Clone of 4 Keeps Animal Rescue Foster Application

4Keeps Animal Rescue Foster Application
Full Name*

First NameLast Name
E-mail*
Street Address 1
Street Address 2
City
State
Zipcode
Your age*
Phone Number*

Area CodePhone Number
Cellphone Number

Area CodePhone Number
Best time to call
Vet's name

First NameLast Name
Vet's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Vet's Phone Number

Area CodePhone Number
Be sure to call your vet and give permission for them to release information to us!
Living situation:*

own homerent homeapartmentcondomobile hometownhouselive with Parents
If renting, does Landlord/Association allow pets?

yesI can provide proof if neededno
Please give Landlord or Association's name & phone number:*
Is there a limit to the # of dogs you can have, by landlord, or your municipality?

noyes
if yes, what is the limit?
List NAME, AGE and RELATIONSHIP of everyone living in the household:
Does everyone in the household agree with bringing a dog into the home?*

yesno
List all Pets currently in the household- Name, type/breed, age, sex and how long you have had them?*
Are all current on vaccinations*

yesno
if no, explain
Are all spayed/neutered*

yesno
if no, why
Do your animals get along with other animals

yesno
if no, explain
Do you have- (check all that apply)

a cratea kennela fenced yard
if yard is fenced, describe fencing*
where will foster be housed during the day, check all that apply*

inside cratedinside not cratedoutdoorsgaragebasementother
if other, explain
where will foster be kept when left alone*

inside cratedinside not cratedoutsidegaragebasement
where will foster sleep*

inside cratedinside not cratedoutsidegaragebasement
how many hours per day will foster be left alone*
why, explain: work, school, etc
are you aware most fosters have unknown medical and behavioral history*

yesno
are you willing to travel to pick up your foster*

yesnodepends on distance
distance you would go roundtrip
if an application is approved are you willing to travel to take your dog to their new home or to do a home visit, meet/greet etc*

yesno
At times a foster dog may require vet attention, are you willing to transport the dog to an approved 4 Keeps Vet (vet expenses are covered by the rescue)*

yesno
if no, explain
how many dogs are you willing to foster without exceeding any city or housing limits?
A foster dog may be in your home for a indefinite amount of time. How long are you willing to foster a dog?*

until he or she is adoptedweeksmonths
Do you foresee any situation at this time that would not allow you to foster until the dog is adopted?

noyes
if yes, explain
Does anyone in your house suffer from allergy or medical conditions, please explain*
Have you ever fostered animals before?*

noyes
With what group(s), for how long and why did you stop fostering for this group?
What breed of animals do you have experience with, please list
Are there any breeds or ages of dog you will not foster, and why?
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As it is with any new dog being brought into a home, a rescued dog will require time to adjust and learn what is expected of them in their new environment.
Are there any behaviors you are not willing to work with in a rescued dog? Please list and explain:
Is there anything else you would like us to know that may be important to your role as a foster?
WHAT EACH FOSTER SHOULD KNOW: Dogs in foster care are to be placed ONLY by an authorized 4Keeps Animal Rescue Representative. While fosters have input on applicants, final applicant approval and notification will be made by the board of 4 Keeps Animal Rescue. Foster homes are responsible and liable for the actions of foster dogs while in their care. If unable to continue to foster a dog for any reason, the Foster agrees to keep said dog until another foster home can be found or until the dog can be safely placed into another environment. The foster dog must be returned to 4 Keeps immediately upon request. 4 Keeps Animal Rescue will provide necessary medical expenses for all foster dogs, providing that the foster dogs are brought to a veterinarian approved by the rescue and that the visit was previously approved by a 4 Keeps Animal Rescue Representative. Initial agreement here:*
Hold Harmless Waiver: I am aware that by signing this application, I agree to provide what is needed for the health and safety of a dog in my care for 4 Keeps Animal Rescue. I further agree to assume all responsibility for the foster dog(s) in my care while on or off my premises. I also agree to assume all liability for the dog while I foster him/her for 4 Keeps Animal Rescue. I fully understand and agree to assume all risks involved in any and all duties that I perform for 4 Keeps Animal Rescue in my volunteer capacity, and I agree to hold 4 Keeps Animal Rescue harmless for any injury(s) that I might sustain during the course of my volunteer duties. This waiver includes myself, all of my family members, visiting friends and descendants forever from seeking any legal action whatsoever against 4 Keeps Animal Rescue or its Representatives. I also understand that if I resign as a foster, I must return any equipment and unused supplies provided to me by 4 Keeps Animal Rescue. By signing this application and waiver, I declare I am at least 21 years of age.*
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when submitted electronically a typed name will serve as a signature
SCHEDULE A I understand that dogs and children can be unpredictable. Extreme caution and strict supervision should be exercised at all times when child(ren) and dogs are together. You understand we have limited knowledge of this dog and can only tell you what we have observed while in our care or what information, if any, the shelter may have given us. At any time a child could provoke a dog to react in a negative way and cause a reaction by that dog when defending itself or its possessions if feeling threatened. Extreme caution and strict supervision must be used when they are within the same area. By your signature on this document, you understand the risks and any possibilities thereof regarding children and dogs and release any liability against 4 Keeps Animal Rescue and its representatives that you may incur and understand any danger that could exist with children and dogs.*

First NameLast Name
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when submitted electronically a typed name will serve as a signature
date

MonthDayYear
Should be Empty:

4Keeps Animal Rescue Foster Application

Be sure to call your vet and give permission for them to release information to us!

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