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4 Paws Society, Inc. Application to Foster

If you prefer, this form can be be completed and submitted on line by clicking here to access our electronic version.

465 HARDY RD SULPHUR, LA 70665

337-558-5184

337-558-6331 FAX

NAME: __________________________________________________________________

HOME PHONE: _____________ CELL: ____________________WORK______________

PRIMARY E-MAIL ________________________________________________________

SECONDARY E-MAIL_____________________________________________________

STREET ADDRESS________________________________________________________

CITY__________________________STATE__________ZIP_______________________

MAILING ADDRESS (if different) _____________________________________________

How long have you lived at your current address? ________________________

Do you live in: House ___ Condo/Townhouse ____ Apt. ____ Mobile Home ______ Other ____________________________________________________________________

Do you: Own ______ Rent _____ Are you planning on moving in the next six months? _________________________________________________________________________

Landlord’s Name: _____________________ address_______________________________

Landlord’s Phone number: ___________________________________________________

If you rent, are pets allowed in the home and on the property? _______________________

If so what size? _____________________________________ is there a pet deposit? _____

VETERINARIAN INFORMATION

Current or Primary Veterinarian: _______________________________________________

Address: ______________________ City: _______________ State: ______ Zip: ________

Phone: _____________________________

Former or Secondary Veterinarian: _____________________________________________

Address: _______________________ City: ______________ State: ________ Zip: ______

Phone: _____________________________

PLEASE CALL YOUR VETS TO GIVE CONSENT FOR MEDICAL RECORDS FAMILY
AND RESIDENCE INFORMATION

Ages of adults that live in your house: _______________ Ages of children: _______________

Are your children afraid of dogs? ___YES ___ NO

Do you have other children that visit your home? ____ YES ____ NO

If children do visit, how often do they come and visit? ________________________________

Is your yard fenced? ___ YES ___ NO

If so, please describe the type of fence, its height and the dimensions of the fenced area: ________________________________________________________________________

Do all members of your household want a foster dog? ___ YES ___ NO

If no, who is not in favor and why? _______________________________________________

FOSTER INFORMATION Why are you interested in fostering a dog? _________________________________________________________________________

Do you have any special criteria for a foster dog that would live at your residence? (e.g., sex, age, activity level, etc.) ________________________________________________________________________________

Do you currently have any other animals that live with you? ___ YES ___ NO

If yes, please tell us the following about your pets to best match our foster to your family:

Name: _________________ Breed: _________________ Age: ____ Gender: _________

Personality around other dogs: _______________________________________________

Are they spayed/neutered? __________________ Are they up to date on vaccines? _______

How long each day will the dog be left alone? _____________________________________

Where will the dog stay when you are away from the house? __________________________

Where will the dog stay at night? ________________________________________________

Tell us about your dog experience, both growing up and during the recent few years. Please describe your experience with:

Housetraining: ________________________________________________________________

Crate training: ________________________________________________________________

Obedience training: ____________________________________________________________

Socialization training: __________________________________________________________

Dog/dog introductions or cat/dog introductions: ______________________________________

Anything else that might help in determining a match for you? ____________________________________________________________________________

How do you plan to exercise your foster dog and how often? ____________________________________________________________________________

Have you ever experienced dogs that did not get along? _______________________________

If so, how did you handle the situation? ____________________________________________

If your other animals do not get along with your foster dog do you have a way to separate them when
you are NOT at home? ___ YES ___ NO

Have you already had a Home Visit done? ___ YES ___ NO

If not, when would be a good time to schedule your home visit? _________________________

Would you be willing to foster a heartworm positive dog? ___ YES ___ NO

Please tell us how you became aware of 4 PAWS SOCIETY and its foster program: _________________________________________________________________________________________________

Is there anything else you would like us to know about your application? _________________________________________________________________________________________________

I attest that the information provided on this application is true and accurate to the best of my knowledge and understand that completion and submission of this application does not guarantee that I will foster for 4 PAWS SOCIETY. I hereby permit 4 PAWS SOCIETY to contact my Veterinarian and Landlord, if applicable. I understand that there is always an adjustment period for any foster dog coming into my home. The average time a dog spends in a foster home is two (2) to five (5) weeks and I am willing to work to make this foster dog a member of my family during his/her stay. I understand that many of these dogs have survived tremendous odds and needs lots of TLC. I understand that 4 PAWS SOCIETY cannot be held responsible for the actions, behaviors and/or medical condition of all of the dogs in its rescue. I agree to assume the risks implicit in working with dogs who may have been abandoned, beaten, or otherwise mistreated or abused, or who may suffer from an illness, condition or disease. Although 4 PAWS SOCIETY evaluates dogs prior to accepting them into its rescue, they cannot guarantee the temperament of any of the dogs since most of their histories are unknown. I understand my foster must be kept on a leash AT ALL TIMES when in an unfenced or unenclosed area - even when hiking, or just walking from my house to the car. All rescues are prone to being escape artists, especially in a new environment or when left alone. They may bolt out of an open front door. I will be aware and be careful. I understand that 4 PAWS SOCIETY reserves the right to check on the welfare of this dog on my premises, and to reclaim both possession and ownership without payment of any kind. In the event that I do not comply with the foster guidelines and 4 PAWS SOCIETY reclaims any foster dog from me, I waive claim to trespasser. I understand that 4 PAWS SOCIETY must approve all adoption applications, so I will not promise anyone that they can adopt my foster. Of course 4 PAWS SOCIETY will be happy to receive adoption referrals and recommendations. If you are considering adopting your foster yourself, 4 PAWS SOCIETY would discuss any serious applications with you before placing the dog in another home. I also agree that if, at any time in the future, I cannot continue on in the foster program for ANY reason, I will not give away, sell or euthanize the dog. I will contact the rescue coordinator for arrangements to be made to move the dog(s) into other foster homes with 4 PAWS SOCIETY. I understand that 4 PAWS SOCIETY will be responsible for any medical expenses that may occur while the dog is in my foster care. If a veterinary visit is necessary, please contact your foster coordinator and keep a copy of all receipts for reimbursement. You will need to complete a foster expense report and submit it with the original detailed receipt for reimbursement. I have read the application and program description on this form in its entirety and understand the risks involved in working with these dogs. I also agree that if the information given on this application is not accurate to the best of my knowledge, I forfeit all rights to any and all foster dogs residing in my care.

_________________________________________ _________________________
Signature of 4 Paws Representative                           Date

_________________________________________ __________________________
Signature of Fosterer                                                   Date