Adoption Interest Form

Foster Care Form

Thank you for taking the time to fill out this application. Your information will remain confidential and will only be used as part of the FAF Foster Care Program. Applicants must be 21 or over. Fosters must be willing to foster for a minimum of 30 days.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Work Number

Area CodePhone Number
Cell Phone Number*

Area CodePhone Number
Occupation
Age of applicant: *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Who referred you/How did you hear about us?
Instagram handle:
Are you willing to foster for a minimum of 30 days.*

YesNo
Have you fostered before? (if so, pls indicate through which organization in the "other" option

YesNoOther
Household Information
# of Adults (18+)*
# of Kids (under 18)
Ages (if under 18)
Is anyone in the home allergic to dogs? If yes, who?*
Do you live in a:*

HouseApartmentCondoDuplexTownhomeOther
How long have you lived at this address?*
Do you:*

OwnRentLease
I have permission from my landlord to foster*

YesNoNot applicable. I own my home.
Are there pet restrictions? If yes, what are they?*

Please list all of your current pets. We recommend all animals in your home be up to date on vaccinations. If you have any concerns about fostering, please discuss with your vet.

	Name	Type	Breed	Age	M/F	Altered?	How long owned?	Size/Weight
1
2
3
4
5

What types of dogs are you interested in fostering? Do you have a preference? If so, please list: size, breed, age, etc.*
Please describe your past experience caring for dogs (i.e. past foster experience, when the last time you had a dog and what happened to them):*
Who will be the primary caretaker of your foster dog(s)?

First NameLast Name
Please describe primary caretaker's schedule. *
Secondary Caretaker

First NameLast Name
Describe your yard:*

Fenced YardPartially Fenced YardNo Yard
Describe your yard (i.e. height, type of enclosure, etc.)
I agree to keep track of my foster dogs vaccination and medical schedule. I will keep in contact with FAF coordinator to schedule new vet appointments and refill monthly preventative medications. I understand that my foster dog must be fully vaccinated before allowing him/her in public. **

YesNo
Dogs are NOT to be left unattended in the yard, and should be kept indoors unless supervised.

I AGREE
How many hours/day will this dog spend WITHOUT a human and where will you keep him/her?*
Please describe where your pet will sleep at night and describe accommodations?*
Do you feel unprepared for any situations? If yes, pls describe:*
As a foster you are required to have your own transportation.*

I understandI do not understand
All foster dogs must be transported in a pet carrier, crate, or restrained with a safety belt. At no point should your foster dog be free-roaming while in transport. Please select how you will transport your foster pup.

CarrierSeat beltCrateOther
Please list all items below that you are able to supply:*
Please list items you need:
Please tell us anything else that would help us match the right foster animal with you?*
Do you plan to travel in the near future?*
If yes, please state where and the dates you will be traveling.*

Please list two references NOT RELATED TO YOU: 1 personal ref. & 1 pet ref. (previous shelter, groomer, trainer, etc. If you do not have a pet ref., then list a personal ref.) Include time zone if not local.*

	Full Name	Relationship	Phone Number	Time Zone
Personal Reference 1
Pet/Personal Reference 2

I agree to take foster pup to any and all medical appointments, and to administer medications as directed by FAF coordinator.*

YesNo
Spay/Neuter Policy: ALL FAF dogs are spayed/neutered before adoption. Exceptions are made only for medical issues preventing surgery, and will be confirmed by our vets. As a foster, I agree to make my foster dog to their appointment as scheduled by FAF coordinator.*

YesNo
I agree to indemnify and hold harmless FAF, its officers, directors, agents, successors, assigns, all members of FAF from and against any and all demands, claims, causes of action or judgments, and any and all expenses (including, without limitation, reasonable attorneys fees) incurred in connection with this agreement, including, without limitation, claims of any third party for injury to person, loss of life, or damage to property.*

YesNo
I hereby understand and agree that FAF makes no representations, guarantees or warranties, expressed or implied, about the foster animal(s) mentioned above temperament and is hereby absolved from any liability for future damages or injuries caused by said animal.*

YesNo
I agree to care for the pet in a humane and responsible manner and to provide clean and adequate shelter, food, fresh water and veterinary care. If I determine in good faith that the foster animal is in need of emergency veterinary care, I will contact FAF immediately at 808.763.8662 and take him/her to the nearest veterinary clinic.*

YesNo
I further agree that the pet shall reside inside my home and shall not be allowed to roam freely. I agree to contact FAF in the event that I can no longer adequately care for said animal and will notify FAF immediately if there are any changes to the above information. I or FAF reserves the right to terminate this agreement with or without cause in the sole discretion of either party.*

YesNo
Safety procedures: If you need to return your foster for any reason, please notify FAF as soon as possible. Please understand that we try our best to find an immediate replacement foster, but it may take up to 7 days or more. You will be expected to care for your foster until we find a replacement.*

YesNo
I agree to use proper walking harness or martingale collar at all times if outdoors. If I do not have one, one will be provided. All fosters will wear an ID collar or tag at all times. This collar is for identification ONLY. Foster pet must wear a harness or martingale collar with attached leash whenever leaving the foster home.*

YesNo
Lost Dog Policy: We as the foster family will keep ID collar on at all times. If we lose our foster dog we will make a good effort to find him/her (i.e. search surrounding areas, ask neighbors, post fliers, and contact FAF immediately, etc.)*

I understand and agree to follow the lost dog policy as described.
Emergency contact procedures: Call FAF immediately at 808.763.8662. If foster pet is in need of immediate emergency care please use discretion and bring the foster pet to the nearest hospital. Cost of emergency vet care will be paid for by foster family and FAF on a case by case basis.*

I understand and agree to follow the emergency contact procedures as described.
Foster parent acknowledges that they will be liable to pay for any medical bills and any other expenses incurred, should their foster dog be harmed or cause harm, due to negligence. (Including but not limited to: reward no less than $100 should their foster dog be lost, medical bills of other dogs or persons as a result of harm inflicted by the foster dog, supplies/materials used to recover lost/missing foster dog, etc.) All responsibility for the foster pet will lie solely with "Primary caregiver". Foster parent is solely liable for the well-being of the foster pet. No other persons are authorized by FAF to provide care for the foster pet unless specified on the foster agreement under "Secondary caregiver".*

I agree and understand these conditions of being a Foster parent with FAF
Have you ever been convicted of a felony?*

yesno
If yes, pls explain.
I have read and understand the statements above and certify that the information in this application is true and correct.

Additionally, I have read the Foster disclaimer on the FAF website. I understand that FAF cannot, and does not, make any guarantees as to the health, temperament, mental disposition, or training of the dog.
Digital Signature*

First NameLast Name
Date*

MonthDayYear
Date
If you do not receive a reply email in 72 hours, please check your SPAM FOLDER!!

got it!will do!
Should be Empty:

Foster Care Form

Household Information