B2S-F1 BRIDGES TO SAFETY 1808 Ridge Rd. Forked River, New Jersey, 08731 732-859-8915 bridgesdogs@aol.com FOSTER HOME APPLICATION PLEASE NOTE THAT, THE FOSTER ANIMAL MAY BE WITH YOU UNTIL THE ANIMAL CAN BE PLACED IN A SAFE AND PERMANENT HOME. THERE IS NO EXACT TIME AS TO WHEN THAT WILL BE, SO THERE IS A CHANCE THAT THE ANIMAL CAN BE WITH YOU FOR SOME TIME. PLEASE UNDERSTAND THAT THIS CAN BE A LENGTHY FOSTER STAY, AS WE DO NOT DO SAME DAY ADOPTIONS. ALL FOSTER ANIMAS ARE THE SOLE PROPERTY OF BRIDGES TO SAFETY RESCUE. THE COMPLETION OF THIS DOCUMENT CONSTITUTES YOUR UNDERSTANDING OF THIS FACT. Names and DOB of all adults in your home: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Address: _____________________________________________________________ Apt #: _____________________________ City: ____________________________________ State:______________ Zip code: ____________________ E-mail Address: __________________________________________________ 1 B2S-F1 Daytime Phone: ______________________ Evening Phone: _______________________ Cell phone: ____________________________ Occupation Work Phone numbers: List all the names and ages of everyone living in the home: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Would you be willing to undergo a criminal record check? □ Yes □ No Do you? □ Own □ Rent □ House □ Condo □ Apt If you are renting, would your landlord be willing to provide written permission for you to have a foster animal? _________________________ Why do you want to foster for Bridges to Safety Animal Rescue? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please tell us the type, age, sex, size, etc. of pet(s) that you are interested in fostering? _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Would you consider Fostering a Pit Bull or Pit bull Type dog? Yes __ N0__ If NO please explain why: ________________________________________________________________________ ________________________________________________________________________ It will be your responsibility to socialize, housebreak, train, teach manners to, and play with your foster dog. We will do our best to advise you of any possible issue with the dog and we will disclose them. We may also give you direction in how to handle these issues to the best of our abilities; please follow directions. There may be some issues we may have missed or we have not noticed and cannot be held responsible. Are you willing to housebreak your Foster Dog? YES___NO___ 2 B2S-F1 Do you have any pets at the present time? □Yes (if yes please list below) □No Cats: Sex Age 1. _____ ______ _____________ 2. _____ ______ _____________ 3. _____ Dogs: Sex ______ _____________ Age 1. _____ ______ _____________ 2. ______ ______ ______________ Spayed/Neutered Spayed/Neutered Vaccinated Vaccinated 3. _____ ______ _____________ Do you have other pets? If yes, please explain what they are and how they are housed: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please provide your Vet’s Name and phone number that you are currently using or have used: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Have all your personal animals been altered/fixed, and are they up to date on all their vaccinations? YES__ NO__ if no please explain why. ________________________________________________________________________ ________________________________________________________________________ Have there been any medical problems with your own pets recently? If yes, please explain: 3 B2S-F1 ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Where are your pets kept during the day, evening, and at bed time? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Where will the foster animal(s) be kept during the day? ________________________________________________________________________ ________________________________________________________________________ Where will the Foster animal(s) be kept during the evening and bed time? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ How will you introduce the foster(s) to your own pets? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Do your animals receive Heartworm preventatives? □Yes □No Do you take your animals to a dog park? □Yes □No and do you plan on taking the foster Animal(s) there as well? Yes__ NO__ How will you exercise your foster? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Do you have a fenced in yard? □Yes □No What type of fence and how tall is it? ________________________________________________________________________ ________________________________________________________________________ Who will be the primary caretaker for the foster(s)? ________________________________________________________________________ In case if emergency, illness, or hospitalization, who will be the 4 B2S-F1 care taker then? Please list name and phone number: ________________________________________________________________________ ________________________________________________________________________ What hours are you usually home? ________________________________________________________________________ How long will the foster(s) be left alone? ________________________________________________________________________ Do you have children? □Yes □No If, yes, what ages? ______________________________________________________________________________________________________________________________________________ Do you have experience in training animals or with animal behavior issues? Please explain: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Please express any comments, questions, or concerns you may have! ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ If there is anything that has not been included in this form, but that you would like us to know about you, please feel free to add it here: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ FOSTERS ACKNOWLEDGMENT OF TERMS The undersigned foster hereby acknowledges and 5 B2S-F1 agrees to the following terms: The animal will not be allowed off leash, except within an adequately fenced in area. The animal will not be chained outside to any type of object or outbuilding, including a dog house. The animal is not to live in a garage, doghouse, or any type of outbuilding. The animal is to live in your home, with you, as a temporary member of your family. The animal will wear a collar or harness, with ID showing contact information for the rescue, at all times when outside of the residence, including fenced in areas. Should the animal accidently get loose, this could be the only means to identify them. Shelter must always be provided for the animal, in extreme heat, extreme cold, or any other weather condition that may endanger the health of the animal. The animal is never to remain solely confined to a crate while indoors. This is only permissible while the foster is not at home or at bedtime, if at all, and not for more than eight (8) hours per day. The animal is NEVER to be left alone inside of a closed vehicle, no matter the temperature! The animal is also never to travel untethered in any vehicle, no matter the distance. The animal is not to be left with small children at any time. The animal must remain on heartworm preventative medication during mosquito season, and receive proper veterinary care at the rescues discretion. The foster agrees to administer this, as with all prescribed 6 B2S-F1 medications, at prescribed times and with prescribed dosage. Unless it is an EXTREME emergency, the foster may not take the animal to a vet without pre-approval by the rescue, or the rescue will not be held responsible for any fees incurred. The foster must contact the rescue anytime, in advance whenever possible, that the animal requires veterinary care. The animal is to have adequate food, water, and shelter, at all times. The foster shall refrain from any type of physical or emotional abuse of the animal, or otherwise treating the animal in any inhumane manner. The animal is owned by the rescue and the rescue alone, and must be relinquished back to the rescue immediately upon request. If the foster is fined by authorities for any reason; failure to restrain, animal running at large, if the animal bites, the rescue cannot be held liable for the animal while it is in your care. If the foster chooses to purchase anything for the animal, ie: toys or special treats, the rescue will not be held responsible for reimbursement unless the item has been pre-authorized by the rescue The rescue will not be held responsible for any damage to the home or property of the foster. Signed this______ day of ____________, in the year____________________ 7 B2S-F1 Adopter's Signature _________________________________________________ Adopter’s ID, address and phone ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Witness’s Name (printed): ___________________________________________ Witness’s Signature: _________________________________________________ THANK YOU FOR TAKING AN INTEREST IN FOSTERING! YOU ARE HELPING TO SAVE A LIFE, AND THE ANIMALS WILL BE FOREVER GRATEFUL. PLEASE REMEMBER, FOR EACH DOG IN FOSTER, ANOTHER ONE CAN BE SAVED FROM DEATH ROW. 8