Foster Application

 

 

This form will not submit unless all fields are answered. Please put "N/A" if the question does not apply to you.

 
Your current email address for our response
Your Email Address:
Which animals are you interested in fostering? Please check all that apply.
Weaned healthy kittens Weaned healthy puppies
Mom with kittens Mom with puppies
Ill/Injured Cat Ill/Injured Dog
Orphaned Kittens Orphaned Puppies
Special Behavior Issues Abuse or Fear based Issues
Adult Cat Adult Dog
Kittens needing bottle-feeding Puppies needing bottle-feeding

 
Applicant
Co-Applicant
Full Name: Full Name:
Relation to Co-Applicant? Relation to Applicant?
Age: Age:
Street Address: Street Address:
Town/City: Town/City:
State: State:
Zip Code: Zip Code:
Home Phone: Home Phone:
Cell Phone: Cell Phone:
Place of Employment: Place of Employment:
Nature of Employment: Nature of Employment:
Work Phone Number: Work Phone Number:
# of hours worked per day: # of hours worked per day:
Tell Us About Yourself
1. How did you hear about us?
If  "other" please explain:
   
2. Which one of these do you live in?
3. Do you Own or Rent?
 
4. What is the apt. name, phone number, landlord’s name of the complex?
 
5. Do you forsee a problem with the landlord if you foster an animal for us? Yes No
 
6. How long have you lived at your current address?
 
7. Does anyone in your home have pet allergies? Yes No
   
8. How many pets do you currently have and what types?  
 
   
9. Will this Fostered animal be a surprise for anyone in the house? Yes No
   
10. What length of time can you commit to foster an animal? (average time is two weeks to two months)
   
11. Do any of your current pets live mostly outdoors? Yes No
   
12. Are your pets spayed or neutered? Yes No
   
13. Have you ever given up a pet? If so please explain the circumstances. Yes No

If so please explain...
   
14. Please tell us who your current veterinarian is as well as their address and phone number.
Name:
Address:
Phone:
   
15. What are your pet’s names and species? (So we can ask for records at your vet)
   
16. Has a cat on your premises ever died of FIV, Feline-leukemia, or unknown causes? ...a Dog of Parvo or Distemper? Yes No
   
17. Are your pets current on their vaccinations and shots and can we call your vet to check? Yes No
   
18. Have you looked at or applied for an animal with another rescue group? If so did you adopt? Why or Why not?
   
19. Do you object to a home visit from a member of our organization? Yes No
   
20. Where will your fostered animal stay during the day?
   
21. Please list previous animal’s you have owned and where they are now.
   
22. Do you have kids in the home? If so how many and what ages? Yes No
   
23. How much time will the fostered animal be left alone?
   
24. Do you travel often? If so how often? Yes No
 
   
Will you be able to get the animal back into our care before you leave town? Yes No
   
25. Give a brief description of your experience with very young, ill, injured, and or unsocialized animals:
 
26. Describe why you would like to be a foster parent:

 
27.Do you have a fenced in yard with no gaps, holes, or needed repair? Yes No
28. Are you willing to show the animal to potential adoptors who we pre-screen or answer questions about your foster to them on the phone? Yes No
 
 
 
29. Please list the names and phone number of two personal references:
Reference1
Reference2

 
Please read the legal section carefully and enter your name below.

For and in consideration of The Dog House Rescue and Adoption, Inc. (the "Dog House Rescue and Adoption") allowing you to foster one of its animals, the receipt and sufficiency of which is hereby acknowledged, you agree as follows:


In signing this adoption agreement, you agree to provide a loving, safe and caring foster home for the animal you receive. You acknowledge that you will be fully informed to the best of your and The Dog House Rescue and Adoption, Inc. staff's knowledge, about any history, medical problems or treatments, and/or behavioral problems or issues associated with your new foster. Upon full disclosure of this information, you hereby exempt The Dog House Rescue and Adoption, Inc. and its staff or representatives from all legal damages which may be associated with such information.

You agree to allow a representative of The Dog House Rescue and Adoption, Inc. to telephone and/or visit you and your foster.


The Dog House Rescue and Adoption will not tolerate one of our rescues being put out on chains or tie outs. A backyard is a must to foster one of our dogs if over 30lbs.


Further, in signing this form, you agree that if at any time in the future, for any reason you can no longer foster and/or care for your companion properly, you will contact The Dog House Rescue and Adoption, Inc. or one of its representatives (Amelia) immediately. At that time, The Dog House Rescue and Adoption, Inc. will take back your foster for any reason, and provide shelter and care until a new foster can be found. You agree not to adopt out this animal for any reason without first notifying The Dog House Rescue and Adoption, Inc. In the event of accidental death of this animal, you agree to first notify The Dog House Rescue and Adoption, Inc. or its representative(s) immediately.

By entering your name below you are entering into a binding agreement between yourself and The Dog House Rescue & Adoption Inc. and are in agreement that all information on this form has been filled out correctly and honestly to the best of your knowledge.

 

Please choose only one of the answers below for each statement.

 
I am aware that my foster animal must never leave the Metro Atlanta area for any reason. If I leave for a trip I will call The Dog House Rescue & Adoption Staff so arrangements can be made for my fostered animal:
Yes, I agree No, I do not agree
I am aware that if an emergency situation arises I will call Amelia or Kyle before I make ANY decision for my fostered animal.
Yes, I agree No, I do not agree
I agree not to adopt out my fostered animal unless I go through The Dog House Rescue first.
Yes, I agree No, I do not agree
I agree to let a representative of The Dog House Rescue and Adoption visit my home prior to or during fostering:
Yes, I agree No, I do not agree
I understand that if I adopt an animal from The Dog House Rescue and Adoption, Inc. I am still responsible for filling out the proper adoption form.
Yes, I understand No, I do not understand
Are you able to make sure the animal you are fostering will attend at least 2 Saturday Adoptions at the PETCO in the Briarcliff Village Shopping Center?
Yes, I agree No, I do not agree
I understand that any attempt to falsify any information on this application may be grounds for denial and/or relinquishment of my fostered animal back to The Dog House Rescue & Adoption, Inc.
Yes, I understand No, I do not understand
I have read the legal section and I agree to its terms.
Yes, I agree No, I do not agree

 
Name(required) and Driver's License(optional on form only)
Name
Date
Driver's License#