Cabot Animal Shelter Foster Program
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Home Phone Number
Work Phone Number
Mobile Phone Number
Best time to reach you?
Emergency Contact Name
Emergency Contact Phone Number
How did you hear about the Cabot Animal Shelter Foster Program?
What type of animal are you interested in fostering?
Nursing Dog w/Puppies
Nursing Cat w/Kittens
Small & Furry
Livestock (Horses, Cows, Goats, etc)
Birds (Exotic, Chickens, etc)
Bottle Feeding (Puppies/Kittens)
Is there a specific animal you are applying to foster?
If you are applying for a specific animal, why did you choose this animal to foster?
Why are you interested in fostering?
Do you have a size restriction? If so, list the maximum weight you can foster?
Are there other adults in the home?
If so, how many adults and what is their relationship to you?
Are there children in the home?
If so, how many children and what are their ages?
Does everyone in the home agree to fostering?
Will you be moving in the next 60 days?
Please describe your residence.
Single Family Residence
Do you rent or own?
If you rent, do you have the landlord's permission to foster?
Landlord's Phone Number
Do you have a private, fenced yard (a fence through which a dog cannot see, that is at least 6 feet high, and is not a communal yard?) NOTE: A private, fenced yard is not necessary for fostering.
If you have a fence, please describe it
Do you have other pets in the home?
If you have other pets in the home, list them below. (Pets name, Age, Breed, Sex)
Are your current pets spayed/neutered? (Fixed)
Are your current pets up to date on vaccines, including bordatella?
Please list any current medical issues your pets have.
Have any animals in your home ever been diagnosed with a contagious disease like parvo virus? If so, when?
Veterinarian's Phone Number
Please list any foster experience that you have.
Do you currently have foster animals?
If you currently have a foster animal in your care, who are you fostering through?
Where will your foster animal be kept?
How many hours a day would your foster be left alone?
What can you provide your foster animal in terms of care-giving and enrichment?
Please list any special concerns or requests you may have.
Have you ever been convicted of an animal related crime?
If you answered YES above, please list the dates and charges below.
By agreeing to foster in partnership with the Cabot Animal Shelter, I agree to the following:
I am at least 18 years of age.
I live within 20 miles of Cabot Animal Shelter located in Cabot, AR
I will carefully read all documents and carefully follow all instructions that the Cabot Animal Shelter provides to me.
I will not take a foster animal unless my resident pets are fully-vaccinated. A fully vaccinated dog/cat is a dog/cat who has received at least 2 annual vaccines (DHLPP/DAPP or FELOCELL), one of which was given in the last 3 years and at the age of 4 months or older, and a yearly Rabies vaccine.
I agree that my pet is NOT immunocompromised (happens in geriatric [elderly] dogs) or on prednisone or steroids; AND DOES NOT have cancer, Cushing's Disease, or any other severe disease that is compromising their health.
I will keep my foster animal separated from my resident animal(s) for at least the first week.
I will not take my foster animal to a dog park or any other off-leash area or let my foster animal off leash.
I will not leave my foster animal unattended in a fenced yard.
I will not introduce my foster animal to any animals other than those that reside in my home.
I will not travel out of the area with my foster dog.
I will not hand off my foster animal to a sitter or another foster without first discussing it with the CAS Foster Coordinator.
I will not hand off my foster animal to a potential adopter or let them take my foster animal on a trial basis, field trip, or sleepover before the completion of the official adoption process through the Cabot Animal Shelter.I will not hand off my foster animal to a sitter or another foster without first discussing it with the CAS Foster Coordinator.
I confirm that I am willingly offering to foster and that I do not expect any goods or services in return, including an adoption fee reduction or waiver.
I will immediately report any foster animal bite.
I will immediately notify the Foster Coordinator if my foster animal gets loose or is lost.
I understand that the Cabot Animal Shelter provides all medical care for our foster animals, and the Cabot Animal Shelter will NOT reimburse me for the cost of ANY medical care.
I agree that a Cabot Animal Shelter representative may contact my veterinarian to confirm the information provided herein regarding my pets, and I consent to my veterinarian's release of such veterinary information to the Cabot Animal Shelter.
I agree that a Cabot Animal Shelter representative may come to my home to check on my foster animal while it is in my care.
Pet's Health and Disposition
The Cabot Animal Shelter cannot guarantee the health or disposition of any foster animal. We do not have past records for these animals and there are some risks associated with taking in foster animals. Family pets will be current on all shots and foster pets will be kept isolated from family pets, for a minimum of 7 (10-14 for cats), days for the protection of all animals. I agree to be fully responsible for the safety and well-being of the foster pet. I will provide a safe, loving, humane environment with adequate food, water, and shelter at all times. I will not declaw, crop ears, or crop tail of fostered pet. I will adhere to all state and local animal laws and all foster animals will wear a collar with identification (provided). I will promptly notify the Cabot Animal Shelter of any signs of illness, behavioral issues or concerns, an inability to continue to foster, if the pet become lost, and/or if the pets bites someone.
Transfer of Animals
Animals cannot be transferred to the custody of another person, shelter, humane society, SPCA, or other entity without prior consent and permission of the Cabot Animal Shelter. I agree to not place this pet in another home without the written or verbal authorization from the Cabot Animal Shelter, whether it be temporary or permanent.
Return of Animals
All of the pets in the Cabot Animal Shelter foster program are the property of the Cabot Animal Shelter and must be returned within 24 hours of request. I agree that I am fostering this pet for the Cabot Animal Shelter and that I do not have any right of ownership over my foster animal. I further agree that the Cabot Animal Shelters rights in and to my foster pet are superior to mine. I agree to provide the Authorized Representative, or his/her designate access to my home and property to check on my foster pet, at any time while I am in possession of my foster pet.
Personal or Property Damage and/or Injury
I agree that accidental animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Cabot Animal Shelter from any claim or suit filed by someone as a result of such incident. In addition, the Cabot Animal Shelter will not be responsible if the foster animal should damage or destroy property belonging to Foster Caregiver, Foster Caregiver household, or others, or if the animal shall transfer any disease, internal or external parasites to other animals and people in Foster Caregivers household.
Accuracy of Information
I acknowledge that the information provided on this application is correct to the best of my knowledge. If at any time the information I have provided changes, I will provide the updated information to the Cabot Animal Shelter Foster Care Program.
I understand that if I am approved for fostering, this declaration represents a legal contract between me and Cabot Animal Shelter. I understand that I am a designated caregiver for all animals owned and cared for by the Cabot Animal Shelter. I understand that if I am approved to foster an animal, I must abide by this agreement and that this agreement applies to any and all animals that I foster for the Cabot Animal Shelter.
Should be Empty:
Now create your own JotForm - It's free!
Create your own JotForm