Uffda Animal Rescue Po Box 426 Cando ND 58324 uffdarescue@gmail.com www.uffdafundforanimals.org Foster Application: PERSONAL INFORMATION: Name: (please print) ____________________________________ DOB: ______________________ Address: ____________________________________________________________________________ City: _________________________ State: _______________________ Zip Code: _______________ Phone: ___________________________ Email: ____________________________________________ HOUSEHOLD INFORMATION: How many people are in your household? Adults over 21:_______________ Children (including ages): __________________________________ Do you live in: ☐House Do you: ☐Own ☐Apartment ☐Other __________________ ☐Rent ☐Lease If renting/leasing, are there pet restrictions? ☐Yes ☐No If yes, provide landlord’s name and number: ___________________________________ Please list all current pets: Dog/Cat Breed Age M/F Altered? Vaccinations Current How long owned? Please use an additional sheet if you run out of space. We recommend all other pets in the household be up to date on vaccinations as well before fostering. Who will be the primary caretaker of your foster pet? _____________________________________ Describe your yard (if fostering dogs): ☐No yard ☐Unfenced yard ☐Partially fenced yard ☐ Completely fenced yard -If you don’t have a fenced yard, do you agree to keep the dog leashed while outside? ☐Yes ☐No How would you describe your level of experience with pets? Check all that apply ☐Never owned a dog/cat ☐Had one or more as a child ☐Had one or more as an adult ☐Have experience with behavioral problems with a personal dog ☐Have experience at a boarding kennel/veterinary clinic/other pet business ☐Have previous foster/rescue experience Do you have experience with: ☐small breeds ☐medium breeds ☐large breeds What types of pets are you interested in fostering? Check all that apply ☐Adult dogs ☐Puppies ☐Mother nursing puppies ☐Untrained/minimally trained dog or puppy ☐Adult cats ☐Kittens ☐Pitbull/ Bully breeds What situations are you not prepared to foster for? ☐Excessive barking ☐Chewing ☐Shy/unsocialized pet ☐Not good with children ☐Not good with dogs ☐Not good with cats Do you have a preference on: Size? ☐Yes ☐No ☐Digging ☐High activity level ☐Not housetrained If yes, list preference___________________________________ Breed? ☐Yes ☐No If yes, list preference___________________________________ ☐Yes ☐No If yes, list preference___________________________________ Age? Please tell us anything else you’d like us to know to match you with an appropriate foster pet: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Please read carefully: Uffda determines the criteria for fostering, decides which animals are appropriate for each foster situation and appoints caregivers after reviewing an approved application. You will be expected to keep the animal safe and secure, return it to Uffda when requested to do so, and not promise the animal to anyone, or imply that you have the authority to approve a potential adoption. Uffda retains ownership of all animals placed in foster care, and will make all decisions regarding the adoption. Uffda will provide for all necessary veterinary care if needed while the animal is in foster care. I have read and understand the statements above. I certify that all the information contained in this application is true and correct. I understand that although Uffda takes reasonable care to screen animals for foster care placement, it makes no guarantees relating to the animals’ health, behavior or actions. I understand that I receive foster care animals at my own risk and can decline to accept any animal for which Uffda has asked me to provide care. I acknowledge that Uffda is not responsible for any property damage or personal injury suffered by me, members of my household, including my own animals, or any third parties during a foster placement, and I assume liability to provide adequate controls to prevent such damage or injury. Signature: __________________________________ Date: ________________________ Please return application to uffdarescue@gmail.com