Foster application

Applicant's First Name *
Applicant's Last Name *
Phone Number *
Are you a full time resident in the Coachella Valley or seasonal?	Full-time Seasonal
Drivers License Number
Street Address
City
State
Zip Code
Email Address
Alternate Phone Number
Date of Birth
How did you find out about us?	Petfinder Internet Search Family/Friend Staff/Volunteer Facebook/Twitter Other
Have you fostered animals before?	NoYes
Do you own other pets at the current time?	NoYes
If yes, are all of your pets spayed/neutered/fixed?	Yes No N/A
Are your pets current on their vaccinations?	Yes no n/a
Are you willing and able to transport animals to and from adoption events, veterinary appointments, etc.?	NoYes
Are you able to attend adoption events with your foster animals and share your experience and/or information about your foster animal(s)?	NoYes
What types of animals do you prefer to foster?	Dog Cat Neonate
Please describe your experience (if any)
I have read the foregoing and certify that the answers I have given are complete, true and not misleading in any way. I am authorizing you to contact landlords, associations and veterinarians. You are also aware that we cannot guarantee the health and temperament of the animal.	Yes No
Do you grant unrestricted usage of your image and/or name without prior notification? And, do you acknowledge that there will not be any compensation for the use of these images? Such use includes the display, distribution, publication, transmission or other use of photographs, images, and/or videos taken for the use in materials that include but not limited to printed materials such as brochures, newsletters, videos and digital images on Loving All Animals' website or social media sites.	NoYes
Foster Signature *	Clear
Date