Retriever Foster Application

Retriever Foster Application/Agreement
Please note, the Foster Program is not intended for fostering-to-adopt. Thank you for taking the time to fill out this application. Please answer the questions in this application with your ultimate goal in mind: fostering a rescued retriever dog. Required answers are marked with an asterisk (*). One of our representatives will be contacting you shortly after we receive your application.

The Foster Application/Agreement has 9 pages. You must fill in all required fields before advancing to the next page. After signing the form, click “Submit” on the last page. You will see a “Thank you” page and receive an email shortly thereafter confirming receipt of your form.

If you want to save your form entries and continue later, click on the Save and Continue Later button at the bottom of any page. In the pop-up window Your form has been saved, click on Next.

The pop-up window Submission saved as draft has options to enter your email address to receive a link to your draft form or Get Draft Link to paste in your browser bar and save as a bookmark. If you cannot recover your draft form using the link, send email to gbrwebforms@gmail.com.
Please note, the Foster Program is not intended for fostering-to-adopt. Thank you for taking the time to fill out this application. Please answer the questions in this application with your ultimate goal in mind: fostering a rescued Golden. Required answers are marked with an asterisk (*). If a question does not apply to you, please write N/A in the response area. Please fill out this form completely and clearly. Please include area codes with all phone numbers, and please include your E‑mail address, if at all possible. One of our representatives will be contacting you shortly after we receive your application.

Mail your completed Foster Home Application to:

Fostering Application
Golden Bond Rescue
PO Box 25391
Portland, OR 97298

NOTE: Postage is a minimum $1.30 to $1.50 to mail this application. Please be sure you have the correct postage. The Post Office will return envelopes requiring additional postage, holding up your application. We do not accept applications sent by email or FAX.
Golden Bond Rescue cares deeply for the dogs they bring into their care. In many cases, these dogs have experienced very difficult lives up to this point, perhaps even enduring neglect and/or abuse. Once they are in our care, we want our dogs to be well-cared for and kept safe. Golden Bond Rescue does not make its dogs available for adoption until they have received all of their vaccinations, have been neutered or spayed, and have certain medical treatments completed. There will likely be times when the fosters will be required to take their foster dogs to a Golden Bond-approved veterinarian. Fostering is very rewarding but it will require a level of commitment from you.

BASIC CONTACT INFORMATION
Reply-To:
Your Name:*

First NameLast Name
Age:*
Second Applicant's Name:

First NameLast Name
Age:
Relationship:

SpousePartnerRoommateOther
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone:*
Secondary Phone:
Work Phone:
E-mail address:*
Enter NA if you do not have an E-mail address
Best way to reach you?

Primary PhoneSecondary PhoneWork PhoneE-mail
Your occupation:*
Second applicant's occupation:
Why do you want to foster?*
Best time to contact you:

YOUR EXPERIENCE WITH PETS
Have you ever adopted a Rescue dog before?*

YESNO
If YES, from what Rescue organization?
Please describe your level of experience with retriever dogs and provide an honest assessment of your abilities to recognize and deal with problem behaviors that a foster might exhibit (e.g. barking, growling, food/toy possessiveness, chewing, digging, jumping, pulling on leash, lack of house-training, etc.)
Rate your experience and comfort with rescue dogs:*

Novice (might need a little extra help to start)Experienced (have had multiple dogs, including retrievers)Very experienced (have had retrievers and rescues)

Previous dog experience

	Dog 1	Dog 2	Dog 3	Dog 4
Breed
Dog's age when acquired
Years owned

What type of dog training classes have you completed, if any?
If yes, what training techniques/equipment were used or do you currently use?
Please list any special dog-related skills you have (e.g. groomer, trainer, vet tech, etc.):
What steps would you take to introduce a new dog into your household?
How would you safely handle a fight between dogs?
Your Veterinarian

Many of our rescue dogs come to us not fully vaccinated. While at your home, your foster dog may need to visit a GBR vet once or twice for booster shots. To ensure these dogs are not exposed to diseases before they are fully vaccinated, we would like to ensure your resident dog(s) (if any) are current on their vaccinations: distemper, hepatitis, parvo & parainfluenza (aka DHPP), bordetella (aka kennel cough) and rabies (Leptospirosis vaccination is given to all foster dogs but is not a requirement for resident dogs. Canine influenza vaccination is strongly recommended.). Please provide the name and contact information of your veterinarian as well as the name of your dog(s). If you have no resident dog(s), please disregard this section.
May we contact your preferred veterinarian’s office?

YESNO
Note: Your preferred vet is the one who has seen your dog(s) and provided them with their most current vaccinations. Golden Bond Rescue will call your veterinarian’s office to ensure that your dog(s) is/are current on the vaccinations mentioned above – we do not inquire about billing records or other personal information.
Veterinarian's office name:
Veterinarian's phone:
Note: If the records for your pet(s) are under a different name (e.g., maiden name or name from a previous marriage) from that on this application, please give that name here. Similarly, if there are two different surnames given for the applicants on this application, please indicate the one under whose name the records will be found:
Owner's name on vet records:
If you have used another vet (e.g., cancer or orthopedic specialist) and wish to include their contact information, please give the office name and phone number here:
Veterinarian office report:
Current on vaccines. In at least once a year.

FOSTER HOME AGREEMENT & ASSUMPTION OF RISK

I/We, the undersigned, in consideration for receiving temporary custody and providing temporary foster care for any dog provided to me/us by Golden Bond Rescue, an Oregon nonprofit corporation, hereby promise and agree as follows:

1. To seek permission/guidance for all veterinary care (other than life-and-death emergency situations) with the Intake Manager before any medical treatment is administered by a veterinarian.

2. To alert the Golden Bond Rescue Adoption Director to all aspects of the dog’s personality, activity level, general health, etc. This information provides the Adoption Team the information necessary to match the dog with the right adoptive home.

3. Upon reasonable notice, to make the dog available to potential adopters and to answer all questions about the dog’s behavior and health, honestly, to the best of my/our knowledge.

4. In the event I/we should desire to adopt any dog placed in our temporary foster care and custody, we further promise and agree as follows:

a. To immediately contact the Intake Manager and Adoption Director and inform them of this request, ideally within the first three (3) weeks of the foster dog’s stay, but always before any other potential adopters are referred to, and actually see, the foster dog.

b. To complete an adoption contract and pay to Golden Bond Rescue an adoption fee equal to the current “donation” adoption fee usually paid by the general public. Such an executed contract and fee will be delivered/paid within three (3) business days of actual verbal adoption approval by Golden Bond Rescue.

c. To acknowledge that such an adoption is “AS IS,” with no warranties expressed or implied, regarding the physical or mental condition of the subject dog.

5. Finally, if I/we breach/break any terms of this agreement, or are directed by Golden Bond Rescue, to return the subject to it, even if we have not breached or broken this agreement, I/we agree to immediately release/return the subject dog to Golden Bond Rescue, upon demand.

Pursuant to the terms of this agreement, I/we further agree and understand that legal ownership/title to the subject dog remains with Golden Bond Rescue and not with me/us.

Should it be necessary, I/we hereby allow any authorized agent of Golden Bond Rescue to reclaim the subject dog from me/us without further notice. Entry upon my/our premises to reclaim the subject dog for cause is expressly authorized and shall not be considered legal trespass.

Should litigation be required to enforce the physical return of the subject dog, I/we also agree to pay any legal costs and reasonable attorney fees, including those of any appeal, pursuant to ORS 20.096.
I/We further acknowledge as follows:

1. That any dog we foster, whether domestic or foreign in origin, may have an unknown past so that the dog's behavior and temperament are likewise unknown to Golden Bond Rescue.

2. That Golden Bond Rescue's limited knowledge of the dog means there are certain inherent risks in fostering which Golden Bond Rescue cannot control and which I/We accept as volunteer foster home providers.

3. That I/We are solely responsible for dog's conduct while under our control and direction.

4. That in consideration of the above, I/We therefore release Golden Bond Rescue for any and all negligence claims for property damage, injury or death to ourselves, or for which I/We may be liable to others, that may be caused by such dog.
Date*

MonthDayYear
Foster Home Provider (Sign your name in the box below by holding down the left "mouse" button while drawing your signature.)*
Foster Home Provider (Print Name)*
Foster Home Provider (Signature using mouse)
Foster Home Provider (Print Name)

LIABILITY WAIVER

I/we represent that I/we have experience caring for and interacting with dogs to the extent represented in the attached Foster Home or Volunteer Application. I/we further understand some dogs entering Golden Bond Rescue may have unknown or abusive backgrounds. Surrendering owners or even shelters may also lie to Golden Bond Rescue about their own dog’s traits or temperament. I/we therefore understand Golden Bond Rescue can make no representations to us about the traits or temperament of a Golden Bond Rescue dog with which we interact or foster. As such, I/we hereby hold Golden Bond Rescue, as well as its volunteers, directors and officers harmless for any personal injury or property damage any Golden Bond Rescue dog may cause with which we interact or foster. This includes us, and our family members and other family companion animals. I/we also agree to fully indemnify Golden Bond Rescue for any third-party liability for any Golden Bond Rescue dog while in my/our care, control and custody.
Date*

MonthDayYear
Foster Home Provider (Signature using mouse)*
Foster Home Provider (Print Name)*
Foster Home Provider (Signature using mouse)
Foster Home Provider (Print Name)
Should be Empty:

	Child 1	Child 2	Child 3	Child 4
Name
Boy or Girl
Age
Dog experience (Y/N)
Resident/Visiting (R/V)

	Pet 1	Pet 2	Pet 3	Pet 4
Pet's Name
Animal Type (dog, cat, etc.)
Breed
Gender (M/F)
Age
Spayed/Neutered (S/N)
Resident/Visiting (R/V)

	Number	Carpet, Wood, or Tile
From street to front door
From main floor to second floor
From main floor to basement
From main floor to yard

	Experienced with:	Willing to foster:
Dog care (bathing, grooming, etc.)
Dog training (housebreaking, crate training, etc.)
Dog behaviors (jumping, chewing, barking, leash pulling, digging, etc.)
Dog fears (shyness, separation anxiety, noise anxiety, submissive urination, etc.)
Medical - treatable ailments (infections, allergies, hot spots, etc.)
Medical - disabilities (blindness, deafness, arthritis, etc.)

Retriever Foster Application/Agreement

BASIC CONTACT INFORMATION

ABOUT YOUR HOUSEHOLD

ABOUT YOUR HOME

YOUR EXPERIENCE WITH PETS

Your Veterinarian

CARING FOR YOUR FOSTER DOG

MATCHING YOU WITH A FOSTER DOG

FOSTER HOME AGREEMENT & ASSUMPTION OF RISK

LIABILITY WAIVER