FOSTER APPLICATION

Date_________________

Name _____________________________________________________________________

Address___________________________________________________________________

City_____________________________State________________________ Zip_______________

How long have you lived at this address? ___________________________

Drivers License #: ___________________Occupation:____________________________

Home Phone:_____________________________________

Cell Phone:__________________________________

Email:__________________________________________

1. How many adults and children living in the home? Age of children?

2. What type of home do you live in? Circle one: House, Condo, Apt, Mobile home, Farm

3. Do you ____own _____rent?

If you rent, please provide the name and phone number of the landlord:

Name: _______________________________Phone #:_________________________________

4. Do you anticipate moving in the near future? _______________________________________

5. Is everyone in the home in agreement with the decision to foster an animal through ACF?
6. Do you have time to provide adequate love and attention? _________________

7. Please list the pets you own:

SEX BREED AGE SPAY/NEUTERED

8. Do your pets get along with other animals? ____________________

9. Are these pets current on vaccines? ___________________________

10. Are these pets spayed/neutered? YES Or NO

11. How do you discipline your pets?

______________________________________________________________________________

***Vet Name: ________________________________________________________

Address: ___________________________________________________________________

City: ___________________________________ State: _________________ Zip___________

Phone Number: __________________________________________

12. Can you provide the pet(s) with adequate shelter during the fostering? _______________

13. Where will the pet spend the day?

_________________________________________________

14. Where will the pet spend the night?

________________________________________________

15. Do you have a fenced in yard? ___________ Height of fence? __________________

16.List the number of hours the pet will spend alone per day ______________
17. Who will have primary responsibility for this pets daily care?
________________________

18. Do you agree to provide the pet transportation to a veterinarian (A vet recommended by
ACF) when requested by the ACF Foster Program Coordinator? _________________

19. Are you willing to network the foster pet(s), interview prospective adopters and provide
transportation for the foster pet(s) to pet adoption fairs when requested by the ACF Foster
Program Coordinator? _____________________

20. Do you understand that a pet placed with you for fostering will be owned by ACF and that
any medical treatment/ veterinarian services must be authorized by ACF? ______________

21. Do you agree that only the ACF can transfer or permanently place any pets you may
foster?
YES OR NO

22. Do you agree to contact the Animal C.A.R.E. Foundation if you can no longer foster this
pet?
YES OR NO

Personal Reference

Please list a non-relative who is familiar with you and your pets.

Name:___________________________________________________________________

Address:_________________________________________________________________

City: ___________________________ State:_______________ Zip: ______________________

Phone number:_________________________________________

Relationship to you:_____________________________________

This dog/cat will reside in my home as a pet. I agree to provide it with fresh food, water,
shelter and affection. All of the information I have given is true and complete.

___________________________________ ______________________
SIGNATURE DATE

Revised 2/14/17

FOSTERFAMILYGUIDELINES:

The Animal C.A.R.E. Foundation (ACF) is in need of foster homes for its dogs and cats while they
wait for a forever home. Foster families offer a unique opportunity for pets awaiting adoption to be
part of a family and learn to acclimate into a home environment. This results in a less stressful
transition for the pet.

The ACF desires to find individuals and families who can help pets make successful transitions to
forever homes while making this an enjoyable experience for the foster family. Please note that we
have developed the following guidelines and expectations to help make this a successful process.
Please read and initial:

Each foster family shall agree to the following procedures and guidelines provided by the ACF
regarding the pet while they are in their foster care home. Please read and initial.

_____All foster animals remain the responsibility and possession of the ACF until properly
adopted. A foster animal may not be transferred to a new guardian or foster home without approval
from the Foster Program Coordinator, as authorized by the ACF Board of Directors.

______The foster family will not make decisions on veterinarian care and placement of the animal
without prior approval from the Foster Program Coordinator, as authorized by the ACF Board of
Directors.

______The ACF has identified certain local veterinarians (please see the updated list on our
website: (http://www.) COMING SOON! to provide approved medical services for its pets. In the
event that the foster family needs to take the pet to the veterinarian, the ACF will be financially
responsible for the pre-approved care. In certain circumstances the ACF will provide the
transportation for the pet to the veterinarian. (Midway Animal Clinic, North Davidson Vet Hosp,
Carolina Value Pet Care Clinic - Tractor Supply, Better Pet Mobile Spay/Neuter Clinic- Tractor
Supply, Planned Pethood Spay Neuter Clinic - Greensboro, Sheets Spay Neuter Clinic- Greensboro,
Arcadia Vet Hosp, Winston-Salem).

_______The foster family will provide the pet with humane and compassionate care and agrees not
to keep pet chained or restrained (other than the use of crate training). The foster dog should not be
kept as an outdoor-only pet and should have access to a fenced in yard. Foster cats shall always
reside indoors.
_______The foster family agrees to provide basic needs such as adequate food, water, socialization,
exercise and medical assistance (medications that have been prescribed by vet such as
liquid/pills/ointments) to pet. When food assistance is needed, the ACF will provide food upon
request for the foster animal only.

______If the foster family is no longer able to provide care for the pet, the foster family shall notify
the Foster Program coordinator or ACF immediately. The foster family agrees not to sell, abandon
or relinquish pet to the shelter or any other third party unless approved by the ACF.

______The foster family understands that the ACF may not know the disposition or temperament of
the pet and it cannot predict how it will react in all situations. The foster family understands that
they should take all reasonable precautions to ensure that the pet does not harm itself, other pets or
people and ensures that they do not destroy property. The use of crates, leashes and common sense
should be used to prevent harm.

_____ Foster pets can display unpredictable behavior; we ask that you use caution when introducing
the foster pet to other animals in the home. The foster family should also use caution with foster
animals around children. Never leave the foster animal alone with a child or family pet. Use a crate
or kennel to protect animal even after a period of time.

______ Foster pets may become scared and prone to escape/flight when they are first introduced
into a new home. As a foster family you should to take every precaution, including the use of
leashes for dogs and placing cats in a small room, prior to allowing access to the entire house.
**The ACF does not use shock collars.

______ Foster cats should be kept inside at all times and foster dogs should be on a leash when
outside and away from fenced-in yard.

______Like many shelter or stray animals, your foster dog may not be house trained or may chew
on furniture, clothing or other objects. Your foster cat may not be litter trained or may scratch
furniture, clothing or other objects. As a foster family, you will be responsible for teaching the
foster animal to be a well-behaved family pet. The ACF shall not be held responsible for damage to
personal property.

______The pet will remain the property of the ACF and may be removed from the foster family at
any time without prior notice.
______In the event that the foster family desires to permanently adopt the pet, the foster family
must complete an adoption application and pay the requested adoption fee.

_______The foster family should make certain that all pets in the household are up to date on
vaccinations such as parvo, rabies, distemper and bordatella prior to agreeing to foster a pet from
the ACF.

THE FOSTER FAMILY DOES HEREBY RELEASE, DISCHARGE AND HOLD HARMLESS
THE ANIMAL C.A.R.E. FOUNDATION AND ANY PERSON, FIRM OR CORPORATION
CHARGED OR CHARGEABLE WITH LIABILITY TOGETHER WITH THEIR HEIRS,
ADMINISTRATORS, EXECUTORS, SUCCESSORS AND ASSIGNS FROM ANY AND ALL
CLAIMS, DAMAGES, COSTS, EXPENSES, LOSS OF SERVICES, ACTIONS OR CAUSES OF
ACTION, WHETHER KNOWN OR UNKNOWN, BELONGING TO THE FOSTER FAMILY
DUE TO ANY ACTION OR OCCURRENCE ARISING OUT OF OR IN CONNECTION WITH
THE FOSTERING OF A PET FOR THE ANIMAL C.A.R.E. FOUNDATION..

BY SUBMITTING A FOSTER HOME APPLICATION YOU HAVE ACKNOWLEDGED YOUR

AGREEMENT TO THE FOREGOING TERMS AND CONDITIONS.

________________________________ ____________________
NAME (SIGNATURE) DATE

Revised 3/12/17