EmailMe Form - SENIOR & HOSPICE FOSTER AGREEMENT

Name *

First Last

Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Home Telephone

### - ### - ####

Mobile Telephone *

### - ### - ####

Email *

Residence *

Do you have children at your residence? Please list name and ages

Are you employed? Full time or Part time? Where will the dog stay while you are at work? *

Do you have pets? Please list Dogs & Cats
Are all your pets vaccinated? *

1) How many hours will the dog be left alone?
2) When will the dog be inside and outside?
3) Do you have time to exercise the dog? *

Will you be able to provide food and clean water for your foster dog? *

Can you make a commitment to foster the dog until a permanent forever home is found? *

Will you contact the rescue immediately if there are medical issues regarding the dog? *

FOSTER TO ADOPT PROGRAM
I am aware that I have first rights as the foster the dog. I am aware the dog is not FREE, that as the foster I get first rights to my foster. I am aware that my third foster dog I will get a discount if I wish to adopt. *

Yes, I agree

Please Read The Following Carefully:

I declare that the information I have provided in this application is complete and correct. I further declare that I am physically able to care for a foster dog. I understand that the Saving K9 Lives Plus will reimburse me for pre-approved expenses after submitting a copy of the bill with the foster dog's name and ID# to Saving K9 Lives Plus.
I understand that any food, toys, and travel expenses associated with the foster dog are a donation and will not be reimbursed. I understand the requirement and grant permission for Home Checks at random, both prior to and during fostering. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, the Facilitator or representative reserves the right to either refuse fostering, to nullify any agreement between us and reclaim said foster dog from my premises, without reimbursement of the fostering expenses.
I stipulate that I am applying herein to become a volunteer for Saving K9 Lives Plus and I will provide automotive, homeowners and health insurance, and hold Saving K9 Lives Plus or its representatives, its officers, members, volunteers, associates, or other foster care providers harmless for any liabilities, whether damages are physical, emotional, or property, that are a direct or indirect result of activities associated with placement, transport, grooming, training, or evaluating of foster dog in any way associated with Saving K9 Lives Plus, including any and all activities I perform as a volunteer for Saving K9 Lives Plus. If accepted, I understand the first six months my membership will be probationary, and my membership may be dissolved immediately without cause if the Board of Directors deems my intentions or actions to be in conflict with the mission and vision of Saving K9 Lives Plus. *

I agree

I disagree

Do you agree to these terms and conditions? *

Yes, I agree