Foster Home Application & Agreement

Foster Home Application & Agreement

Utah Animal Advocacy Foundation
Date
What kind of pets are you interested in fostering?

Dog (over 6 months) Puppy (under 6 months) Cat Kitten (under a year)
Full Name *

First Name Last Name
Birth Date

Month Day Year
Cell Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Spouse/Partner's Name

First Name Last Name
Birth Date

Month Day Year
Cell Phone Spouse/Partner

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail *
Do you prefer to receive calls, texts, or emails?

Call Text Email
Ages of Children in the home
Ages of children that visit regularly
Please list all persons living in your home, part or full time, who are not listed above
Does anyone in the home have allergies to cats, dogs or rabbits? If so, who?
What types of pets have you/your family owned?

Dogs Cats Small animals Other
Do you currently have any pets?

Yes No
If yes, please list Type/Breed, Age, Indoor/Outdoor, How long it has been with you:
My Cat(s) is/are:

Spayed or Neutered Declawed Current on vaccines Tested for FIV Tested for Feline Leukemia
My Dog(s) is/are:

Spayed or Neutered Current on vaccines Obedience trained
Who is your veterinarian or Veterinarian Clinic?
How long have you used this vet?
Please provide an accurate history of pets you have had in the past (pets growing up to most recent), including type, how long you had them, and why they are no longer with you. This must be completed.
Have you ever been approved to adopt or foster from another rescue organization?

Yes No
If yes, which one?
Have you ever given a pet to a shelter or humane society?

Yes No
If yes, please explain
Have you ever had a pet euthanized?

Yes No
If yes, please explain
Do you:

Own Rent Live with parents Other
Do you live in a(n):

House Apartment Duplex Condo Mobile Home Other
How long have you been at this address?
Is it likely you will move in the next 10 to 15 years?

Yes No
If yes, please explain
If you rent, does your landlord allow pets?

Yes No
Is a pet deposit required?

Yes No
If yes, how much is the deposit?
Are there any restrictions (i.e. number of pets, size/ weight, etc)?

Yes No
Landlord's Name
Landlord's Phone #

Area Code Phone Number
Are you willing to have a representative from UAAF do a home visit? *

Yes No
Why do you want to foster particular pet?
How many hours per day will the pet be left alone (without human companionship)?
Who will be responsible for the daily care of this animal?
Do you have a dog door?

Yes No
Would the pet have access to the dog door when you are not home?

Yes No
Do you have any concerns about the new foster pet getting along with your current pet(s)? Please explain.
Which of the following behavior issues do you feel you would be willing/able to deal with?

Chewing Fence jumping Barking/whining Aggression toward other animals Fearful or shy behavior Housebreaking problems Nipping or biting Separation anxiety Scratching of carpet or furniture
How long would you be able to foster a pet? (i.e. until pet gets adopted? temporarily? as long as needed?)
Are there any requirements you have for a foster pet (i.e. size, temperament, breed, age, gender) Please explain.
Do you feel that you could foster more than one pet at a time?
If yes, please explain. (i.e. bonded pair? litter of puppies/kittens?)
Would you be willing to care for a foster pet that is ill and/or needs medication?
If you are interested in fostering a CAT:
Will the cat be:

Indoor Outdoor Indoor/Outdoor
What are your views on declawing?
Where will the litter box be kept?
If you are interested in fostering a DOG:
Where will the dog be kept when you are home?
Where will the dog be kept when you are out?
Do you have a securely fenced BACK yard?

Yes No
Fencing material
Height
Do you have a securely fenced FRONT yard?

Yes No
Fencing material
Height
How will you exercise your dog?
Are there times when the dog will be tied up?

Yes No
If yes, when?
Will the dog be allowed to ride in the back of a pick-up truck?

Yes No
If yes, is there a shell?

Yes No
If your new foster dog/puppy is not housebroken, what method will you use to train it?
Would you be willing to take the foster dog to obedience training should the need arise?

Yes No
How did you hear about UAAF?
Your place of employment *
Phone Number

Area Code Phone Number
How long have you been employed there?
Spouse/Partner's place of employment
Phone Number

Area Code Phone Number
How long have they been employed there?
Name of nearest relative *
Relationship
Phone Number

Area Code Phone Number
Personal reference *
Relationship
Phone Number

Area Code Phone Number
Foster Home Agreement

Please answer all questions
I agree to provide the animal(s) I am fostering with good and loving care, including adequate food and water, shelter from the elements, exercise and veterinary care when needed. *

Yes No
If I am fostering a cat, I agree to keep the cat strictly indoors, going outside only on a harness or into a secure cattery. *

Yes No Not Applicable
If I am fostering a dog, I agree to keep the dog under my control at all times, going outside only on a leash or into a securely fenced area. *

Yes No Not Applicable
I agree to keep an identification tag attached to a properly fitted collar that will remain on the foster animal(s) at all times. *

Yes No
I agree to notify the Utah Animal Advocacy Foundation (UAAF) in the event that I am no longer able to provide care for the animal(s) I am fostering. I will not give the animal(s) to another person or agency without first receiving written permission from UAAF. *

Yes No
I understand that UAAF cannot guarantee the health, temperament, or training of the animal(s) I am fostering. I hereby release UAAF from any claim, cause of action, or liability for any injury or damage to persons or property caused directly or indirectly by the animal(s) I am fostering. *

Yes No
I agree to keep my personal pet(s) current on all vaccinations as advised by my veterinarian. I understand that vaccinations are not 100% effective and that my pet may be exposed to illnesses or conditions other than those for which it was vaccinated. I hereby release UAAF from any claim, cause of action, or liability for any illness or condition contracted by my personal pet(s) as a direct or consequential result of exposure to the animal(s) I am fostering. *

Yes No
I understand that all expenses associated with the animal(s)I am fostering must be approved in advance and that I will be responsible for any and all expenses incurred without prior approval from UAAF. *

Yes No
I understand that, should I decide I would like to adopt the animal(s) I am fostering, I will be required to contact UAAF and complete the adoption application procedure. I understand that fostering an animal does not guarantee approval for adoption. *

Yes No
I understand that UAAF maintains ownership of the animal(s) I am fostering and that UAAF has the absolute right to reclaim the foster animal(s) at any time. I agree to return the animal(s) upon demand. *

Yes No
I understand that my digital signature below constitutes my agreement to the terms and conditions above as of the date this agreement is electronically submitted to UAAF. *

Yes No
I, the undersigned, certify that all statements and answers are true and complete. I understand that any untrue statement is deemed reason for refusal of foster/adoption or reclaiming of any fostered pet.
Name *
Date *
Should be Empty:

Foster Home Application & Agreement

If you are interested in fostering a CAT:

If you are interested in fostering a DOG:

Foster Home Agreement

I, the undersigned, certify that all statements and answers are true and complete. I understand that any untrue statement is deemed reason for refusal of foster/adoption or reclaiming of any fostered pet.