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Foster Application
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Foster Animal Preferences
*
select all that apply
Puppies
Kittens
Adult Dogs
Adult Cats
Senior Dogs
Senior Cats
Would you take an animal that has special medical needs?
Yes
No
Are you OK with administering medications?
Yes
No
Are you available to transport your foster to veterinary or grooming appointments?
Yes
No
Adults living in home
Primary - Name
*
Age
*
Email
*
Phone Number
*
Place of Employment
*
Please list ALL other adults, age 18+ (click + button at right to add more names)
Full Name
Email
Phone
Place of Employment
Relationship
Age
Add
Remove
Who will be responsible for this animal?
Home Address (where the pet will be living)
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Your Home - do you...
*
Own
Rent
Live with parents, relative, or guardian
If renting, does your landlord/rental agency allow pets?
*
Yes
No
Landlord's Name
Landlord's Phone # or Email address
We will be contacting your landlord to confirm that you are permitted to have a dog in your rental property. Please check the box to confirm that you understand we will be making this contact.
I confirm
How long have you lived at your present address?
Do you anticipate moving within the next six months?
Do you have children at home?
*
Yes
No
Are they used to animals?
Yes
No
List ALL children in the home
Name
Age
Add
Remove
Is anyone allergic to animals?
Yes
No
Do all adult members of the household know that you plan to foster a dog?
Yes
No
How many hours per day will this pet be alone? (without human companionship)
Where will this dog be during the day?
At night?
Will this dog be allowed indoors?
Where will this dog sleep?
When this animal is outside, will it be
In a fenced yard
On a leash
Allowed to run loose
Chained
Other
If other, please specify
If the yard is fenced, will it safely confine this animal?
*
Yes
No
Type of fence
Height
What kind of outside shelter will be provided?
Would you allow our representative to see this animal in its new home?
Yes
No
Pet History - Current & Past
List all pets you CURRENTLY own, living in the home AND that you have had in the last 7 years (living, deceased, rehomed)
Name
Dog or Cat
Breed
Age
Male or Female
Indoor or Outdoors
Spayed/Neutured
Add
Remove
Are all your pets current on their vaccinations?
*
Yes
No
If no, why?
Name your veterinarian/clinic
*
Phone number of veterinary clinic
*
Please check off what reasons you would return a foster dog back to our rescue:
*
Moving
Human Health Concerns
New Baby
Pet Escaping
Work Needs
Doesn't Get Along with Children
Behavioral problems
Too time consuming
Shedding
Housebreaking problems
Not getting along with other pets
References
Please provide THREE references - may include family, friends, neighbors or co-workers. Include EMAIL address.
Name
Email
Relationship Type
Name
Email
Relationship Type
Name
Email
Relationship Type
Please upload photos of house and yard (at least 4 images)
You can text photos at 425-280-0502, or email them to Jennifer@save-a-mutt.org
Drop files here or
Select files
Accepted file types: jpg, gif, png, Max. file size: 8 MB.
How did you hear about Save-A-Mutt?
Is there any other information you would like us to know in regards to adopting from Save-A-Mutt?
Foster Requirements
The foster home represents that no member of its household (permanent or temporary) has been charged with cruelty to animals. The foster home agrees to accept the following conditions and restrictions in order to be eligible as a foster home for Save-A-Mutt (SAM). In order to foster for SAM, adult members of the household (i.e. partners, spouses, children 18 and over) must agree to the conditions found within this contract.
Experience
*
The foster home represents that it has a reasonable working knowledge of the proper care and humane treatment of animals.
I agree
Daily Care
*
The foster home agrees to provide the foster animals with sufficient food, water, exercise, socialization, obedience training, competent vet care as scheduled by SAM (including transport to the vet), prompt vet care in case of illness or accident, and medications as prescribed (if necessary). The foster home will also provide the care and attention necessary to ensure the animal adapts to their new temporary home. Obedience training and crate training may be just a few of the tools necessary to help the foster adjust.
I agree
Reimbursement
*
The foster home will be reimbursed for any medical, training or other previously approved expenses that may occur during the foster period. Payment will be made to the foster home by SAM. All foster homes will provide legitimate receipts for proof of payment to SAM and fill out any forms required to receive payment. Any routine or ordinary expense will require pre-approval prior to treatment. In an emergency situation, the foster home must notify an SAM representative at the earliest possible time. Foster homes are NOT reimbursed for food, toys, treats and crates. Those items may be available at no cost to the foster family upon request.
I agree
Housing Requirements
*
No SAM animal will be left outside at night, tied out unattended or placed in any situation where physical harm could come to them. The foster home agrees to give the foster dog proper exercise (whether in a fenced area or on a leash) to maintain its health. All foster cats must be kept indoors. If the foster animal is lost or stolen, the foster home will immediately notify SAM and assist in attempts to recover the animal.
I agree
Health/Temperament
*
The foster home understands that SAM may have limited knowledge of the health or temperament of the foster animal and agrees that it will hold SAM (and any other entity affiliated with SAM, i.e. volunteers, animal hospitals and their staff, etc.) harmless in the event the foster animal is responsible for any injury, property damage, illness (including spread to other pets within the household) or for any harm to any person(s) who may come in contact with the foster animal while it is under the care of you as a foster parent. While SAM will attempt to see that the foster dog is compatible with the foster home, SAM does not warrant the foster animals temperament or behavior in any way. The foster home will also notify SAM immediately should any problems occur with the foster animal. (i.e. incompatibility, medical issues, behavioral changes, etc.)
I agree
Bites
*
The foster home agrees that it will report to SAM any bite (whether inflicted on a human or another animal) within 12 hours of the incident. The foster home will abide by the decision of SAM as to the disposition of the rescue animal should a bite occur.
I agree
Change of circumstances
*
The foster home agrees that it will notify SAM immediately of any upcoming change of address or telephone number. The foster home will also provide a copy of the lease (if the property where the foster animal housed is rented) stating that the said foster family has permission from the landlord/leasing agent to house a foster animal of that said type.
I agree
Foster Failure
*
SAM recognizes that sometimes foster families want to adopt their foster animal. With approval, foster families may adopt their charges.
I agree
Ownership
*
The foster home may not give, lease, sell or otherwise transfer custody of the rescue animal to anyone while it is under the foster homes care. SAM will retain ownership of all foster dogs and will make final decisions (with the input of the foster home) regarding adoption or euthanization. The foster home also agrees that SAM may make visits to the foster home to check on the foster animal status. Should SAM decide that the foster animal requires any behavioral training or medical attention, the foster home agrees to abide by SAM’s decision(s) or return the animal.
I agree
I/we further agree to hold SAM or any individuals associated with SAM harmless and to indemnify such organizations or individuals for any damages or costs resulting from liability; known or unknown, anticipated or unanticipated, as a result of the rescue animals during its foster care stay with me/us.
Date
*
Month
Day
Year
Foster:
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