Foster Care Application


Name: A value is required.
Date: A value is required.Invalid format mm/dd/yr
Address Street 1: A value is required.
Address Street 2:
City: A value is required.
Zip Code: A value is required.Invalid format. (5 digits)
State: Please select a valid item.Please select an item.
Home Phone: A value is required.Invalid format.
Daytime Phone: A value is required.Invalid format.
Cell Phone:
Email: A value is required.Invalid format.
 
What is the best way to contact you?

Please make a selection.
   
Please check the types of dogs that you
are willing to foster:







   
Please check the types of cats that you
are willing to foster:







   
HOUSEHOLD INFORMATION
   
How many adults reside in your home? A value is required.Invalid format.
How many children? A value is required.Invalid format.
Please list the ages of everyone residing in your home: A value is required.
   
Do You Live In :



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Do you ?

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If you rent, do you have the landlord's permission to keep pets?
Please make a selection.
Landlord's name and number (if applicable):
   
Describe your yard:



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If fenced, what is the height of the fence?
What type of fence?



 
PET HISTORY / EXPERIENCE
How many pets do you have now? A value is required.Invalid format.
Number of Dogs
Number of Cats
Other, please provide type and number.
Please tell us about all the animals currently residing in your household: (inlcude Name, Breed, Age, Gender, and if he/she is spayed or neutered)
   
Are your pets licensed?
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Are they current on vet visits and vaccinations? No
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If no, why?
   
Are they on flea prevention medication?
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Name of current veterinarian: A value is required.
Do your pets tolerate other pets?
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Do you have a place to separate your pets from foster pets?
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Have you had experience with any of the following? Please check all that apply.
   
Cats






Dogs









   
 
FOSTER INFORMATION
Please explain any restrictions on your ability to foster (time limits, dog breed restrictions, etc): A value is required.
   
Would you be willing/able to administer medication?

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Is there any type of dog/cat or behavior problem you specifically do NOT want to deal with? A value is required.
 
Length of time willing to foster a dog or cat:




   
What circumstances would force you to return a foster dog or cat in your care? A value is required.
   
How do you plan to train/discipline your foster dog? A value is required.
   
How many hours a day would your foster pet(s) be alone?
2-3 hours



   
Where will you keep the pet during the day? A value is required.
   
Where will the pet be at night? A value is required.
   
Are you able/willing to foster special needs animals?
Please make a selection.
   
If yes, what types of special needs would you be willing to help with?
Seniors
Contagious medical
(ringworm, mange, distemper)
Fearful/skittish
Behavioral issues
(not housebroken, not trained, hyperactive)
   
Can you provide any of the following for your foster animal?







   
Do you have experience with disease recognition, various medical conditions, bathing/grooming, medication administration etc.?
Please make a selection.
   
If so, please explain.
   
AGREE TO TERMS
Click Here to Read Terms

By checking the box below, I agree to the following terms regarding my participation as a Foster Parent for Rez Animal Resources & Education:

  1. I agree to provide a temporary home for animals placed in my care and will be responsible for providing daily food, water, exercise, shelter, and affection for my foster animal.

  2. I agree to let Rez Animal resources & Education inspect the premises where the animal is being kept at any time to ascertain that the animal is well cared for.

  3. In the case of a medical emergency, I will contact Rez Animal Resources & Education and obtain immediate veterinary care at the approved clinic.

  4. If I encounter behavior concerns with my foster animal, I will contact Rez Animal Resources & Education. I understand that foster animals often have unknown medical and behavior histories and may show behaviors in one home that they may not show in another home. I agree to work through these issues to the best of my ability. If concerns are beyond my ability, I will work with Rez Animal Resources & Education to find a more appropriate foster home.

  5. I understand that animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Rez Animal Resources & Education, from any claim or suit filed by anyone as a result of such an incident.  In addition, Rez Animal Resources & Education will not be responsible if the animal should damage or destroy property while the animal is under my care.

  6. If I need to return the foster animal before the end of the agreed-upon foster period I will contact Rez Animal Resources & Education at least 72 hours to find another foster home for the animal. If I have a known period of time (i.e vacation) that I cannot provide care for the foster animal, I will discuss options for my foster animal at least two weeks prior.

  7. All foster cats must be kept inside only.

  8. Foster dogs should be allowed indoors/outdoors but must be provided with a secure fenced area when outside, including shelter from the elements. The foster animal will always be under my control either on leash or in the confines of my property.

  9. I will not allow others to care for my foster animal unless I have received approval from Rez Animal Resources & Education to do so. I am responsible for the well-being of my foster animal at all times.
You must agree to terms in order to complete the application.
   

Please check above to make sure are required fields are filled in before submitting.