|
| First Name |
Last Name
|
| Address |
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| City |
State
Zip
|
| Home Phone (###-###-####) |
Work Phone
Cell Phone
|
| Email |
|
|
| May we call you at work?
Yes
No
|
| Any additional information/comments about your available schedule? |
| |
|
|
| Do you live in a:
Apartment
Rental House
Own Home
Mobile Home
|
| Do you have a fenced-in yard?
Yes
No
|
|
| If there are children in the home, please list names and ages (minor children must be 5 years or older): |
| Names |
|
| Ages |
|
|
| Please list the names and relationships of other people in your home (over 18 yrs): |
| Names |
|
| Relationships |
|
|
| Part of the foster program includes a home visit, either before the animal is fostered to you, during its foster care, or both. Do you have any problems having a member of the foster care personnel visiting your home? |
Yes
No
|
|
| Routine and/or emergency vet visits to SHAS approved clinics are a part of fostering and are scheduled by the Foster Care Coordinator, when needed. Transporting the animal to/from the clinic will be the responsibility of the Foster Care Provider. Do you anticipate any availability conflicts? |
Yes
No
|
|
| SHAS holds Saturday pet adoption faires for those animals who are ready for adoption. It will be the responsibility of the Foster Care Provider to transport the animal to/from the faire location, if your animal is scheduled to attend, which you will be notified in advance. Do you anticipate any availability conflicts? |
Yes
No
|
|
| Please indicate the type(s) of animal(s) you would be willing to foster: |
|
Kittens under 8 weeks (may involve round-the-clock care and bottle-feeding-prior experience preferred)
|
|
Puppies under 8 weeks (may involve round-the-clock care and bottle-feeding-prior experience preferred)
|
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Kittens over 8 weeks
|
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Puppies over 8 weeks
|
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Adult Cats
|
|
Adult Dogs
|
|
Nursing/Pregnant Cats
|
|
Nursing/Pregnant Dogs
|
|
Special Needs Kittens or Cats (may involve dispensing of medications - prior experience preferred)
|
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Special Needs Puppies or Dogs (may involve dispensing of medications - prior experience preferred)
|
|
Semi-feral and/or under-socialized Cats (may involve intensive socialization skills - prior experience preferred)
|
|
Under-socialized Dogs (may involve intensive socialization skills - prior experience preferred)
|
|
| Do you have any prior experience in these areas? If so, please explain: |
| Preemies/Bottle-feeding |
|
| Semi-feral and/or under-socialized Cats or Dogs |
|
|
| If you have pets of your own, please list them: |
| Dogs |
|
| Cats |
|
| Other |
|
| Are your pets altered (dogs and/or cats) and current with their vaccinations?
Yes
No
|
|
I understand and agree that the animals in my care belong to Safe Haven Animal Sanctuary (SHAS) and that I am temporarily caring for them in my home. In the case that I would choose to adopt any of the animals in my care, arrangements will be made in accordance with adoption standards set forth by SHAS. I also understand and agree to turn over, at any time, any animals in my care when asked to do so by members of SHAS.
(initial)
|
|
Further, I also agree that I will not hold Safe Haven Animal Sanctuary liable in the event that any of my own cats/dogs should become ill due to interaction with foster animals. I HAVE BEEN INSTRUCTED TO KEEP ALL FOSTER ANIMALS ISOLATED FROM MY OWN PETS. If I choose to allow them to interact, and illness should arise, I will be responsible for any vet bills I may incur.
(initial)
|
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