Foster Application

All potential adopters and foster homes are screened for suitable placement of animals.

APPLICANT INFORMATION

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Age *

Cell Phone *

Area Code Phone Number

Home Phone

Area Code Phone Number

E-mail *

Foster Pet Information

Dog

Cat

Which are you interested in fostering?

Name of pet you are interested in fostering:

How long can you commit to fostering a pet? *

Home and Foster Information

(all questions require an answer) *

Yes

No

Anyone with pert allergies in the household?

Do you own your home?

Can you keep the foster pet isolated from your pets if needed?

Can you bring your foster pet to adoption events and meet and greets when needed?

Do all adults support fostering a pet?

Does your home have a fenced yard?

Do you have a doggie door?

Number of adults in household:

Number of children in household:

Current Pets & Veterinarian

Number of dogs: *

Number of cats: *

Names of current pets: *

(all questions require an answer) *

Yes

No

Are all pets spayed/neutered?

Are all pets up to date on vaccinations and heart worm prevention?

Are your cats allowed outside?

Do your pets get along with other dogs and cats?

Name of your Veterinarian:

Veterinarian's phone number:

Pet Behavior

Are you willing to work through the following behaviors with foster pets in your home? (all options require an answer) *

Yes

No

Digging

Jumping

Chewing

Accidents in the House/House Training

Anxiety

Clawing

RELEASE OF LIABILITY AND INDEMNIFICATION. Foster Home agrees that ROAD TRIP 4 PAWS is not liable in any way for any injury or damage caused by the Foster pets while in Foster Home’s care, custody and control. Foster Home voluntarily agrees to release and indemnify ROAD TRIP 4 PAWS, its officers, directors, members, agents, volunteers, and representatives from any and all actions, claims, and liability resulting from or related to injuries or damage to persons, animals or property caused by or arising from any act or occurrence involving the Foster pets while in Foster Home’s care, custody and control, including, without limitation, dog bites, illness or any other actions of Foster pets. This release of liability and indemnification provision includes, without limitation, injury or damage to persons and children who come in contact with Foster Dogs while in Foster Home’s care, custody and control; Foster Home’s personal pets and other animals; and potential adoptive parties and their personal pets and other animals.

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Signature *

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Date *

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