Confidentiality

I understand that there is an aspect of confidentiality involved with AH Rescue Sanctuary location, any information, clients, volunteers, and their situations.

Liability

I release AH Rescue Sanctuary, its volunteers, and fosters of any and all liability, when meeting any dog or cat from AH Rescue Sanctuary. I further agree to indemnify and to hold AH Rescue Sanctuary, its’ Directors, Officers, volunteers, fosters, and/or agents free and harmless from any loss, liability damage, cost, or expense which I may incur as a result of any injury to myself or my pet(s), and/or property damage I may sustain while participating in a meet and greet or when meeting a dog or cat from AH Rescue Sanctuary.

Applications may take 1-3 weeks to process before you are notified.

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Primary Foster *

First

Last

Co-Foster

First

Last

Primary Foster Email *

Co-Foster Email

Primary Foster Phone Number *

Co-Foster Phone Number

Full Address *

Primary Foster Date of Birth *

Co-Foster Date of Birth

Length at Current Residence *

Primary Foster Place of Employment *

Where you work and how long you have worked there.

Co-Foster Place of Employment

Do you Rent or Own *

• Rent
• Own

If you rent, we must see a lease or agreement that pets are allowed and what breeds are allowed.

Landlord Information *

Name, Phone, Email

Amount Rent Increased or Animal Deposit Amount *

Addresses for Last 5 Years *

Reference #1 *

First

Last

Reference #1 Phone Number *

Reference #2 *

First

Last

Reference #2 Phone Number *

Number of Adults in the Home

Selected Value: 1

Ages *

Full Name of Adults 18 and older. *

Number of Children in the Home

Selected Value: 0

Ages *

Have you or anyone in your household been convicted of a crime against animals or children? *

If yes, please explain.

Name, Age, Dog/Cat?, Male/Female?, Fixed?, Current on Vaccinations?, Vet with Records. *

All household pets must meet the following criteria ✓ Current on all Vaccinations ✓ On flea & heartworm preventative ✓ Heartworm tested within the last 12 months ✓ Spayed or Neutered (Some Exceptions)

Primary Veterinarian: *

First

Last

Primary Veterinarian Phone Number: *

Previous Veterinarians: *

I agree to contact my landlord before I turn in my application to ensure pets are allowed. *

• Agree
• I do not agree

I understand that AH Rescue Sanctuary will contact my vet & perform a home visit. *

• Agree
• I do not agree

I understand that I am not guaranteed the animal I want to Foster. *

• Agree
• I do not agree

Name of Interested Animal *

How soon can you take the Animal home? *ASAP1-4 weeks1 month+

Is everyone in the home in agreement of adding a cat or dog to the household family? *YesNo

Does anyone in the household have allergies? *

• Cat Allergy
• Dog Allergy
• Other

Will you allow AH Rescue Sanctuary to do a home inspection? *YesNo

Are you physically able to take a dog outside to eliminate? *YesNo

Are you able to take a dog on walks to make sure they get the exercise they need? *YesNo

Will your newly fostered dog be an outdoor only pet? *YesNo

On average, how long will your dog be alone without a potty break? *4 hours8-9 house12+ hours

Will the dog ever be outdoor unattended? *YesNo

Where will the animal be left when home alone? *CratedOutdoorFree Roam of HouseSpecific Room

Do you have a fenced in back yard? *

Yes/No and what kind and height. If not, dog must be on lead at all times outside, unless at a dog park where it is allowed.

What type of outdoor shelter will the dog always access to? *Dog HouseGarageBarnWaterproof CanopyEnclosed PorchNone

What if the dog develops a skin or food allergy & can you afford special diet if needed? *YesNo

In the event you become unable to care for this dog, who will care for them? *

What if an issue arises and you must move from your current home, what will happen to dog? *

What will you do if this dog chews something up? *

What will you do if this dog eliminates inside your home? *

Please list the reasons why you would NOT keep a dog: *

Primary Foster Fill in Name to Sign *

First

Last

By signing above, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet from AH Rescue Sanctuary. I authorize investigation of all statements on this application. Furthermore, I understand and accept that the foster decision depends upon many factors including, but not limited to, the compatibility of the family and home to the individual dog or cat, and other applications received on the dog or cat. I understand and accept that it is AH Rescue Sanctuary prerogative to decide which home is most appropriate for the individual dog or cat, and therefore, I will not take issue with the decision. Unless otherwise indicated by AH Rescue Sanctuary, I may be considered for another dog or cat. I hereby sign this agreement under my own free will.

Co-Foster Fill in Name to Sign

First

Last

By signing above, I certify that the information I have given is true and I recognize that any misrepresentation of the facts may result in my losing privilege of adopting a pet from AH Rescue Sanctuary. I authorize investigation of all statements on this application. Furthermore, I understand and accept that the foster decision depends upon many factors including, but not limited to, the compatibility of the family and home to the individual dog or cat, and other applications received on the dog or cat. I understand and accept that it is AH Rescue Sanctuary prerogative to decide which home is most appropriate for the individual dog or cat, and therefore, I will not take issue with the decision. Unless otherwise indicated by AH Rescue Sanctuary, I may be considered for another dog or cat. I hereby sign this agreement under my own free will.

Submit

Applications may take 1-3 weeks to process before you are notified.

Checklist

• I have provided a copy of my Driver’s License or Photo ID: No Yes
• The correct address listed on Driver’s License or Photo ID: No Yes
• I have provided a copy of Driver’s License or Photo ID for all other adults residing in your home: No Yes

Email Copies requested to ahsvolunteerteam@gmail.com with your name and name of animal you are interested in.