Foster Application – Ma, Paws, & Me

First Name *

Middle Initial *

Last Name *

Date of Birth *

Drivers License Number *

Street Address *

City, State, Zip Code *

Home Phone

Cell Phone *

Email Address *

Please list all people (including you) that will be living in the household with the foster pet. Include the persons FIRST, MIDDLE INITIAL and LAST NAME, AGE, GENDER AND RELATIONSHIP to you. *

Do any members of your household have allergies? *

No
Yes

Please choose your current living situation: *

If you RENT or LEASE, please provide the Landlord/owners information. Include the rental complex name, Landlord's name and phone number. All residences will be verified.

Do you have a fenced yard? *

No
Yes

If Yes, please describe. (Height and type of fence)

What types of animals are you interested in fostering? *

Dogs
Puppies

Have you fostered animals before? *

No
Yes

If Yes, please describe.

Do you have any experience working with pets that have behavioral issues? *

No
Yes

If Yes, please describe.

What types of training and behaviors are you willing to handle? *

What types of training/behaviors are you NOT willing to handle? *

Are you able to keep the foster animals away from your own animals, if necessary? *

No
Yes

Where do you plan to keep your foster animals? *

How many hours will your foster animal be WITHOUT adult care per day? *

Do you have any pets in your household currently? *

No
Yes

Current Pet #1: Please list Name, Type of animal, and amount of time you've had this pet:

Current Pet #1 Details- Choose all that apply.

Current Pet #2: Please list Name, Type of animal, and amount of time you've had this pet:

Current Pet #2 Details- Choose all that apply.

Current Pet #3: Please list Name, Type of animal, and amount of time you've had this pet:

Current Pet #3 Details- Choose all that apply.

VETERINARY INFORMATION. Please list CLINIC NAME and PHONE NUMBER. *

As a Ma, Paws, & Me Pet Rescue Foster Home, I agree to the following (please initial all by checking the boxes): *

I agree to be patient and tolerant during the transition period (which can last from a few days to a few months). I am prepared to work with the dog on basic training such as housebreaking. I will keep the dog primarily inside my home; the dog will not be outside without proper adult supervision.

It is my responsibility as a foster parent to provide compassionate and loving care for whatever dog is taken into the home as long as necessary until the dog has been successfully placed in a permanent home. This care includes – but is not limited to – adequate food, water, shelter, and medication when required. You will provide food dish, water dish, crate, crate bedding or dog bed, pet brush, (if applicable) dog waste bags or scooper, and any other standard day-to- day pet care items. Ma, Paws, & Me Pet Rescue, Inc. will pay for food, collar and leash, approved veterinary care and monthly heartworm and flea/tick preventative.

I will contact Rescue Staff if I have any questions or concerns about an animal placed in my home.

I will promptly contact Rescue Staff if I believe there is a medical or behavioral issue that needs to be addressed immediately. Medical concerns include but are not limited to: extreme lethargy, loss of appetite, breathing difficulty, green nasal secretions, and lack of weight gain in a puppy, mouth breathing, and sudden behavior changes.

I have received a Foster Care Manual and orientation information by Ma, Paws, & Me Pet Rescue, Inc. staff.

I understand that I need to secure written pre-approval from Rescue Staff for non- emergency vet visits and that the vet visit must be at a clinic pre-approved by Rescue Staff, and that I will not be reimbursed for expenses incurred if the visit is not pre-approved. If there is an immediate need for a vet visit due to an emergency, I will advise Rescue Staff within 1 hour of entering the emergency vet clinic.

I understand that my continued participation in the foster program depends on my cooperation with these expectations.

I understand that I am volunteering out of my own free will and at my own risk. I understand I can contact Rescue Staff at any time to cease this volunteer relationship. I will do my best to give Rescue Staff 48 hour notice before returning a foster pet to the Rescue..

I will provide Rescue Staff with honest details on any behavioral updates on the pet I am fostering to ensure we are making safe matches for a pet and potential adopter.

I understand that if I would like to adopt my foster pet, that I will be subject to the same approval process and adoption fee as any adopter would. I will contact Rescue Staff as soon as I know I may be thinking about adopting my foster pet.

I understand that the animals in my care are the property of Ma, Paws, & Me Pet Rescue, Inc. and can be removed from my premises at anytime without notice or explanation.

Pet Care Responsibilities: I understand that tending to the safety of foster dogs/puppies includes: *

Feeding the dog(s) each day with the recommended diet for that individual pet.
Always having fresh water available to the dog(s).
Always keeping the dog’s collar on so that ID tags are always on the let in case of accidental escape.
Always keeping dog(s) in fenced area or on leash to prevent escapes.
Always following Ma, Paws, & Me recommendations on crating for the animal’s safety.
Providing adequate exercise for the pet based on the dog’s health and medical condition.
Always providing toys or other environmental enrichment for the dog(s).
Administering daily medication as indicated to an individual animal daily.
Always supplying at least 30 minutes of exercise each day.

I understand and agree that any violation, deemed at the sole discretion of Ma, Paws, & Me Pet Rescue, Inc., shall result in being required to immediately return the dog to Ma, Paws, & Me Pet Rescue, Inc.

I have answered the questions above truthfully and completely. I understand that although Ma, Paws, & Me Pet Rescue, Inc. takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the health of an animal, behavior, or actions. I understand that I receive foster care animals at my own risk and can reject or return any animals for which Ma, Paws, & Me Pet Rescue, Inc. has asked me to provide care. I indemnify and hold Ma, Paws, & Me Pet Rescue, Inc. free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind, and description which may occur to or be suffered by me, members of my household, or any third parties by reason of activities arising out of this agreement. Please "sign" by typing your name below. *