Foster Application Old

Foster Application

* Indicates required field

Your Name *

First

Last

Email *

Phone Number *

Type of Animal(s) You'd Like to Foster *

Adult Dog Puppy Adult Cat Kitten

Occupation *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Type of dwelling *

Do you rent or own? *

Do you have permission from landlord to have animals? *

Landlord's Name *

First

Last

Landlord's Phone Number *

Name/Age of Others in Household *

Description of other pets in household *

Are your pets spayed/neutered and vaccinated? *

Who is your vet? *

Where will you foster animal be when you are home? *

Where will your foster animal be when you are not home? *

Where will your foster animal sleep? *

What is your primary reason for wanting to foster? *

When will you be available to begin fostering? *

Emergency Contact *

First

Last

Emergency Contact Phone *

By submitting this form, I agree to:

Follow all protocol set by Country Roads Animal Rescue Society and abide by their rules and regulations.
Understand that my foster animal's vet care is covered only by approved Country Road's veterinarians and clinics listed in the foster information packet.
Acknowledge that my foster animal is owned by Country Roads Animal Rescue Society until an approved family is selected and ownership is transferred to them.
Agree to provide a safe, loving and protected home until the foster animal is adopted.
Release Country Roads from all liability associated with having a foster animal in my home.

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