Palisades Animal Rescue Foster Application

Palisades Animal Rescue Foster Application
* = required field

We appreciate the invaluable service that foster parents provide. We want to make the most informed decision regarding which animals to place in your care. Completing this application is the best way to assure a positive experience for both you and the animals.

Name:

Age:

Address:

City:

State:

Zip:

Phone:	*	(home)
		(work)
		(cell)

Email:

Type(s) of animals you are interested in fostering (dogs, cats, puppies and kittens):

Have you fostered animals before? * Yes No

If not, what experience have you had with animals that would be helpful in fostering?

Do you have any experience training and working with dogs with behavioral issues? *
Yes No

If yes, please describe:

Do you live in a: * House Apartment Condo Other:

Do you have a fenced yard? * Yes No

If yes, what height is it?

Are there any children in your household? * Yes No

If yes, what are their ages?

Do any members of your household have allergies? * Yes No

Will you be able to keep the foster animals separate from your own if necessary? *
(This usually applies to sick animals only) Yes No

Where do you plan to keep your foster animals? *

How many hours per day will your foster animals be without adult care? *

What pets have you had in the past, if any? *

Where are they now?

Do you have any pets in your household now? * Yes No

If yes, list animals below:
Type of Pet	Spayed/ Neutered	Indoor/ Outdoor/ Both	Age of Pet	Current on Vaccines	Currently Licensed
	Yes No			Yes No	Yes No
	Yes No			Yes No	Yes No
	Yes No			Yes No	Yes No
	Yes No			Yes No	Yes No
	Yes No			Yes No	Yes No

If cat(s), are they kept: * Indoors Outdoors Both Does not apply

If cat(s), are they declawed: * Yes No Does not apply

Please provide us with a veterinary reference (including phone number):

* Foster Care or Emergency Housing volunteer positions require completion and approval of a separate Foster Contract.

How did you hear about the foster program:?

Do you understand that anyone interested in adopting your foster animals (including yourself) must go through the standard adoption process, and approval of candidates and placement of animals is up to the Palisades Animal Rescue Staff? (Of course, we welcome your referrals) *
Yes No

I have answered the questions above truthfully and completely. I understand that all though the animal is under my care, the animal remains property of Palisades Animal Rescue until otherwise advised. I also understand that Palisades Animal Rescue takes care of all medical expenses occurred while caring for this animal. However Palisades Animal Rescue only uses Pet Sound Animal Hospital as its medical provider. I as the foster parent am responsible for food and exercise given to the animal. I understand that I receive foster care animals at my own risk and can reject or return any animals for which Palisades Animal Rescue has asked me to provide care. *

I indemnify and hold Palisades Animal Rescue free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgment of every kind and description which may occur to or be suffered by me, members of my household, or any third parties by reason of activities arising out of this agreement. *