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)CatKitten (under a year)Other
Full Name*

First NameLast Name
Birth Date

MonthDayYear
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Spouse/Partner's Name

First NameLast Name
Birth Date

MonthDayYear
Cell Phone Spouse/Partner

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

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

CallTextEmail
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?

DogsCatsSmall animalsOther
Do you currently have any pets?

YesNo
If yes, please list Type/Breed, Age, Indoor/Outdoor, How long it has been with you:
My Cat(s) is/are:

Spayed or NeuteredDeclawedCurrent on vaccinesTested for FIVTested for Feline Leukemia
My Dog(s) is/are:

Spayed or NeuteredCurrent on vaccinesObedience 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?

YesNo
If yes, which one?
Have you ever given a pet to a shelter or humane society?

YesNo
If yes, please explain
Have you ever had a pet euthanized?

YesNo
If yes, please explain
Do you:

OwnRentLive with parentsOther
Do you live in a(n):

HouseApartmentDuplexCondoMobile HomeOther
How long have you been at this address?
Is it likely you will move in the next 10 to 15 years?

YesNo
If yes, please explain
If you rent, does your landlord allow pets?

YesNo
Is a pet deposit required?

YesNo
If yes, how much is the deposit?
Are there any restrictions (i.e. number of pets, size/ weight, etc)?

YesNoOther
Landlord's Name
Landlord's Phone #

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

YesNo
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?

YesNo
Would the pet have access to the dog door when you are not home?

YesNo
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?

ChewingFence jumpingBarking/whiningAggression toward other animalsFearful or shy behaviorHousebreaking problemsNipping or bitingSeparation anxietyScratching 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:

IndoorOutdoorIndoor/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?

YesNo
Fencing material
Height
Do you have a securely fenced FRONT yard?

YesNo
Fencing material
Height
How will you exercise your dog?
Are there times when the dog will be tied up?

YesNo
If yes, when?
Will the dog be allowed to ride in the back of a pick-up truck?

YesNo
If yes, is there a shell?

YesNo
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?

YesNo
How did you hear about UAAF?
Your place of employment*
Phone Number

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

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

Area CodePhone Number
Personal reference*
Relationship
Phone Number

Area CodePhone 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.*

YesNo
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.*

YesNoNot 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.*

YesNoNot 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.*

YesNo
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.*

YesNo
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.*

YesNo
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.*

YesNo
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.*

YesNo
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.*

YesNo
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.*

YesNo
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.*

YesNo
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.