FOSTER APPLICATION

Date *

What Type Of Animal Are You Interested In Fostering? *

Are You Able/Willing To Foster Small Farm Animals? *

Which Animal Are You Interested In Fostering? *

Your Contact Information

Name *

Name

First Name

Last Name

Phone #1 *

Phone #1

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Phone #2

(###)

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Home Address *

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

Occupation *

Driver's License Number *

Personal Reference #1

Please list someone who is familiar with both you and your pets.

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Phone

(###)

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Relationship To You *

Personal Reference #2

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Phone

(###)

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Relationship To You *

Family & Housing

Please List ALL Individuals That Live At Your Home. Please Include Their Age And Relationship To You. *

How Often Do Children Visit Your Home? *

What Type Of Home Do You Live In? *

Does Anyone In The Family Have A Known Allergy To Cats Or Dogs? *

Is Everyone In Agreement With The Decision To Foster A Pet? *

Do You Have Any Concerns About The Amount Of Time Involved In Caring For A Foster Pet? *

Other Pets

Tell Us About Your Experience With Pets *

Please List ALL Other Pets That You Share Your Home With. Please Include Their Type/Breed, Sex And Age *

Are ALL Of These Pets Spayed/Neutered?

If Not, Please List The Reasons Below

Are ALL Of These Pets Up To Date On Vaccines? *

Have You Ever Surrendered An Animal To A Rescue Or Shelter? *

If So, Why?

Veterinarian

Name *

Name

First Name

Last Name

Clinic Name *

Clinic Phone *

Clinic Phone

(###)

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Clinic Location *

Caring For Your Foster Pet

Tell Us About Your Experience Fostering Pets *

Have You Ever Fostered A Pet Who Required Special Care? *

Examples include litters of puppies or kittens, pets with medical issues, pets with behavioral issues, hospice or elderly pets, etc.

Are You Interested In Fostering A Pet With Special Needs? *

Who Will Have Primary Responsibility For This Pet's Daily Care? *

Who Will Care For This Pet When/If The Caregiver Is Away? *

Describe Where Your Foster Pet Will Spend The Day *

Describe Where Your Foster Pet Will Spend The Night *

What Is The Average Number Of Hours Your Foster Pet Will Be Alone? *

Where Will Your Foster Pet Be Kept While He/She Is Left Alone? *

Are You Willing To Let A Representative Of WCAL Visit Your Home By Appointment? *

All of the information I have given is true and complete. I understand that I will not be the legal owner of this foster pet, just a temporary guardian. Prior to placement, any foster pet will be evaluated to be sure it is a good fit in my home and compatible with my other pet(s). Either WCAL or I can terminate this agreement at any time for any reason. If for any reason I am unable to keep this pet, it is agreed Wine Country Animal Lovers (WCAL) will take responsibility for the pet and may move the pet to the WCAL shelter/clinic until another foster home can be located. Additionally, WCAL agrees to be financially liable for this foster pet while in my care, including all costs for food, supplies, medical maintenance (heart worm preventative, flea treatment, vaccinations, etc). Necessary vet care will also be at the expense of WCAL. WCAL will enroll this foster pet in a pet insurance program during the duration of the time he/she is in foster and under WCAL's financial responsibility. I agree to take all reasonable steps necessary to protect this pet while in my care as if he/she were my own. I agree to hold WCAL harmless from liability related to this foster pet while it is in my care. *

Please Sign

First Name

Last Name