Foster Care Application

Name *

First

Last

Date *

Address *

Address 2

City *

State *

Home Phone *

Daytime Phone

Cell Phone

Email *

What is the best way to contact you?

Email
Phone

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

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

How many adults reside in your home? *

How many children? *

Please list the ages of everyone residing in your home: *

Do You Live In : *

House
Condo/Townhouse
Apartment
Other

If other, please discribe.

Do you rent or own your home? *

Rent
Own

If you rent, do you have the landlord's permission to keep pets? *

Yes
No
NA

Landlord's name and number (if applicable):

Describe your yard: *

No Yard
Unfenced
Partially fenced yard
Fenced

If fenced, what is the height of the fence?

What type of fence?

Wood
Chain Link
Brick
Other

Please explain any restrictions on your ability to foster (time limits, dog breed restrictions, etc): *

Would you be willing/able to administer medication? *

Yes
No

Is there any type of dog/cat or behavior problem you specifically do NOT want to deal with? *

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? *

How do you plan to train/discipline your foster dog? *

How many hours a day would your foster pet(s) be alone? *

Less than 2 Hours
2-3 Hours
4-8 Hours
9+ Hours

Where will you keep the pet during the day? *

Where will the pet be at night? *

Are you able/willing to foster special needs animals?

Yes
No

If yes, what types of special needs would you be willing to help with?

Seniors
Non-contagious medical (deaf, daily meds, etc)
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? *

If other, please describe.

Do you have experience with disease recognition, various medical conditions, bathing/grooming, medication administration etc.? *

Yes
No

If so, please explain.

Agree to Terms *

I hereby agree to the terms and conditions below.

By checking the box below, I agree to the following terms regarding my participation as a Foster Parent for Rez Animal Resources & Education: 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. 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. In the case of a medical emergency, I will contact Rez Animal Resources & Education and obtain immediate veterinary care at the approved clinic. 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. 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. 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. All foster cats must be kept inside only. 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. 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.

Have Questions? Call Us (253) 370-6392