Foster Application

Foster Application
Type of animal you are willing to foster *	Adult Dogs Teen Dogs Puppies Mom Dogs with Puppies Puppy Bottle Feeder Shy Dogs Shy Puppies Dogs/Puppies with Behavioral Issues Dogs/Puppies with Medical Needs Doggy Day Out Adult Cats Teen Cats Kittens Mom Cats with Kittens Kitty Bottle Feeder Shy Cats Shy Kittens Cats/Kittens with Behavioral Issues Cats/Kittens with Medical Needs
Other Animal
Applicant Information
Applicant's First Name *
Applicant's Last Name *
Secondary Applicant First Name
Secondary Applicant Last Name
Street Address *
City *
State *
Apartment Number (if applicable)
Zip Code *
Phone Number * Please use the following format 248-555-1212
Email Address * Please enter correctly as this is the main way we will contact you
Alternate Phone Number
Date of Birth *
Drivers License Number *
Emergency Contact *
Emergency Contact Phone Number *
How did you find out about us?
Previous Experience with Animals
Do you have fostering experience? *
If yes, what kind of experience, when, and for what group?
Do you currently have pets in your home? *
If yes, please list their names, breeds, and ages.
If no, please explain why.
If you have pets, will they adjust to a new pet in the house? *
Are all of your pets spayed/neutered/fixed? *
Are your pets current on their vaccinations? *
Do any of your pets have behavior issues? *
If yes, please explain their behavior issues.
Do any of your pets have health issues? *
If yes, please explain their health issues.
Have you ever turned a dog or cat into a shelter? *
If yes, please explain.
Veterinarian's Name * If you have never owned a pet please tell us where you would go.
Veterinarian's Address, City, State, and Zip Code Again if you have never owned a pet please list where you would go
Veterinarian's Phone Number
Have you ever had a pet euthanized? *
If yes, please explain.
Has your home ever been exposed to Parvovirus? *
If yes, when and what was done to clean the home?
Please list the main reasons you would like to foster an animal. *
Do you own or rent your home? *
Please select your current residence type. *
If you answered "other" above, please explain here.
How long have you lived at this address? *
If you rent, does your landlord and lease allow pets? *
Including yourself, how many people live in your household? *
Please list the ages & relationship of those who live in your home. *
Is everyone in your household aware that you are planning to foster a pet? *
Does anyone in your household have allergies to dogs/cats? *
Employment Status *
If you chose "other" above, please explain.
If you are employed, what is your current occupation? *
On average, how many hours per day will your foster pet(s) be left alone? *
Will the foster be predominantly living inside, outside, or both? *
Please provide a description of this pet's living conditions.
Do you have a completely fenced-in yard? If so, what kind of fence? *
If you answered "other" above, please explain.
If you do not have a fenced yard, how will you let the animal out? *
Are there times when the animal will be tied/chained up? *
Where will the animal sleep? *
If you answered "other" above, please explain.
Will the animal spend any time in the garage? *
If the animal will spend time in the garage, please explain when/why.
Do you have a pool? *
Is there a fence around the pool? *
What kind of fence do you have around your pool?
If you answered "other" above, please explain.
How will you handle housebreaking? *
How will you handle destructive behavior? *
Are you willing to take the necessary steps to keep the animal(s) up-to-date on vaccinations and other medical necessities? *
If no, please explain.
Are you willing and able to exercise a dog on a regular basis? *
If yes, what is the method of exercise?
If you answered "other" above, please explain.
Have you ever been convicted of abuse or neglect of a child or animal? *
If yes, please explain:
If you drive a pick up truck, would you allow the animal to ride in the back/bed? *
What arrangements will you make for the care of your pets in case of an emergency?
If you answered "other" above, please explain.
What will you do with the animal when you go on vacation?
If you answered "other" above, please explain.
Will you allow us to perform home checks? *
References
Professional Reference: *
Professional Reference Occupation: *
Professional Reference Phone Number: *
Second Professional Reference:
Second Professional Reference Occupation:
Second Professional Reference Phone Number:
Personal Reference: *
Relationship to Personal Reference: *
Personal Reference Phone Number: *
Second Personal Reference: *
Relationship to Second Personal Reference: *
Second Personal Reference Phone Number: *
Do you think we should know anything else about you or the home you can provide for a foster pet?
Foster Agreement
1. I understand that by voluntarily signing this agreement, I am entering into a legal and binding contract with Rescue. I understand that any misrepresentations in my application or this agreement are cause for Rescue to declare this agreement in breach, request immediate return of foster pet, and termination from the foster program.
2. I (hereinafter referred to as "Foster") agree to care for the animal(s) SDR places in my care, hereinafter referred to as "Pet" with the understanding that Foster will provide temporary shelter and care for Pet who currently has nowhere else to live. SDR may ask me to execute a specific Foster Pet Placement Acknowledgement as proof of receipt of the Pet(s), and if so, I will execute it upon request. I agree that this Foster Agreement will apply to any and all foster Pets that are transferred to my care. Rescue will continue to look for a permanent home for Pet, but fostering keeps Pet safe, and provides comfort and security, until he/she can be adopted. I understand that I will not be compensated for this service, other than being provided the essential items and veterinary care needed while Pet is in Foster’s care subject to the provisions below.
3. I understand and agree that Pet is the property of Rescue. I do not have any ownership of Pet; all such rights remain fully with Rescue while Pet is in my care. Pet shall not be sold, given to, placed in the care of, offered or delivered for adoption to another person, organization or any other entity including, but not limited to, a family member, friend, rescue facility, research facility, or shelter. Pet must be returned to Rescue if, for any reason, Foster can no longer care for Pet or Rescue requests Pet be returned. In the event I wish to adopt my foster pet, I understand that I will have to go through the same adoption application process as any other potential adopter.
4. I understand and agree to adhere to all relevant zoning and animal control codes and ordinances, whether local, county or state statutes regarding possession of Pet. If I am charged with violating any such ordinance or statute while in possession of Pet, I understand that Rescue is not responsible for obtaining legal counsel for me or for paying any fines or penalties assessed. I will notify Rescue immediately if I am advised that I may be in violation of any animal control or zoning ordinances.
5. I understand that regardless of animal control ordinances or zoning, no more than eight dogs or cats may be housed in any foster home at any time per PACFA rules. A female dog with puppies under 8 weeks of age or a queen with kittens under 8 weeks of age will be considered one adult. I understand this limitation of eight cats or dogs includes my own pets as well as foster pets. I will notify my Foster Coordinator when any puppies or kittens in my care reach seven weeks of age.
6. I agree to provide a foster home for a period of weeks from time of placement. The Foster arrangement may be re-evaluated at any time to determine if the Foster Agreement will continue.
7. I understand that Rescue reserves the right at any time for any reason to request that Pet be returned to the Rescue. If this request is not met within 24 hours, I understand the appropriate legal authorities will be contacted, and legal action may be taken against me to recover possession of Pet. Rescue may show this agreement to any law enforcement agency as proof that I do not own Pet and law enforcement may cite me with theft for refusing to return Pet toRescue.
8. I agree to follow and abide by all of SDR’s rules, regulations, recommendations and policies.
9. Pet’s known background and medical history will be discussed with me. I understand that Rescue has made no representation concerning the health, condition, training, behavior, or temperament of the Pet. I acknowledge that the Pet is placed with me “as is” and that no implied or expressed warranties have been made by SDR in reference to breed, health, training or temperament of Pet. I understand that any description of breed is a guess and I have been advised to have DNA testing done at my expense prior to placement of Pet if there is a question about whether breed restrictions apply to Pet.
10. I will be professional and respectful in my dealings with Rescue and with the general public. If at any time should I wish to withdraw from this program, I will provide the Foster Coordinator with at least 72 hours’ written notice to transfer Pet to another foster home. If a Pet is not adapting in my home I will notify Rescue so Rescue can arrange another foster home. I will transport Pet to Rescue at an agreed upon location or to the replacement foster home.
11. I agree to contact my Foster Coordinator immediately in the case of: aggression, emergencies (Foster or Pet related), medical issues or a lost foster animal.
12. I agree to update my information with Rescue accordingly regarding: new animals in the home, new children in the home, moving, personal information changes, vacations, etc. I will immediately notify the Rescue of any change of my contact information (address, phone number(s), or email address).
SDR will purchase any licenses required by County or local authorities for Pet, but I must advise my Foster Coordinator if these are required.
14. I agree to provide Pet with a calm, loving, healthy environment and will use only positive reinforcement techniques in training and correcting behavior. Pet will be treated as a family member with loving care and affection. I will do my best to ensure Pet’s safety andwell-being.
15. I understand and agree that the name of Pet may not, under any circumstances, be changed. Name may only be changed by an Adopter after successful completion of screening and the execution of an Adoption Contract. Foster agrees that Pet will be called by the name given by Rescue at all times.
16. I understand that the Rescue will provide me with food, toys, crates, pee pads or any other items it deems necessary to properly care for Pet. I will notify Rescue when I need more items. I understand I will not be reimbursed for items that I purchase myself. I agree to return any property owned by Rescue upon request or will be liable for the replacement cost of the same.
17. I understand and agree that ANY non-emergency veterinary care for Pet must be approved bymy Foster Coordinator PRIOR TO charges being incurred. All veterinary authorizations must be made by an authorized agent of Rescue; no other individual is authorized to make authorization for any veterinary care. I agree to bring Pet to a veterinarian of Rescue's choosing. I agree to abide by the decision of Rescue in regards to authorizing any medical care for Pet, including the denial of such authorization. Should I not get a reply to email, call or voicemail within 24 hours, I will contact Rescue again as both means of communication can be affected by forces not under Rescue's control.
18. In the event of a life or death emergency, Pet is to be immediately treated and I agree to notify my Foster Coordinator as soon as possible or within 24 hours. If the attending veterinarian feels the condition of or injuries to said Pet are not conducive to reasonable recovery or quality of life for Pet and Pet is suffering, Pet is to be humanely euthanized. All emergency veterinary records and bills submitted for reimbursement must be in the name of Rescue and reflect the name of Pet as stated in the Foster Pet Placement Acknowledgement. Bills that do not reflect both items will not be reimbursed by Rescue. Foster should take a copy of this contract to the Veterinarian to ensure that all records are in Rescue's name. I understand and agree that any non-emergency veterinary care will not be reimbursed and I will be responsible to pay those charges.
19. I agree to give Pet all required medications or treatments as needed and prescribed by the veterinarian and to accurately log those on a PACFA Animal Medical Record (to be supplied by Rescue).
20. If it is determined that Pet has become ill or injured as a result of my negligent or unreasonable conduct, I will reimburse Rescue for any and all expenses incurred to return the Pet to health or to treat injuries.
21. I agree to take Pet to Rescue adoption events when it is reasonably convenient for me. If I cannot attend an adoption event, I will coordinate with SDR volunteers to arrange transport for my foster pet to and from the event if possible. If I cannot take Pet to adoption events, I may be asked to return the Pet to Rescue.
22. I will feed Pet at least twice a day and provide a fresh supply of water at all times.
23. Pet will live inside my home and will not be isolated from the family. I agree to keep Pet indoors at not allowed to roam or be unattended outside.
24. I understand that while Rescue’s Pets are typically affectionate and friendly, and Rescue will not place a Pet known to be of an unsound temperament, no one can predict how any Pet will react in a given situation, especially without complete knowledge of its life experiences. Therefore, Foster is strongly urged to exercise prudence and caution in introducing Pet into a new situation (for example dog parks, stores, groomer, vet, other homes and meeting other animals) until Pet has become fully adjusted to its new environment and Foster has had an opportunity to become familiar with Pet’s unique personality. Foster accepts all responsibility and liability for all interactions with people and other animals.
25. I will attach personal identification tag to a non-choke collar to be worn at all times. This includes a name tag with my address and phone number and any identification provided by SDR. In the event Pet becomes lost; I will immediately notify my Foster Coordinator.
26. I understand and agree that any animal control agency will release the Pet back to SDR if Pet is found running at large or is brought to a shelter facility for any reason and agree to reimburse Rescue for any fees paid to get the Pet back. I understand that Rescue may not return Pet to my care if there has been a breach of this agreement including the Pet being impounded for any reason.
27. Pet’s microchip will have Rescue's contact information (address, phone number, or email address). I agree not to remove or alter Rescue’s contact information from Pet’s microchip. In the event the microchip stops working (backs out after implantation, microchip cannot be found with microchip scanner) I agree to notify Rescue without delay so that a new microchip can beimplanted.
28. I agree Pet will be transported inside a carrier/crate and will not be allowed loose in a vehicle. Pet will not be transported in the back of an open truck.
29. Pet will not remain in vehicles unattended or unsupervised for extended periods of time, especially during cold or hot weather.
30. I agree Pet will not be crated for more than 3-4 hours at a time, except while sleeping overnight, if needed. Crating will not be used as punishment for Pet. The crate must be large enough for Pet to stand up, turn around and lay comfortably on his/her side.
31. I agree Pet will always be under my control and supervision either on leash or in the confines of my property, but I agree that I will never tie up or tether Pet.
32. I agree that Pet will not remain overnight in the care of anyone other than myself. I will notify SDR if I need temporary care for Pet.
33. If Pet requires behavioral training, Foster will accommodate SDR in scheduling and coordinating training sessions.
34. I will not abuse or neglect the Pet or allow it to be abused or neglected. I authorize Rescue, at its sole discretion, to determine whether or not Pet has been abused or neglected while in my possession. I will not allow any physical, mental, or emotional abuse of the Pet.
35. I affirm that no member of my household has been convicted or charged with any animal welfare law violation such as neglect, cruelty, abandonment, etc. I affirm that no member of my household has been convicted or charged with any domestic battery, child abuse, drug related or sex crime. I affirm that I have not been charged with or convicted of any drug or alcohol related offences. I affirm that I have a valid Colorado Driver’s License and a working vehicle. I will immediately notify my Foster Coordinator if this changes while I am a foster.
36. I am taking possession of Pet at my own risk and I release Rescue, its officers, directors, members, employees, representatives, agents or assigns from any and all liability arising out of possession of Pet. I hereby release Rescue and its officers, directors, agents and representatives and agree to indemnify and hold same harmless from any and all actions, causes of action, suits, debts, dues, accounts, covenants, agreements, judgements, claims and demand of any nature whatsoever arising out of my foster of a Pet from Rescue.
37. I acknowledge that Rescue may not be held liable should Pet bite or injure a person or another animal while in my possession. I accept full liability for the Pet while in my care, recognizing the potential issues that may arise with any animal. In the event law enforcement impounds Pet for any reason, I agree to accept any criminal complaint or summons for actions of Pet that happened while in my possession or control. I will immediately notify my Foster Coordinator of such charges and will cooperate with SDR to resolve the charge in the best interest of Rescue and Pet.
38. I agree that Rescue will not be held liable for any damage or loss resulting from the failure of Pet to respond to any commands taught to Pet or resulting from counseling advice supplied to Foster. In the event any behavioral concerns arise, Foster will immediately notify Rescue. Should any behavior of ©2017ThePicconeLawFirm,LLCallrightsreserved Pet result in damage to property, Foster, or another person or animal while in my possession, I agree to assume full liability to such third party for any and all such damage, and to absolve Rescue from any and all obligations to pay such damage to third party.
39. I agree that Rescue shall not be responsible for any bodily injuries or property damage and/or damage to other animals caused by Pet or by the actions of Foster. I hereby specifically assumes sole responsibility for, and agrees to indemnify and hold Rescue harmless from any and all loss and expenses (including legal fees) by reason of liability imposed by law upon the Rescue or any of its officers, directors, members, employees, representatives, agents, or assigns because of bodily injuries or death to any person or persons including Foster or those in Foster’s household, or any damage to property and/or animals arising out of or in consequence of the placement of Pet howsoever such injuries, death or damage to property and/or animals may be caused, whether or not the same may have been caused, or may be alleged to have been accused, by negligence of the aforementioned parties or any of their directors, members, employees, representatives, agents, or assigns or any other person.
40. I acknowledge and agree that animal bites or other injuries to humans and other animals do occur and that all animals can carry and transmit parasites, diseases, including zoonotic diseases that can be transferred from animals to humans. I understand that Rescue will not be responsible for the transmission or transfer of any disease or parasite to other animals or people in the fostering household and no attempt will be made by me or anyone on my behalf to hold Rescue responsible.
41. I acknowledge that breach of this agreement may result in travel costs, court costs and attorney fees payable by me if legal action or travel is necessary for Rescue to recover Pet. I understands that Pet has intrinsic value and is not replaceable, so if Pet is euthanized, lost or otherwise unable to be returned to the Rescue, I may be found in breach of this agreement and will be subject to pay liquidated damages to the Rescue in the amount of $2,500.00 in addition to all attorney's fees and costs and actual damages incurred as a result of the breach.
42. I agree that any legal action pertaining to this agreement shall be heard in Arapahoe Court (or its small claims division), Colorado or in the county of my residence, as selected by SDR. In the event Rescue has to file a replevin action to recover possession of Pet, I voluntarily waive my right to attend a show cause hearing under Colorado Rule of Civil Procedure 411 and agree that the Court has the authority to issue a pre-judgement order of possession of Pet to the Rescue without the necessity of posting a bond.
I agree to all 42 of the statements listed above. *
Home Visit The State of Colorado requires we do a home check for all new fosterers. We are requesting photos of your home and the areas where foster pets will spend time to prepare our home checkers for their visit and to keep as a reference in your profile.
A clear view of your living room. *
A clear view of your kitchen. *
A clear view of your backyard. *
Additional Photos
Additional Photos
Additional Photos
Additional Photos
Signatures
I affirm that the information provided is true and accurate to the best of my knowledge and belief. I understand that any misrepresentation may be grounds for terminating me from SDR’s foster program if this application is accepted and any animal fostered pursuant to this application must be immediately returned to the Rescue. I understand that my application may be denied for any reason or no reason. I understand that all foster pets are owned by Soul Dog Rescue and in no way will I have any legal entitlement to any foster pet. In the event I wish to adopt my foster pet, I understand that I will have to go through the same adoption application process as any other potential adopter. *
I understand that by typing my name below, my typed name will serve as my electronic signature: *
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 you cannot guarantee the health and temperament of the animal. *

Foster Application

Foster Application

Applicant Information

Previous Experience with Animals

References

Foster Agreement

6. I agree to provide a foster home for a period of weeks from time of placement. The Foster arrangement may be re-evaluated at any time to determine if the Foster Agreement will continue.

8. I agree to follow and abide by all of SDR’s rules, regulations, recommendations and policies.

11. I agree to contact my Foster Coordinator immediately in the case of: aggression, emergencies (Foster or Pet related), medical issues or a lost foster animal.

12. I agree to update my information with Rescue accordingly regarding: new animals in the home, new children in the home, moving, personal information changes, vacations, etc. I will immediately notify the Rescue of any change of my contact information (address, phone number(s), or email address).

SDR will purchase any licenses required by County or local authorities for Pet, but I must advise my Foster Coordinator if these are required.

14. I agree to provide Pet with a calm, loving, healthy environment and will use only positive reinforcement techniques in training and correcting behavior. Pet will be treated as a family member with loving care and affection. I will do my best to ensure Pet’s safety andwell-being.

15. I understand and agree that the name of Pet may not, under any circumstances, be changed. Name may only be changed by an Adopter after successful completion of screening and the execution of an Adoption Contract. Foster agrees that Pet will be called by the name given by Rescue at all times.

19. I agree to give Pet all required medications or treatments as needed and prescribed by the veterinarian and to accurately log those on a PACFA Animal Medical Record (to be supplied by Rescue).

20. If it is determined that Pet has become ill or injured as a result of my negligent or unreasonable conduct, I will reimburse Rescue for any and all expenses incurred to return the Pet to health or to treat injuries.

22. I will feed Pet at least twice a day and provide a fresh supply of water at all times.

23. Pet will live inside my home and will not be isolated from the family. I agree to keep Pet indoors at not allowed to roam or be unattended outside.

25. I will attach personal identification tag to a non-choke collar to be worn at all times. This includes a name tag with my address and phone number and any identification provided by SDR. In the event Pet becomes lost; I will immediately notify my Foster Coordinator.

28. I agree Pet will be transported inside a carrier/crate and will not be allowed loose in a vehicle. Pet will not be transported in the back of an open truck.

29. Pet will not remain in vehicles unattended or unsupervised for extended periods of time, especially during cold or hot weather.

30. I agree Pet will not be crated for more than 3-4 hours at a time, except while sleeping overnight, if needed. Crating will not be used as punishment for Pet. The crate must be large enough for Pet to stand up, turn around and lay comfortably on his/her side.

31. I agree Pet will always be under my control and supervision either on leash or in the confines of my property, but I agree that I will never tie up or tether Pet.

32. I agree that Pet will not remain overnight in the care of anyone other than myself. I will notify SDR if I need temporary care for Pet.

33. If Pet requires behavioral training, Foster will accommodate SDR in scheduling and coordinating training sessions.

34. I will not abuse or neglect the Pet or allow it to be abused or neglected. I authorize Rescue, at its sole discretion, to determine whether or not Pet has been abused or neglected while in my possession. I will not allow any physical, mental, or emotional abuse of the Pet.

Home Visit

The State of Colorado requires we do a home check for all new fosterers. We are requesting photos of your home and the areas where foster pets will spend time to prepare our home checkers for their visit and to keep as a reference in your profile.

Signatures