Foster Application – Tender Hearts Dog Rescue

Step 1 - Personal Information

First Name

Last Name

Date of Birth

Mobile Phone

Home Phone

Address Line 1

Address Line 2

City

State

Zip Code

How did you hear about us?

Step 2 - Household Information

Do you own, rent, or lease your residence?

Own Rent Lease

Are there any pet restrictions where you live?

Yes No

Please explain the pet restrictions

Are there any pet restrictions where you live?

Yes No

Please explain the pet restrictions

Please have your landlord contact us to confirm that fostering animals in your home is acceptable. You will not be able to foster until we receive positive confirmation.

How long have you been at this address? (Years)

How long have you been at this address? (Months)

What type of yard do you have?

No yard Unfenced yard Partially fenced yard Completely fenced yard

If you don't have a fenced in yard, you must agree to keep your foster dog on a leash at all times while outside.

I agree

If you don't have a fenced in yard, you must agree to keep your foster dog on a leash at all times while outside.

Who will be the primary caretaker of your animal(s)?

How would you describe your level of experience with dogs? (check all that apply)

Have never had a dog Have had one or more as an adult Have experience housing/boarding animals at a facility or with a pet-sitting service Have experience working in a veterinary hospital Had a childhood dog Have experience working with on-going medical problems with a personal dog Have experience working with behavioral problems with a personal dog Have experience as a professional dog trainer

If you have previous foster/rescue experience, please describe:

Do you have experience with: (check all that apply)

Small dogs Medium dogs Large dogs

Please describe experience with specific breeds, if any:

Is there any breed of dog or situation you would not be willing to foster? Please describe:

How many hours during the average day will this dog spend WITHOUT a human?

Where will this dog be when alone?

Where will this dog be when someone is home?

Where will this dog sleep at night?

Do you have a preference on the dog's size?

Yes No

What is your dog size preference?

Do you have a preference on the dog's breed?

Yes No

What is your dog breed preference?

Do you have a preference on the dog's age?

Yes No

What is your preferred dog age?

Please tell us anything else you would like us to know to help match you up with the right animal:

Step 5 - References

Reference 1

Reference 1 First Name

Reference 1 Last Name

Reference 1 Phone Number

What is your relationship with Reference 1?

Reference 1 Additional Information (optional)

Reference 2

Reference 2 First Name

Reference 2 Last Name

Reference 2 Phone Number

What is your relationship with Reference 2?

Reference 2 Additional Information (optional)

Referral 3

Reference 3 First Name

Reference 3 Last Name

Reference 3 Phone Number

What is your relationship with Reference 3?

Reference 3 Additional Information (optional)

Step 6 - Waiver

This Foster Liability Waiver (Waiver) is by and between Tender Hearts Dog Rescue (THDR) and its Foster Parents and includes the following terms:

I hereby release THDR from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which may arise from foster work with THDR. I understand and acknowledge that this Waiver discharges THDR from any liability or claim that I may have against THDR with respect to bodily injury, personal injury, illness, death, or property damage that may result from my participation in THDR’s foster program.

THDR determines the criteria for fostering, decides which animals are eligible for foster care, and appoints foster caregivers from a pre-approved list of trained providers. THDR foster care volunteers may always refuse any specific request for any reason. THDR staff will inform you of any medical treatments to be administered, the anticipated length of the foster-care period, the objectives of each particular placement (restoring to health, rearing to adoptable age, socialization, etc.), and any other restrictions or expectations we may have.

In the event of an emergency with your dog, please go directly to your veterinarian first, and then contact THDR for follow-up, and remember to submit any/all receipts for services rendered.

You will be expected to keep the animal safe and secure, return it to THDR when requested to do so, and not promise the animal to anyone, or imply that you have the authority to approve a potential adoption. THDR retains ownership of all animals placed in foster care, and will make all decisions regarding the adoption & placement of the animals fostered.

In keeping with the above, you agree to allow home visits, wellness checks, and telephone check-ins at the discretion of THDR to ensure the welfare and safety of our rescue.

I agree to the Foster Liability Waiver