EmailMe Form - Hole in One Animal Rescue Foster Application

EmailMeForm

Personal Information
Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Home phone
### - ### - ####
Mobile phone *
### - ### - ####
Email *
How long have you lived at your current address? *
If less than two years, what was your previous address? *
Do you rent or own? *
Rent
Own
If you rent, please provide your landlord's name, address, and phone number. *
Do you have your landlord's permission to foster a dog? *
Yes
No
NA
Are you aware of pet deposit and monthly fees (if required)? *
Yes
No
NA
Do you have a fenced yard? *
Yes
No
If yes, type of fence and height *
If you do not have a fence are you prepared to walk your dog multiple times daily in spite of weather conditions (cold, hot, rain, snow, etc,)? *
Yes
No
NA
Have you ever had parvo in your home or yard? *
Yes
No
What animals would you want to foster? (Please select all that apply). *
Puppies
Adult dogs
Senior dogs
Kittens
Cats
Sick/injured animals
What is your family's lifestyle like? *
Active and on the go
Quiet & relaxed
Entertain frequently
Lots of kids in & out
Travel frequently
Do you have children? *
Yes
No
If you have children, please list name(s) and age(s). *
Do you have previous foster experience? *
Yes
No
If so, what rescue(s) have you fostered for?
How many hours a day will the foster pet be alone?
Who will be responsible for caring for the foster? *
Where will the pet stay when you no one is at home? *
Where will pet stay when you are in the home? At night? *
How often will you exercise your foster? *
Who will care for your foster pet when you are out of town (vacation, etc.)? *
Please tell us about any pets you currently have. Please provide name(s), breed, age & indicate if they have been spayed/neutered. *
If applicable, please provide information about any pets you have had in the last 5 years that are no longer with you: *
Are there any other comments you would like to make?
Current vet information (include name, address, phone number): *
Please provide three (3) references: *

Name Phone number

Reference #1

Reference #2

Reference #3
Hole In One Foster Expectations
(Please read carefully and check each box to indicate agreement.)
All basic medical expenses will be covered by HIOAR. Authorized HIOAR staff must approve any unusual expenses. Basics include: Spay/neuter, age-appropriate vaccinations, heartworm test, FelV/FIV test, microchip, and prescribed medications. Fosters are required to get HIOAR staff approval to transport the animal to the emergency clinic prior to transportation. *
I agree.
Foster animals are to be kept clean and sanitary for their health and well being. Supplies with which they are housed and/or contained in, such as x-pens, crates, blankets and beds, should also be kept clean and sanitary for the same reason. *
I agree.
Fosters are expected give the HIOAR animal safe and adequate housing and care. A foster dog must be on a leash or in a secure pet carrier when outside of its foster home or its enclosed yard. Dogs should not be left alone outside, unsupervised. A foster cat must live indoors only. The foster coordinator must be notified immediately if the animal in your care is injured or missing. *
I agree.
Legal ownership of all HIOAR animals remains with HIOAR until such time as proper adoption is completed. Only authorized representatives of HIOAR will conduct adoption interviews and process adoptions. Fosters are expected to comply with the adoption process. If a foster home decides to adopt the animal, the regular adoption fee applies. *
I agree.
By submitting this form, I confirm that all of the information I have provided is true and complete.

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	Name	Phone number
Reference #1
Reference #2
Reference #3

Personal Information

Hole In One Foster Expectations

By submitting this form, I confirm that all of the information I have provided is true and complete.