Safe Haven Animal Rescue

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Foster Application Form

Name:
Address:
City:
State:
Zip:
Home Phone #:
Work Phone #:
Mobile Phone #:
Email Address:
Email Again:
Employer:
Occupation:
How did you hear about us?

Why do you want to foster an animal?
Have you fostered for another rescue group or animal shelter in the past?	YES NO
If YES, which one?
Describe the type of animal you would like to foster (i.e. cat/kitten, dog/puppy, size, breed, age, etc.)
Are you willing or able to foster an animal that is sick or injured?	YES NO
Have you ever had any of the following in your home? Parvo, Distemper, Ringworm, etc.	YES NO
If YES, please explain:
What length of time would you be willing to foster an animal?
What is your opinion on spaying and neutering?
Are you willing to teach basic obedience and housetraining to your foster?	YES NO

In order for us to best determine the type of home environment a foster
animal would have, please answer the questions below:

How long have you lived at your current address?
Do you live in a:	House Apartment Town Home Duplex Trailer or Mobile Home Other - explain:
Do you own or rent?	Own Rent
Landlord's name:
Landlord's Phone Number:
Landlord's Address:
Do you have a fenced yard?	YES NO
If not, please describe how you will exercise your foster animal
Does anyone in your immediate family have allergies to animals? If yes, please list:	YES NO
How many children are in your household?
How many adults are in your household?
Who will be the primary care giver?
How many pets do you currently have?

Please list all pets.

Pet #1	Breed:	Sex:	Age:	Spayed/Neutered?	Declawed?
Pet #2	Breed:	Sex:	Age:	Spayed/Neutered?	Declawed?
Pet #3	Breed:	Sex:	Age:	Spayed/Neutered?	Declawed?
Pet #4	Breed:	Sex:	Age:	Spayed/Neutered?	Declawed?
Pet #5	Breed:	Sex:	Age:	Spayed/Neutered?	Declawed?

What type of identification do your pet/pets currently have?

Veterinarian's name:
Veterinarian's Phone:
Veterinarian's Address:
May we contact your veterinarian?	YES NO
Where will your foster stay while you are away from home?
How long will your foster be alone during the day?
Do you have transportation to take your foster to scheduled vet appointments and to meet potential adopters?	YES NO
Will you be able to keep the foster animal(s) separate from your own pets if necessary?	YES NO
Do you have supplies for your foster, i.e. crate, food bowls, litter pans, leash, etc.? If not, please list what items you would need:	YES NO Items needed:

By clicking the "Submit" button I certify that the information provided on this form is true and correct, and that I am financially and physically able to care for a foster animal. Home checks are made on a random basis following the foster. If upon inspection we find information contained in this application to be false, we retain the right to remove the animal from your premises. I understand that although SHARE screens the animals for foster care placement, it makes no guarantee relating to the animals' health, behavior or actions. I understand that I receive foster care animals at my own risk.

(If you DO NOT receive an email regarding your application within 24 hours then it DID NOT send, please |email here|)

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