DOUGLAS COUNTY CANINE RESCUE
FOSTER APPLICATION
Please complete the Foster Application below. After submitting your application we will contact
you to schedule a home visit prior to the approval of your application.
Name:
Date:
Address:
City/Zip
Phone:
Email:
Emergency Contact:
Phone:
How did you hear about D.C.C.R?
Please provide us with the name and numbers of 2 people we may contact for reference:
1.
Phone
2.
Phone
We may ask that you submit to a background check. Will you agree to our protocol?
Yes_____ No______
When considering a foster dog, do you have any preference? (Please check all that apply)
_____ Adult dog ____Multiple pet
_____Medical/rehab
_____Pregnant or nursing dog
____Behavioral/socialization
Do you have previous fostering experience? Yes____
____Puppies
No____ How long?
Do you currently foster for any other organizations? Yes___ No___
*I agree that while actively fostering for D.C.C.R I will not foster another dog from another
rescue in the same foster home as D.C.C.R’s dogs
Do you currently have any other pets in your home? Yes____ No____ If yes please
describe for each animal:
Type of pet:
Breed:
Spayed or neutered:
Up to date on vaccines? Yes______ No_______
Behavioral problems or illness:
Has your home ever been exposed to Parvovirus?
*Please understand having other pets in your home will not disqualify you from fostering, we
need to be sure to match each animal with the appropriate home for his/her needs.
If you do not have pets in your home currently, have you had pets in the past?
If so please describe why they are no longer in your home.
Do you have children in your home? Yes___ No__
If so what ages and how many?
Who, if anyone, will assist you in caring for your fosters?
Do you rent or own? Rent_____ Own____
Lease to Own_____
House/Apartment
(please circle) If renting please provide landlord’s name and contact number:
________________________________________________________________________
*If renting it is your responsibility to verify any breed restrictions with your landlord prior to
agreeing to foster.
Are there other people living in the household with you?
Do you have a dog door? Yes____ No____
Do you have a fenced in yard? Yes____ No____ Height and type of Fence:
How many hours will fosters be left alone each day?
Are you presently employed? ____ yes _____ no ____ retired
Employer ________________Employer Phone number___________
Where will your foster be kept while you are not home?
How will your fosters be exercised?
Do you have or can you provide your own kennel? Yes___ No____
Are you willing to administer medication if needed? Yes___ No____
If medical attention is required, are you able to transport fosters to our veterinarian for
appointments? Yes____ No_____
Are you willing to follow the care instructions provided by D.C.C.R.
Veterinarians? Yes____ No____
Are you able to accommodate animals with special nutritional needs?
FOSTER AGREEMENT
D.C.C.R’s first and foremost concern is for each and every animal’s wellbeing. We must insure every
animal’s individual needs are met and will take action at our discretion to ensure their foster home meets
their needs. We understand that every animal is different and so are their individual needs. We need your
help in communicating any behavioral problems, changes or concerns etc.
Please read and sign below:
I __________________understand I am willingly participating in D.C.C.R’s foster program. I will be
professional and respectful in my dealings with people inside the rescue and with the general public. If at
any time should I wish to withdraw from this program, I will provide the rescue with 72 hours notice to
properly transfer my foster to another foster home. If an animal is not adapting in my home I will notify
you so you can arrange another foster home. I will transport the foster to D.C.C.R or to the replacement
foster home.
I agree to contact D.C.C.R immediately in the case of: aggression, emergencies (foster parent or animal),
medical issues or a lost foster animal.
I agree to update all of my information with D.C.C.R accordingly regarding: new animals in the home,
new children in the home, moving, personal information changes, vacations, etc.
I understand that a representative of D.C.C.R will be doing an in home visit prior to my application being
approved.
I understand D.C.C.R reserves the right to accept or deny any application for any reason.
I agree to participate in periodic animal wellness checks as the rescue desires.
I agree to provide all fosters in my care a calm, loving, healthy environment, and will only use positive
reinforcement techniques. My foster will be fed, given fresh water and housed per D.C.C.R’s
recommendations.
I understand that D.C.C.R reserves the right at any time for any reason to request that a foster be returned
to the rescue, if this request is not met within 24 hours, the appropriate authorities will be contacted, and
legal action may be taken.
I acknowledge and agree that animal bites or other injuries to humans and other animals do occur and that
all animals can carry and transmit diseases, including zoonotic diseases that can be transferred from
animals to humans. I understand that Douglas County Canine Rescue will not be responsible for any
damage the foster dog may inflict on another person, another animal or any property or for the
transmission or transfer of any disease or parasite to other animals or people in the fostering household
and no attempt will be made by me or anyone on my behalf to hold D.C.C.R. responsible. I hereby
release D.C.C.R. and its officers, directors, agents and representatives and agree to indemnify and hold
same harmless from any and all actions, causes of action, suits, debts, dues, accounts, covenants,
agreements, judgements, claims and demand of any nature whatsoever arising out of my foster of a dog
from D.C.C.R.
I will not change or permanently alter the animal’s appearance in any way, shape or form (cropping or
docking, etc).
I will not take my foster dog out of town for any reason without prior authorization from owners of the
rescue
Or have any other person watch my foster dog without prior authorization.
I will NOT give or sell the animal to another person, relative, rescue group, Humane Society, shelter,
pound or experimental laboratory or similar organization.
I understand that if I am approved to foster a dog, I must abide by this agreement and that this agreement
applies to any and all dogs that I foster with D.C.C.R
Signed __________________________________________ Dated: __________________________
Please forward your application to dccrescue@gmail.com
Douglas County Canine Rescue
Contact: Rebecca 719-650-6209 or Jaime 720-708-8724
DCCR OFFICE USE ONLY
Reference #1
Reference #2
Veterinary reference