Helping Paws Foster Application

Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Cell Phone Number *
Cell Phone Number
Home Phone Number
Home Phone Number
Work Phone Number
Work Phone Number
Person to contact in case of emergency:
Name *
Name
Phone Number *
Phone Number
Living Arrangements
If renting, please provide landlord's contact information
Landlord Name
Landlord Name
Landlord Phone Number
Landlord Phone Number
Do you have a fenced in yard? *
Are there any slats/openings that could allow a small dog to get in/out?
Include Name, Age and Relationship
Is everyone in your home aware that you have applied to foster? *
Is everyone agreeable to having a foster at home? *
Animal Care
Include Name, Age, Breed, Date of Last Vaccinations
Are all pets in the home Spayed/Neutered? *
Vet's Phone Number *
Vet's Phone Number
Do you understand that sometimes a complete history and temperament of a rescue dog may not be known? *
Are you able to transport foster to vet and adoption events? *
Please provided two references (Non Family) including full name and phone number
Reference #1 *
Reference #1
Reference #1 Phone Number *
Reference #1 Phone Number
Reference #2 *
Reference #2
Reference #2 Phone Number *
Reference #2 Phone Number
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 and any medical decisions/rehoming decisions will be made by Helping Paws, Inc. (HP). 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 to be returned. Helping Paws shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons and for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, including claims and damages arising in whole or part from the negligence of Helping Paws. I agree to notify Helping Paws of any injuries such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible.
Foster Applicant's Name
Foster Applicant's Name
Date
Date