Paws4Progress Canine Rescue Foster Application
You must be 18 years or older to foster
Name:
Occupation:
Employer:
Spouse’s Name:
Occupation:
Employer:
Your Address:
Home Phone:
Work Phone:
Email:
Have you ever been convicted of animal cruelty, neglect, or abandonment?
YES NO
Type of animal you are willing to foster:
(Please include species, breed, age, sex, coat length, personality traits, etc)
Why do you want to foster an animal?
Will you be able to take the animal to vet appointments and allow potential adopters to visit the animal?
Are you willing and able to medicate an animal if necessary, even if it is only monthly heartworm pills?
Do you have the consent of all individuals in your household to foster an animal?
Please describe what the animal’s position in your family would be and how you would interact with it:
Are you willing to housetrain a dog or litter box train a cat?
Are you willing to use a crate for a dog if recommended?
What will you do if the animal soils the floor or chews/claws the furniture?
Describe your home’s activity level: Busy /noisy__________
moderate comings/going___________ or quiet occasional guests ____________
Where would the animal be primarily housed? Inside________ Outside_______ About equally inside and outside_______
Are there any children in your household?
What are their ages?
How many adults live in your household?
Please list their names and relationships to applicant.
Is anyone in the house allergic to dogs or cats?
Does anyone in your household have a fear of dogs or cats?
Other pets currently owned (breed, age, sex of each, dates owned):
Are all pets up to date on vaccinations?
For dogs, are they currently on heartworm prevention?
For cats, have they been tested for feline leukemia and feline aids?
What were the test results of both?
Have your current pets been exposed to and are tolerable of other pets?
List previously owned pets, dates owned, and what happened to that pet:
Have you ever had to give up a pet and, if so, why, and where did the animal go?
Have you ever lost a pet to illness or injury?
Please explain:
Do you feel that a pet should be spayed/neutered?
If no, why not?
Are your pets neutered/spayed?
If not, why?
In your opinion, what physical symptoms and/or behaviors would warrant immediate medical attention?
Name and phone number of your vet:
Do you own or rent your home?
Is your home a house, apartment, condo, or mobile home?
Household setting: Rural _____ Suburban _____ Urban _____
How long at present address:
If renting, do you have your landlord’s or management company’s permission to have pets? (Please be ready to show proof)
How many?
Is there a weight/size/breed restriction?
We will contact your landlord or management company if you are interested in adopting your foster pet or in the event of an emergency.
Please provide name and phone number.
Describe your yard: fenced _____ kennel run _____ no fence _____ other (describe)
If fenced height of fence, type of fence and approximate size of fenced-in area:
If fenced, number of gates: ________
Are the gates always securely latched and/or locked? __________
If the animal is outside other than for supervised activities describe what shelter would be available for it: Shed ___ Doghouse ___ Covered area (porch etc) ___ Shade trees ___ Other (explain) ___
Where, specifically, will the animal be kept during the day? Please describe fully.
Where, specifically, will the animal sleep at night? Please describe fully.
Where would the animal stay when you are not home? Loose inside _____
Crated or otherwise confined inside _____ Loose Outside _____
Kennel run/fenced area outside _____ Tied/chained outside _____
Other (describe)_________
If applying for a dog how will it be exercised?
Who will be the main caregiver of the animal, and what is their age?
How long will the animal be left alone?
How will your foster pet be cared for during overnight absences or while on vacation?
Under what circumstances would you consider giving up your foster pet?
Barking _____ housebreaking _____ chewing _____ jumping up _____ shyness/other fears _____ shedding _____ Digging _____ scratching or climbing on furniture _____ other (explain) ______________________ none: I am committed to working with the animal to correct any of these and most other problems _______
Under what other possible circumstances would you return the animal:
Move _____ new baby _____ divorce _____ personal illness _____
other (describe) ______________________ none that I know of ________
Describe what you consider unacceptable behavior from a pet, and what you would do to correct these behaviors:
Please provide three references: Do not list your veterinarian here, and please list no more than one family member. If you are under the age of 22, please provide a parent/guardian as one of your references.
Name: relationship: telephone #:
Animal experience, activities, or any other information you think it would be helpful for us to know about:
By signing below, I acknowledge that I completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the foster contract can result in the forfeiture of any Paws4Progress animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified.
I understand that by signing this form, I agree to release and covenant to hold harmless Paws4Progress Canine rescue and its members from any claims, damages, costs, or actions incurred as a result of the care or actions of the animal. I accept full responsibility for the animal(s) actions at all times, and release P4P from any liabilities or damages that may be incurred as a result of fostering such animal(s). I agree that the P4P is not liable under the concept of charitable immunity.
Liquidated damages:
Foster agrees to pay P4P the sum of $300 as liquidated damages in the event the terms of this contract are breached; this liquidated damage value being agreed to for the purpose of establishing value of the animal, and does not bar P4P from seeking return of the animal by judicial process or other legal means.
Attorney fees and court costs:
Foster agrees to pay reasonable attorneys fees and court costs in the event this matter is forwarded to an attorney for outside enforcement. In the event the undersigned breaches any of the above conditions, the undersigned may be subject to legal action including but not limited to damages and injunctive relief together with reasonable cost of said services.
Name : Driver’s license #/State:
Signature: Date:
Address: Phone number:
For office use:
Approved / Denied
Reason Denied:
Comments:
Screened by:
Date:
You must be 18 years or older to foster
Name:
Occupation:
Employer:
Spouse’s Name:
Occupation:
Employer:
Your Address:
Home Phone:
Work Phone:
Email:
Have you ever been convicted of animal cruelty, neglect, or abandonment?
YES NO
Type of animal you are willing to foster:
(Please include species, breed, age, sex, coat length, personality traits, etc)
Why do you want to foster an animal?
Will you be able to take the animal to vet appointments and allow potential adopters to visit the animal?
Are you willing and able to medicate an animal if necessary, even if it is only monthly heartworm pills?
Do you have the consent of all individuals in your household to foster an animal?
Please describe what the animal’s position in your family would be and how you would interact with it:
Are you willing to housetrain a dog or litter box train a cat?
Are you willing to use a crate for a dog if recommended?
What will you do if the animal soils the floor or chews/claws the furniture?
Describe your home’s activity level: Busy /noisy__________
moderate comings/going___________ or quiet occasional guests ____________
Where would the animal be primarily housed? Inside________ Outside_______ About equally inside and outside_______
Are there any children in your household?
What are their ages?
How many adults live in your household?
Please list their names and relationships to applicant.
Is anyone in the house allergic to dogs or cats?
Does anyone in your household have a fear of dogs or cats?
Other pets currently owned (breed, age, sex of each, dates owned):
Are all pets up to date on vaccinations?
For dogs, are they currently on heartworm prevention?
For cats, have they been tested for feline leukemia and feline aids?
What were the test results of both?
Have your current pets been exposed to and are tolerable of other pets?
List previously owned pets, dates owned, and what happened to that pet:
Have you ever had to give up a pet and, if so, why, and where did the animal go?
Have you ever lost a pet to illness or injury?
Please explain:
Do you feel that a pet should be spayed/neutered?
If no, why not?
Are your pets neutered/spayed?
If not, why?
In your opinion, what physical symptoms and/or behaviors would warrant immediate medical attention?
Name and phone number of your vet:
Do you own or rent your home?
Is your home a house, apartment, condo, or mobile home?
Household setting: Rural _____ Suburban _____ Urban _____
How long at present address:
If renting, do you have your landlord’s or management company’s permission to have pets? (Please be ready to show proof)
How many?
Is there a weight/size/breed restriction?
We will contact your landlord or management company if you are interested in adopting your foster pet or in the event of an emergency.
Please provide name and phone number.
Describe your yard: fenced _____ kennel run _____ no fence _____ other (describe)
If fenced height of fence, type of fence and approximate size of fenced-in area:
If fenced, number of gates: ________
Are the gates always securely latched and/or locked? __________
If the animal is outside other than for supervised activities describe what shelter would be available for it: Shed ___ Doghouse ___ Covered area (porch etc) ___ Shade trees ___ Other (explain) ___
Where, specifically, will the animal be kept during the day? Please describe fully.
Where, specifically, will the animal sleep at night? Please describe fully.
Where would the animal stay when you are not home? Loose inside _____
Crated or otherwise confined inside _____ Loose Outside _____
Kennel run/fenced area outside _____ Tied/chained outside _____
Other (describe)_________
If applying for a dog how will it be exercised?
Who will be the main caregiver of the animal, and what is their age?
How long will the animal be left alone?
How will your foster pet be cared for during overnight absences or while on vacation?
Under what circumstances would you consider giving up your foster pet?
Barking _____ housebreaking _____ chewing _____ jumping up _____ shyness/other fears _____ shedding _____ Digging _____ scratching or climbing on furniture _____ other (explain) ______________________ none: I am committed to working with the animal to correct any of these and most other problems _______
Under what other possible circumstances would you return the animal:
Move _____ new baby _____ divorce _____ personal illness _____
other (describe) ______________________ none that I know of ________
Describe what you consider unacceptable behavior from a pet, and what you would do to correct these behaviors:
Please provide three references: Do not list your veterinarian here, and please list no more than one family member. If you are under the age of 22, please provide a parent/guardian as one of your references.
Name: relationship: telephone #:
Animal experience, activities, or any other information you think it would be helpful for us to know about:
By signing below, I acknowledge that I completely read this questionnaire, comprehend it fully, know that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application or the foster contract can result in the forfeiture of any Paws4Progress animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified.
I understand that by signing this form, I agree to release and covenant to hold harmless Paws4Progress Canine rescue and its members from any claims, damages, costs, or actions incurred as a result of the care or actions of the animal. I accept full responsibility for the animal(s) actions at all times, and release P4P from any liabilities or damages that may be incurred as a result of fostering such animal(s). I agree that the P4P is not liable under the concept of charitable immunity.
Liquidated damages:
Foster agrees to pay P4P the sum of $300 as liquidated damages in the event the terms of this contract are breached; this liquidated damage value being agreed to for the purpose of establishing value of the animal, and does not bar P4P from seeking return of the animal by judicial process or other legal means.
Attorney fees and court costs:
Foster agrees to pay reasonable attorneys fees and court costs in the event this matter is forwarded to an attorney for outside enforcement. In the event the undersigned breaches any of the above conditions, the undersigned may be subject to legal action including but not limited to damages and injunctive relief together with reasonable cost of said services.
Name : Driver’s license #/State:
Signature: Date:
Address: Phone number:
For office use:
Approved / Denied
Reason Denied:
Comments:
Screened by:
Date:
