First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Home Phone

Work Phone
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Cell Phone*

Alt Email

If you are interested in a particular animal, please specify who:
Choose an animal: Autumn Bailey Benny Bunny Charlotte Cheeto *FOSTER HOME NEEDED* Chester Chief Chiwi and Goku Emmy *PENDING ADOPTION* Finnegan & Dandelion Jan Kimberwick (FeLV+, FIV+) Leo Little Girl Lulu Luna M Maddie & Moo Martha Marv & Rita Molly Nesta & Azriel Olive Otto Peanut & Butter Poppy Rambler Ranger *FOSTER HOME NEEDED* Rex *FOSTER HOME NEEDED* Rusty Rza Sadie Sarah Simon Spot Vegas Velvet Vera Vinny *FOSTER HOME NEEDED* Vito Winnie Woody Zelda *FOSTER HOME NEEDED*

If you are interested in fostering a specific animal not appearing on the dropdown list, please list the animal's name here.

If you are applying to foster a specific animal and they are no longer available, would you be willing to potentially foster a different animal?*

Are you ultimately looking to "foster fail" and adopt this animal for yourself? *
Choose one: Yes No

Fostering an animal with us does NOT automatically mean you'll get to adopt him/her. Our utmost priority is to find the best long-term home for all animals, taking into consideration their long term needs. Some animals have needs that need to be taken into consideration (high energy, undersocialized, etc.) that we often don't know enough about until they get here and we have a chance to observe, assess and understand them. Therefore, please know that we reserve the right to place the animal in an adoptive home that is best suited for their long term needs - which may not be the foster home. If fostering does lead to an adoption by the foster family, please know that the adoption fee will not be waived.*
Choose one: I understand and agree I disagree with this and want to apply directly to adopt (please go fill out adoption interest form) This doesn't apply to me

Occupation*

What type of dog are you able to foster? (size preference/lazy/active/playful/good with kids/cats/other dogs etc..)*

Do you have a securely enclosed yard with a PHYSICAL fence?

How Tall?

If no, how will you secure your foster dog outdoors?

Are you able to foster a senior dog?

Adult dog? 12m+

Adolescent Dog? (6-12m)

Puppy? (less than 6 months)

Mamma Dog with newborn babies or a Pregnant dog?

Scared/Injured Dogs?

Cats?

Kittens?

Have you ever fostered with us or another rescue?

How many animals did you foster?

Do you have any experience with animals? If so how much? (eg. own animals, volunteer with other rescue/shelters, worked with trainers.)*

Why do you want to foster?*

How many adults in the home? Please list their names and relationship to you.*

How many children (under 18)? *

If you have kids, list ages and if they have experience with animals.*

Does anyone in your household smoke inside the home?*

If yes, how will keep the animal safe from second hand smoke?

How many hours a day are you away from home?*

Do you have other animals?*

If Yes, please explain dog/cat, ages, gender, attitude toward other animals, indoors or out?

All dogs no matter how housetrained, will have accidents the first couple of days. Are you aware of this and willing to work with a dog to adjust to your home?

Most of our foster homes use a crate. This helps to prevent accidents and decreases the chances of destructive chewing. We strongly recommend crating your new foster dog at first. If you do not have a crate we can provide you with a crate. Do you plan to use a crate?

Most of the dogs that need fostering have never lived in a home, may lack manners, nor have many life experiences; some have behavioral/medical issues that need to be worked with. Are you willing to work with your foster animal to train, socialize and correct unwanted behaviors?

Type of Dwelling

Do you own or rent your home?

If you rent or own a condo/townhome please give name, address, phone number and email address of homeowners association president/representative:

If you rent or own a condo/townhome does your landlord/homeowner association allow dogs?

Animals are as individual as people. Are you willing to spend the time and effort to help this foster animal adjust to your home and lifestyle?

Please list two NON-FAMILY personal references, their relationship to you, and their phone or email. Personal reference #1*

Phone number and/or email:

Relationship:

Personal reference #2*

Phone number and/or email:

Relationship

I have read and fully understand the RRR volunteer and agreement waiver. (Initials)*

There have been no other representation or promises other than those included in the volunteer agreement.(initial)*

I understand that this is at my own risk and I hereby forever release, discharge and agree to hold harmless and indemnify RRR from all claims, demands, actions, causes of actions or liability of any kind whatsoever arising as a result of doing volunteer work with RRR (initial)*

I further agree that I will not make any claim against, sue, attach the property of, or prosecute RRR (or any of its volunteers) for any death, personal injury, or property damage, whatever the cause or place of the event giving rise to the claim, which I suffer or sustain as a result of or in a connections with my participation as a volunteer. (Initial)*

I further understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious injury or death, as well as extensive property damage. Knowing the risks of handling domestic animals; nevertheless, I hereby agree to assume those risks and to release, indemnify and hold harmless RRR and volunteers who might otherwise be liable to me or my heirs or assigns for damages. (initial)*

My participation with RRR is strictly on a volunteer basis, therefore no insurance against bodily harm is provide for me. (initial)*

If medical attention is required I agree to take my foster animal only to a designated vet used by RRR with permission from the director of RRR. If I choose to take the animal to a different vet or take the animal in without first permission I am responsible for the costs. (initial)*

Foster Agreement & Waiver: Thank you for volunteering your time to RRR Please read, complete, sign and date: I have read, understand, and agree to abide by the conditions of the RRR volunteer agreement and waiver. I understand that all work done with RRR is at my own risk, and hereby release RRR of any and all liability, property damages, and medical cost arising from any known, unknown, or any anticipated/unanticipated damages to people, animals, or property while the dog(s) is under my care and supervision. I am fully aware of, understand, and agree to all the terms and conditions of this FOSTER AGREEMENT & WAIVER, and that it is a binding contract. I have read this agreement carefully and fully understand its contents. I am aware that this is an indemnify, waiver and release of liability and a contract between RRR and myself, and I sign it of my own free will. Typing your name acts as your digital signature.*

Date of application*