepeña: 323-823-3891
154-A West Foothill Boulevard Upland, California 91786 sal@baloojasfoundation.com | www.baloojasfoundation.com | PayPal: baloojasfoundation@gmail.com
What is the rescue dogs name?
Please type in the name of the animal you would like to foster
Name of Foster Applicant
First Name
Last Name
I, agree that all statements in this application are true and made based on personal knowledge and are for purposes of my application to foster one or more animals through Shelter's foster care program. I WOULD LIKE TO FOSTER SHELTER-RESCUED ANIMALS.
The number of animals I can foster is...
I have a preference for a specific animal(s) ID #(s)
Please list their ID #'s
If any of the animals I specified are unavailable, I am open to substitution. Are there restrictions on the type of animal I can foster? (For example "No dogs over 30lbs.")
Please specify any restrictions
Where will my foster animals sleep at night?
Where will my foster animals stay during the day when I AM home?
Where will my foster animals stay during the day when I am NOT home?
I understand that Shelter is very concerned about the security and safety of my foster animal and all the animals in its custody, as well as its ability to keep track of all animals rescued. I understand Shelter wil not share thisinformation for any reasons not connected to the foster care program or applicable lawsuits.
Foster's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
*Email will be the primary method of communication from Shelter, so if you do not check email regularly, please tell us how to best get in touch with you.
Drivers License Number and State of Issuance
Name address and telephone number of my employer
Or business if self employed
Do you OWN your home and are you permitted to bring an animal or animals into your dwelling?
Are you RENTING your home and are your permitted to bring an animal or animals into your dwelling?
Please provide your landlords Name, Telephone Number, and Address, including City, State and Zip Code.
Please provide length of time at residence.
Do you have a fenced-in yard? If yes, what is the height of the fence and what is it made of?
Does your fenced-in yard have a gate? Does the gate have a lock? If so, please describe the locking or latching mechanism.
We want to be sure you provide a secure environment for the safety of the dog.
How many companion animals are currently at your home? Please provide a description of each of the animals including, species, breed, age, gender, any health, temperment or medical concerns, spayed or neutered.
Please list all companion animals you have HAD at your home in the last 5 years who are no longer with you (including any fostered animals). Please provide a description of each of the animals including, species, breed, age, gender, any health, temperment or medical concerns, spayed or neutered.
Which animals are currently residing in your home?
Which animals lived in your home in the last 5 years, but are no longer with you? What happend to him/her?
Please list any animal you have bred in the past, currently breeding?
Please list any animal with medical elective surgery, and list the treatment.
Please specify where you got your current animals.
Please specify what percentage of time your current animal spends outside.
Please specify where your current animal sleeps at night, and where your current animal stays during the day when you ARE home, and where your current animal stays when you are NOT home.
Please list the vaccination history of your current animal.
What vaccinations have been administered and when.
Please name the veterinarian you use for your current companion animal. Include the veterinarians you've consulted with in the last 5 years.
Provide your current veterinarians Name, Clinic/Hospital, Address, City, State and PHONE number.
Please provide how long you have been a client with this veterinarian. Also provide the name under which your records are filed.
Do you have any children living in the house? Please provide names and ages.
Please list all people living in the house and/or who have regular contact with your animals and their relationship to you (include family, friends, domestic employees, etc.)
Name, Relationship
And finally: List two references — People who know you (but are not related to you) and your companion animals and have been to your home recently.
List name, relationship, and current phone number
By typing out the foster's full signature he/she are accepting terms of contract.
Foster's Signature
By typing out the foster's full signature he/she are accepting terms of contract.
Foster's Signature
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