FOSTERING APPLICATION/AGGREEMENT

PO Box 11445, Charleston, WV, United States, 25339

(304) 444 5970

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FOSTERING APPLICATION/AGGREEMENT

How did you hear about PICK OF THE LITTER Animal Rescue?

Full Name

Age

Email *

Address

Address Line 2

City

State

Postal code

Country

Phone Number Home *

Phone Number Work

Do you live in a

Do you

Own

Rent

Live with Parents

Other

If Renting: Please indicate landlord contact information

Household Setting

Rural

Suburban

Urban

Describe your Homes Activity Level

Busy/Noisy

Moderate Comings/Goings

Quiet with Occasional Guests

Please List all People Living in the Household (Include Name, Relationship, Gender and Age) *

Does Anyone in your Household have Allergies to Animals?

Yes

No

Are all members of your Family agreeable to Fostering a Dog/Cat?

Yes

No

Please List any Pets you have (Please include Name, Breed, Age, Altered, Sexe, UTD Vaccines, Heartworm?

Do you have a preference in sex of foster?

Male

Female

No Preference

Are you willing to foster a dog/Cat of any age?

Yes

No

If not, what age would you consider?

What size dog/Cat are you willing to foster? (Check all that apply)

Small

Medium

Large

Please describe the type of dog/Cat you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.

Are you willing to take your foster dog/Cat to vet appointments at a convenient time for you?

Yes

No

Do you drive or have access to a vehicle to bring your foster to events and appointments

Yes

No

If No please explain

Are you willing and able to medicate your foster, even if it just a monthly heartworm preventative?

Yes

No

We cannot guarantee a dog/Cat to be housebroken, are you equipped to train with love and patience?

Yes

No

Have you had any experience with with an emotionally or physically neglected or abused dog/Cat?

Yes

No

If Yes please explain

Are you willing to use a crate for a dog/Cat if recommended?

Yes

No

Do you have a fenced yard?

Yes

No

Partial

If fenced, please give details on height, material, # of gates, are gates locked or lockable?

How many hours in a day would the foster be left alone?

What are your plans to exercise your foster? Please list any parks near by or trails, how many walks a day, approximate length, and activities such as agility.

Please list 3 personal references with names, addresses, phone numbers and how related. We prefer it not to be all relatives. Are you ok with this?

Yes

No

Vet Reference: Full Name *

Street Address

Vet's City

Vet's State / Province

Zip Code

Vet's Country

Phone No:

Reference persons name

Relation to applicant(s)

Reference Person's Number

Reference Email

Reference Address

Reference City

Reference State

Reference Postal code

Reference Country

Reference Phone Number

Reference #2: Full Name

Relation to applicant

Reference #2 Email

Reference #2 Address

Reference #2 City

Reference #2 Postal / Zip Code

Reference #2 Country

Reference #2 Phone

Reference #3: Full Name

Reference #3: Relation to applicant(s)

Reference #3 Email

Reference #3 Address

Reference #3 City

Reference #3 Postal Code

Reference #3 State

Reference #3 Country

Reference #3 Phone

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any "Pick Of The The Litter" Rescue fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless PICK OF THE LITTER Animal Rescue & Adoption Service and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog/Cat. I accept full responsibility for the dog(s) /Cat(s) at all times and release PICK OF THE LITTER Animal Rescue & Adoption services from any liabilities or damages that may be incurred because of fostering such dog(s)/Cat(s). I agree to have PICK OF THE LITTER ANIMAL RESCUE & ADOPTION SERVICE call checks and conduct a home visit inspection to be able to approve my foster application. I agree that if I'm unable to foster the dog(s)/Cat(s) anymore I will return the dog(s)/Cats to PICK OF THE LITTER ANIMAL RESCUE and try to give PICK OF THE LITTER ANIMAL RESCUE a 1week period to try and find another suitable foster for the dog(s)/Cat(s).

Date

Your name

Your Email

PO Box 11445, Charleston, WV, United States, 25339

Email
pickofthelitter2020@gmail.com

About Pick Of The Litter

Pick Of The Litter Is a Volunteer Nonprofit dedicated to rescuing abandoned, & abused animals!

We specialize and focus on neonatal care, special needs, and seniors in need.

Contact Us

(304) 444 5970

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