Please Note: If you are interested in fostering DOGS, reach out to the many dog rescues in our area.
First Name *
Last Name *
Address *
City *
State *
ZIP *
Phone # *
Email
Date of Birth *
Driver's License #
Driver's License State
Do you own or rent your home? *
Own Rent Live with Parent
Housing (Check all that apply)
House Apartment Duplex Townhouse Mobile Home Fence No Fence No Yard
Name of Parent you live with
Parent Phone Number
Landlord or Leasing Agency's Name
Landlord or Leasing Agency Phone #
You and Your Household
Is there anyone under 18 years of age in this household? *
No Yes
Please list the ages of the children who live in your household
Have you owned this type of pet before? *
No: This will be the first time owning this type of pet
Yes: I have owned this type of pet in the past
Do others in your household know about and approve of you fostering a pet? *
Yes
No
Is anyone in your household allergic to animals? *
No Yes
Who will be responsible for the foster pet? *
Where will your foster be confined when you are not home? *
Do you currently have other pets at home? *
No Yes
Are they current on their vaccinations?
No Yes
Name and city of the clinic where the vaccinations were administered
Have you or anyone in your household ever been convicted Cruelty to Animals? *
No Yes
We regret that we are not able to accept those who have convictions of this type as fosters at this time.
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Have you ever been convicted of Theft? *
No Yes
We regret that we are not able to accept those who have convictions of this type as fosters at this time.
Have you ever been convicted of a Drug/Alcohol offense? *
No Yes
We regret that we are not able to accept those who have convictions of this type as fosters at this time.
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Foster Information
I would like to foster: *
Dog Cat
Age Preference: *
Bottle Babies Teenager (3-7 months) Young Adult (8-18 months) Adult Senior
Size (dog):
Small (< 25 lbs) Medium (25-49 lbs) Medium-Large (50-69 lbs) Extra Large (>=70 lbs)
Health: *
Limited Activity- Injured/Medical Issues Good - No conditions that restrict care
Training Needs: *
Potty-training is considered a part of standard foster responsibility
*High Need - Will teach guidance *Modest Need - Not coping well in shelter *Low Need - Help adjust to home environment
List any breed insecurity:
Please list any relevant animal care experience.
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. I am also aware that the Springdale Animal Shelter cannot guarantee the health and temperament of any animal at this facility.
Signature: *
Foster Agreement
1. I fully understand that the SAS makes no guarantees whatsoever as to the health, temperament, mental disposition and training of the animal(s) and understand that any comment that an animal may be good with children or other animals or is housebroken is based upon information by previous owners or observation in the shelter and not a guarantee.
Initial that above statement is understood: *
2. I understand that I will communicate any questionable temperament of the foster animal to SAS and I will abide by any decision SAS makes regarding the foster animal.
Initial that above statement is understood: *
3. I will provide proper and sufficient food and water, shelter, socialization and kind treatment. I agree to bath/groom, keep flea and tick free, exercise and socialize the foster animal(s) as appropriate. I agree to never hit, kick or abuse the animal in any way. I shall not leave the animal(s) unsupervised outside and shall comply with all city, state and federal laws relating to animals. I also understand that I shall provide the above-described services without monetary compensation from the SAS.
Initial that above statement is understood: *
4. I will immediately (or have a representative immediately) notify SAS and willfully return all SAS foster animals to SAS, if for any reason I am unable to care for or am displaced from my home.
Initial that above statement is understood: *
5. I agree to contact SAS immediately, and provide transportation at any time, should veterinary medical care be needed for the animal(s). SAS works with veterinarians that are familiar with shelter medicine. If the foster animal needs medical care of any kind, I have the option to contact the designated SAS staff member immediately and to follow their instructions. Foster animals may go to a foster volunteer’s personal vet at the cost of the Foster Volunteer. However, SAS staff MUST be notified of said medical care and SAS has final say of further medical attention. I will dispense all medication and provide medical attention as directed by SAS staff.
Initial that above statement is understood: *
6. I agree that I will not place the foster animal(s) in a dangerous situation (e.g. riding in an open pick-up
truck or left unattended in a car). I agree that I will not use chains or other devices to tether the animal as
a means of confinement. I agree that I will keep all foster dogs and puppies in a secure area, and that I
will not allow the dogs and puppies off-leash except in a secure, monitored fenced area of my property. I
agree to provide adequate exercise and socialization for the foster animals.
Initial that above statement is understood: *
7. I agree that I will not place the foster animal(s) in a dangerous situation (e.g. riding in an open pick-up truck or left unattended in a car). I agree that I will not use chains or other devices to tether the animal as a means of confinement. I agree that I will keep all foster dogs and puppies in a secure area, and that I will not allow the dogs and puppies off-leash except in a secure, monitored fenced area of my property. I agree to provide adequate exercise and socialization for the foster animals.
Initial that above statement is understood: *
8. I agree that I will keep all foster cats and kittens indoors at ALL times.
Initial that above statement is understood: *
9. I agree to keep SAS updated with analysis of the foster's personality, temperament and any potential adoption leads. If adoption events are offered, I will attend at least one adoption event every month with my foster. If I'm unable to attend events or unable to gain adoption interest in my foster within two months (except for nursing or bottle babies and moms or an animal SAS deems not able to attend), I will surrender the foster animal to SAS if requested.
Initial that above statement is understood: *
10. I understand and agree that City of Springdale Animal Services and its Animal Shelter will not be liable for any future injury, damage, or illness that may be caused by this animal. All of the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying information on this agreement or non-compliance with any of its terms at any time during the foster process may disqualify me for eligibility as an Animal Foster Volunteer.
Initial that above statement is understood: *
11. Foster Volunteers are encouraged to assist in the placement process of their foster animal(s) and input is valued regarding prospective homes, however SAS will make the final decision regarding the placement of the foster animal(s). I understand that if a potential home is found, the animal must remain in the custody of the Foster Volunteer or the custody of SAS until the new adopter has finalized the adoption paperwork at SAS.
Initial that above statement is understood: *
12. If I fail to abide by the terms of this Agreement or otherwise fail to satisfy SAS's requirements, as determined by SAS in its sole discretion, I will be released from the Animal Foster Program, and all SAS animals will be returned to SAS within 24 hrs. If animals are not returned within 24 hrs, SAS reserves the right to remove the animals from the foster volunteer’s property.
Initial that above statement is understood: *
I have read and understand each of the above conditions. My name below indicates that I agree to comply with these conditions.
Signature: *
