FOSTER’S INFORMATION	             FOSTER APPLICATION
NAME:                                                                                                             DOB:         	
STREET ADDRESS:	
CITY, STATE, ZIP CODE:	
DRIVER’S LICENSE:                                                                                         DL STATE:	
EMAIL:	
HOME #:                                            CELL #:                                            WORK #:                	
PERSON TO CONTACT IN CASE OF AN EMERGENCY:
NAME:                                                                                        PHONE #:	

WILLING TO FOSTER:
DOGS / PUPPIES                    CATS  /KITTENS
LIVING ARRANGEMENTS:
OWN HOME		OWN APARTMENT		RENT HOME		RENT APARTMENT      
OTHER: ____________________________________
IF RENTING, PLEASE PROVIDE LANDLORD’S NAME AND PHONE: 
NAME: _______________________________________ PHONE: ________________________________
DO YOU HAVE A FENCED-IN YARD?        YES / NO     TYPE OF FENCE: _____________________________
ARE THERE ANY SLATS/OPENINGS THAT COULD ALLOW A SMALL DOG TO GET IN/OUT?     YES / NO
ALL FOSTERED CATS WILL BE INDOOR CATS ONLY, WILL YOU BE ABLE TO PROVIDE AN INDOOR HOME?     YES     /     NO

PLEASE LIST ALL PERSONS LIVING WITH YOU: (IF NONE, WRITE N/A)
NAME:	AGE:	RELATIONSHIP:	

			
			
IS EVERYONE IN YOUR HOME AWARE THAT YOU HAVE APPLIED TO FOSTER?          YES          NO
IS EVERYONE AGREEABLE TO HAVING A FOSTER AT HOME?          YES          NO
IF NO, PLEASE EXPLAIN: _________________________________________________________________
_____________________________________________________________________________________

ANIMAL CARE: PLEASE LIST ALL ANIMALS LIVING WITH YOU: (IF NONE, WRITE N/A)
NAME:	AGE:	BREED:	SPAYED/
NEUTERED	DATE OF LAST VACCINATIONS	

					

VETERINARIAN NAME: __________________________________________________________________
CITY/ STATE: _______________________________________ PHONE #: __________________________
FOSTER LIFE:
HOURS PER DAY THAT FOSTER(S) WILL BE LEFT ALONE: (PLEASE CIRCLE)
DURING THE WEEK:     LESS THAN 4 HOURS     4-8 HOURS     8-10 HOURS     MORE THAN 10 HOURS
DURING THE WEEKEND:     LESS THAN 4 HOURS     4-8 HOURS     8-10 HOURS     MORE THAN 10 HOURS
WHILE LEFT ALONE, FOSTER(S) WILL BE:
INDIVIDUAL CRATE     SHARED CRATE     IN A RESTRICTED AREA OF HOME
FREE TO ROAM (BACK YARD /HOUSE )     OTHER (PLEASE EXPLAIN): ______________________________
DO YOU UNDERSTAND THAT SOMETIMES A COMPLETE HISTORY AND TEMPERAMENT OF A RESCUE DOG/CAT MAY NOT BE KNOWN? YES / NO / I ONLY WANT TO FOSTER A DOG/CAT WITH A KNOWN HISTORY

ARE YOU ABLE TO TRANSPORT FOSTER TO VET AND ADOPTION EVENTS:          YES          NO
DO YOU HAVE ANY CONCERNS ABOUT FOSTERING? IF SO, PLEASE EXPLAIN: ______________________
_____________________________________________________________________________________
_____________________________________________________________________________________
BY SUBMITTING THIS APPLICATION, I AFFIRM THAT THE FACTS SET FORTH IN IT ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT IF I AM ACCEPTED AS A FOSTER, THAT I AM NOT THE RIGHTFUL OWNER OF THE DOG/CAT AND ANY MEDICAL DECISIONS/REHOMING DECISIONS WILL BE MADE BY GIMME LOVE ANIMAL SHELTER. I UNDERSTAND THAT ANY FALSE STATEMENTS, OMISSIONS OR OTHER MISREPRESENTATIONS MADE BY ME ON THIS APPLICATION MAY RESULT IN AN IMMEDIATE TERMINATION OF THE FOSTER CONTRACT AND THE FOSTER DOG/CAT TO BE RETURNED. GIMME LOVE ANIMAL SHELTER SHALL BE HELD HARMLESS FROM AND AGAINST ANY AND ALL CLAIMS AND DAMAGES OF EVERY KIND, FOR INJURY TO ANY PERSON AND PERSONS AND FOR DAMAGES TO OR LOSS OF PROPERTY, ARISING OUT OF OR ATTRIBUTED TO, DIRECTLY OR INDIRECTLY, THE OPERATIONS OR PERFORMANCE OF THE ABOVE NAMED FOSTER UNDER THIS AGREEMENT, INCLUDING CLAIMS AND DAMAGES ARISING IN WHOLE OR PART FROM THE NEGLIGENCE OF GIMME LOVE ANIMAL SHELTER. I AGREE TO NOTIFY GIMME LOVE ANIMAL SHELTER OF ANY INJURIES SUCH AS ILLNESS, ESCAPES, INJURIES OR ANY CONCERNS PERTAINING TO MY FOSTER AS SOON AS POSSIBLE.
IF YOU BECOME A FOSTER FAIL AND CHOOSE TO ADOPT YOUR FOSTER, YOU WILL BE REQUIRED TO PAY THE ADOPTION FEE TO THE SHELTER, BEFORE THE ANIMAL WILL BE RELEASED TO YOUR CUSTODY.

FOSTER SIGNATURE:__________________________________________________DATE:____________________

GIMME LOVE ANIMAL SHELTER:_________________________________________ DATE:____________
 REPRESENTATIVE SIGNATURE