Foster Application If you’re interested in fostering, please complete and submit the form below. We will contact you shortly after reviewing your application. Name* First Last Email* Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Secondary Phone NumberReferencesPersonal Reference 1 Name* First Last Personal Reference 1 Phone Number*Personal Reference 2 Name* First Last Personal Reference 2 Phone Number*About Your Home...Please describe your home. Is it an apartment? Fenced?*Please provide information about your current pets.Please includes the types of pets you currently own, their ages, are they indoor or outdoor animals, etc. Do they all get along well with other cats and dogs?Will you be able to foster animals separate from your own animals if necessary?* Yes No If so, where?Are all existing pets... Up-to-date on all tests & vaccines? Negative for all diseases? Spayed/neutered? Treated for flea/ticks? Your Veterinarian...Vet's Name, Phone NumberMay we contact your vet for a reference?* Yes No About FosteringWhat animals are you willing to foster? (Check all that apply) Adult dogs Puppies Adult cats Kittens Please list the names of any of our animals you're interested in below:Will a potential adopter be allowed to meet the foster animal in your home with an Animals for Life representative? Yes No Would you be willing to foster a mother with a litter? Yes No Would you be willing to foster kittens/puppies? Yes No Would you be willing to foster an animal that needs socializing? Yes No Would you be willing to foster an animal with special medical needs? Yes No Do you have experience with giving animals medication? Yes No In your opinion, what physical symptoms / behaviors would warrant immediate medical attention?In order to be considered as a foster family today, you must: BE 21 YEARS OF AGE OR OLDER Have knowledge and consent of your landlord, or the person owning the premises in which the animal will live, and all household members. Understand that Animals for Life reserve the right to verify all information submitted on this application, including veterinary information. Understand it is my responsibility to provide a safe, warm, indoor housing for fostered animals(s). Understand that despite best efforts, some animals may not survive due to physical or other health-related complications. Understand that fostered cats/kittens are not allowed outdoors at any time. Understand that I must spend as much time as possible socializing and playing with the foster animal(s). Understand that I must closely monitor the condition of the fostered animal(s) and contact Animals for Life immediately when problems are observed or when I have questions/concerns. I understand that all veterinary care must be authorized in advance by Animals for Life. If an emergency arises, I must contact an Animals for Life representative or go directly to the emergency vet approved by Animals for Life. Agree to comply with the Animals for Life rules and regulations, instructions and mandates, and understand that failure to comply may result in immediate termination as a Foster family. Understand that my services are provided strictly as a volunteer basis without any pay or compensation of any kind and without liability of any nature on behalf of Animals for Life; all services to be performed are at my own risk. I understand and acknowledge that I do not have any right or authority to keep, adopt, transfer, or place foster animal(s) in other homes or with other individuals. I agree that every animal I provide foster care for must be physically returned to Animals for Life by the date set forth below or at any time upon request of Animals for Life. I also agree to return the animal(s) immediately if I am no longer able to provide adequate care. I understand that medicines and other supplies provided by Animals for Life are for use with foster care animals only, and are not to be administered to animals that are not the property of Animals for Life. Understand that in handling animals there exists a risk of injury, infections, disease including physical harm caused by animals to me, my family and my pets. On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify, and hold harmless Animals for Life, its agents, servants, and board members from any and all claims, causes of actions, or demands and any nature of cause, including costs and attorney fees incurred or sustained by me in any way connected with my services to Animals for Life but not limited to: animal bites, accidents, injuries, property damage and veterinary fees. I understand that the foster animal(s) are temporarily in my care and belong exclusively to Animals for Life. I also understand that the purpose of this foster application is solely to provide care for the foster animal(s). I CERTIFY THAT NO PERSON RESIDING IN THE HOUSEHOLD WHERE THE ANIMALS WILL BE FOSTERED HAS EVER BEEN CHARGED WITH OR CONVICTED OF ANIMAL CRUELTY, NEGLECT, OR ABANDONMENT. * I certify that the above information is correct to the best of my knowledge. I also agree to follow all the rules, regulations and policies of Animals for Life. No person residing in the household where the animal(s) will be fostered, has ever been convicted of animal cruelty, neglect, or abandonment. Signature*Initials* This iframe contains the logic required to handle Ajax powered Gravity Forms.