Foster Online Application Written by admin, May 11th, 2014 Applicant Information Name(s) (List names of all adults who will be responsible for care) Your Email Contact Number Type homecellwork Area Code Phone Number Other Phone (optional) Type homecellwork Area Code Phone Number Address Street Address Apt, Suite, Bldg. (optional) Town/City Postal Code Landlord/Management Contact Info if applicable References (non-family references please) Reference #1 Name Relationship Contact Number Reference #2 Name Relationship Contact Number Foster Animal Information Please identify the type of dog(s) you would be comfortable / qualified / willing to foster (check all that apply) Size:x-smallsmallmediumlargex-large Age:puppyadultseniorlitters Energy Level:lowmediumhigh Quantity: Please identify the type of cat(s) you would be comfortable / qualified / willing to foster (check all that apply) Age:kittenadultseniorlitters Quantity: Household Information Number of Adults Number of Children Ages of Children Do you live in a ---single family hometown-houseapartmentcondomobile homemulti-family homeother If you selected 'other' Is your condo/apartment or rental property pet friendly? (If applicable)n/ayesno Do you have a fully fenced yard?---yesno If you have a fence, how high is it? Setting (check all that apply)ruralurbanwoodedopen acreagewaterfronthighway frontageproperty bordering highway General Information Where will the animal be kept when home alone? Where will the animal sleep at night? How will the dog be taken outside to go to the bathroom? How will the dog be exercised? How many hours per week will you exercise the dog? ---0-4 hours4-10 hours10+ hours Are there children in the household? If yes, please provide ages and explain the children(s) interaction with the pets including responsibilities of the child. Are there other pets in the house? If yes, please detail the number, type, age and gender of pets and a description of their health. Are they up to date on their vaccinations and are they spayed or neutered? Have you fosterered with another rescue/shelter in the past? yesno What is the reason you are no longer fostering for this rescue? Are you currently fostering for another rescue/shelter? yesno If yes, do you have a foster animal now or have you committed to taking an animal in? If so when? Please provide any additional information you feel is relevant to fostering. * Its a potential conflict of interest and safety issue when fosters work with multiple rescues and that out of respect, we will be contacting the rescue director of the rescue you previously fostered with for a reference. Foster Home Agreement As a Foster Parent, I understand that: Manitoba Mutts Dog Rescue is the legal guardian of the foster animal until it is adopted and the Directors will make all decisions determining its medical care and safety. I will adhere to all recommendations regarding training and discipline as outlined by Manitoba Mutts Dog Rescue staff, such as crate training and positive reinforcement. I am responsible for the well being of the foster animal while it is under my care. All other cats and/or dogs in the foster home need to have up to date vaccinations and be spayed/neutered. The foster animal is the responsibility of the people in my household and I will not place it in the care of anyone else without the knowledge and consent of the Foster Manager. Supplies are provided by Manitoba Mutts Dog Rescue and I agree to return them once the foster animal in my care has been adopted. Transportation related to my foster animal is my responsibility, including vet appointments, supply pickup, etc. Additional items purchased will not be reimbursed unless authorized by the Directors ahead of time. Should health concerns arise with the foster animal, or should they run away, I am to report it immediately to the Directors. If I choose to integrate this foster animal with my animals, any vet bills for my animals is not the responsibility of Manitoba Mutts Dog Rescue. Manitoba Mutts Dog Rescue Inc. strongly recommends that all household occupants are up to date with tetanus and rabies vaccinations. Manitoba Mutts Dog Rescue Inc. strongly recommends discussing the risk factors of fostering stray animals with their family physician and veterinarian (if applicable). When my foster animal is adopted, I will submit any and all paperwork and payment received immediately to Manitoba Mutts Dog Rescue. When my foster animal is adopted, I will only accept a check, money order or confirmation of Paypal receipt as the adoption fee, I will not accept cash.