11762 De Palma Rd, Unit 1-C / PMB 501, Corona, CA 92883
Email: [email protected]
Phyllis VanBoxtel, Director, Phone: 951.212.7709
FOSTER APPLICATION AND AGREEMENT
NAME OF FOSTER APPLICANT:
Address/City/Zip:
Home phone number:
Cell phone number:
Work phone number:
Email address:
Drivers License Number:
State:
Expires:
Reference name and phone # or closest relative:
Number and ages of members in the household:
Indicate the status of your employment: Full time _____ Part time _____ Unemployed _____
Indicate occupation / place of employment:
______
Type of home: House ___ Condo ___ Apartment ___ Other:
Do you own or rent your current residence?
If renting, do you live upstairs?
If renting, do you have permission from your landlord to have a dog on the property?
Do you have a fully fenced yard?
If so, what type of fencing & gates?
______
If not, how will you keep the dog secured while outside?
Where will the dog be kept during the day?
How many hours will the dog be left alone daily?
Where will the dog sleep?
Have you ever owned a dog before? ____ If yes, what happened to the dog?
Have you ever given away a previously owned pet?
Do you currently own any other pets?
Are all your pets vaccinated?
_ If yes, please explain why:
Are all your pets spayed/neutered?
DHAPP Y/N
BORDATELLA Y/N
Indicate the types (dog,cat,etc.) breed, age and temperment of pets:
Who is your vet?
What is the phone number?
What is the length of time you can foster?
Are you aware that it may take time until a dog in foster care gets adopted?
Will you walk/train/exercise the dog depending on the dogs needs?
Do you agree to bring the dog to our adoption events at the weekends?
RABIES Y/N
What type or size dog would you prefer to foster? Small / Med / Large - Long Hair/ Short Hair / HYPO
Do you agree to a home inspection and / or follow up calls?
_________
Are you willing to allow “YOUR NEW FOSTER DOG” an adjustment time to its new environment and
foster family of ONE to THREE weeks?
YES / NO
IMPORTANT NOTE:
If you make the decision you would like to ‘adopt’ the dog as your own, PLEASE CONTACT US
IMMEDIATELY TO SIGN AN ADOPTION CONTRACT – we understand that this happens and are glad to work
it out with you and the dog.
We appreciate your interest to foster one of our dogs our ultimate goal is to find a perfect match for our
dog and you. A PERFECT MATCH is placing our dogs in a foster home, where the foster will provide a
healthy, safe, secure and loving environment and where the dog is able to live until adopted out. Fostering
requires caring for physically or medical needs that will be provided, if necessary (e.g. medication will be
administered or training). The completed Foster Application is a contract, therefore all provided
information in this application must be answered correctly. Completing the application is not an approval
to become a foster. When you get the approval to foster the dog, you are taking over the responsibility and
liability for all incidents that might occur while the dog is in your care and the rescue cannot be held
responsible for.
A foster is not allowed to make commitments to give the dog to another party, list the dog in any public
forum or paper, turn it into a shelter or adopt it out on their own. The rescue has to be notified
immediately if something happens to the dog, if it becomes, sick, lost, stolen or injured. Without the
rescue’s approval, no expenses spent for the dog are refundable. A foster has the responsibility and liability
for the dog while in foster care, this includes public places, the foster home and everywhere the foster
takes the dog. Keeping the dog and any other party safe and secure by having the dog always on
appropriate collar, harness, leash etc. and keeping yard/property secure with appropriate fencing and
gates so the dog cannot escape. The foster agrees not to leave a dog unattended or untethered or
unleashed outside, or out of eyesight and to avoid loss situations arising out of or related to while the dog
is in foster care.
Please sign below stating you have read and understood all terms of this application as listed above.
Indemnity Clause:
The undersigned person(s) hereby expressly agrees to indemnify, hold harmless and defend Recycled Dog
Love Rescue (“Company”), and its directors, officers, employees and agents, from and against any suits,
actions, claims, losses, liabilities, damages, or costs the Company incurs or may incur for any reason arising
out of or related to, directly or indirectly, the adoption or release of any animal to the undersigned by the
Company or the surrender and release of any animal by the undersigned to the Company.
Signature Foster Parent:
_____ Date:
_______
Signature of Rescue:
_____ Date: ______________
APPROVED FOR
Name of dog:
Breed of dog:
Microchip #:
Age of dog:
Color of dog:
______
______