Foster Application

APPLICANT

First Name:* Last Name:* Nickname

Street Address:* City:* State:* Zip Code:*

Phone:* E-Mail Address:* Full Name

Do you have a Driver's License?* Yes No

Note: At times volunteers help by transporting animals. Per our insurance, we need the driver's license information of a person helping with transportation.

State:* Driver's License Number:*

Birth Day* Birth Month* Birth Year*

FAMILY INFORMATION

ADULTS and/or CHILDREN living in your home.

Number of Adults in Home:* Ages of Adults:*

Number of Children in Home:* Ages of Children:*

ADDITIONAL INFORMATION

The following questions will help us determine the “best fit” for you and your family; there are no right or wrong answers.

Have you volunteered for any other animal organizations?* Yes No

If yes, who?

Please explain your experience with animal care.*

Other:

Are you on Facebook?* Yes No

REFERENCES

*PLEASE NOTE: Dogs/cats in a foster home must be spayed/neutered and up-to-date on vaccinations.

Do you have a veterinarian, or have you had a veterinarian in the last five years?* Yes No

PET ENVIRONMENT AND CARE

What would a daily schedule look for a foster at your house? (walk(s), crate time day/night, time in yard, etc)*

What other animals will the foster interact with? If family animals, please include age(s), size(s), and activity level(s). Also please include neighbor dogs, neighborhood outdoor cats, deer, squirrels, etc.*

What are your preferences for your foster animal? (young puppy/6+ month puppy/adult, size, gender, activity level, etc.)*

WAIVER OF LIABILITY

I understand as a foster/volunteer with Adopt Me! Bluegrass Pet Rescue, I may come in contact with animals with unknown histories.* Agree Disagree

I understand these animals may have undiagnosed diseases, conditions, and/or behavioral problems that are unknown to Adopt Me! Bluegrass Pet Rescue.* Agree Disagree

I am willing to undertake the risks of working/fostering with animals of unknown history and/or temperament.* Agree Disagree

I do not hold Adopt Me! Bluegrass Pet Rescue, its Board or volunteers responsible for any injuries or illnesses that I may encounter while fostering/volunteering.* Agree Disagree

I understand the risks involved and willingly participate in foster/volunteer activities on behalf of Adopt Me! Bluegrass Pet Rescue.* Agree Disagree

I will make multiple attempts to contact Adopt Me! (Bridget, Kathy, Jess, Lisanne) in the unlikely event of an emergency requiring medical attention. This is to utilize a preferred vet who knows us, our animals, offers us a rescue discount, and makes herself available after hours.* Agree Disagree

SIGNATURE

Applicant Signature: * (Please type your Full Name in the Box below)*

* Agreement: By entering my name in the box above, I confirm that to the best of my knowledge, all information furnished in this application is true and correct.