Foster Application and Volunteer Waiver
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of dog interested in fostering (If Applicable)
Name
First Name
Last Name
Applicant's Date of Birth
Applicant's Email
example@example.com
Phone Number
-
Area Code
Phone Number
Applicant's Employer
Co-Applicant's Name
First Name
Last Name
Co-Applicant's Email
example@example.com
Co-Applicant's Date Of Birth
Co-Applicant's Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many hours a day would your foster dog be home alone?
Please list any and all name of household members and their ages.
Please list any pets the foster dog will come in contact with, the type of animal, breed and age.
Do you own or rent your home/condo/apartment/mobile home? If you rent/lease please provide the landlord's name and contact phone number. If we do not have this info we cannot process your application.
Please describe any/all fostering, dog raising or rescue/shelter volunteer experience you may have:
Have you dealt with issues such as separation anxiety, excessive barking, food bowl aggression, etc?
Please provide the name and contact info for the vet you are currently using or you have used for your past pets. If you do not have a vet reference please provide 2 personal references not living with you. Include person's name, phone number and relationship.
Do you have a fenced in yard? What kind of fencing and how tall? If no fence how will you keep the dog contained on your property?
Foster applicant understands that applications will be received by LIFESAVERS CORP. for adoption of the dog being fostered by the applicant. Foster applicant also understands that the dog being foster must be returned to the rescue when asked to do so. Not returning the dog will result in theft charges being filed.
The above mentioned foster applicant (further referred to as applicant) does agree to hold LIFESAVERS CORP, its officers, directors and volunteers harmless from any and all situations and liabilities that arise from fostering of any dog. All measures are taken by LIFESAVERS CORP to in ensure that the dog being fostered is safe, but unseen circumstances can arise.
By signing this agreement, the applicant agrees to the following: All measures will be taken to avoid all situations that will cause any harm to the foster dog or that will result in the dog being put in a situation where he/she will cause harm to the applicant, any other persons and any other animals. Dog will be supervised at all times, especially around children and other pets. At no time should the dog be left unsupervised around children. The foster dog will reside in the applicants home as a family member the full duration of the dogs stay and will have access to a securely fenced yard or will be leash walked at all times. All attempts to provide appropriate medical care to the foster dog will be provided by the applicant, especially in emergency situations. In an emergency, the applicant will attempt to contact a LIFESAVERS CORP. director or representative immediately to authorize emergency care for the foster dog. In case of a life or death situation, the applicant will provide or authorize such treatment as to save the life of the dog. All further medical treatment must be authorized by a LIFESAVERS CORP. representative. Euthanasia will be determined only by a LIFESAVERS CORP director, representative or board member unless dog is in pain or suffering. All authorized medical care will be paid for by LIFESAVERS CORP. Appropriate preventative medications (heartworm and flea and tick preventative) will be provided by and/or paid for by LIFESAVERS CORP, as will all vaccinations and worming medications. The applicant agrees to maintain the general health care of this dog in regards to wholesome food, clean, fresh water and sufficient exercise in consideration of the size and age of the dog. If the foster dog becomes lost, the applicant will immediately contact a LIFESAVERS CORP representative. The foster dog will always wear an identification name tag which includes LIFESAVERS name and phone number. The applicant will provide evaluations of the foster dog regularly and notify a LIFESAVERS CORP Board member, director or representative immediately if dog is unsuitable for placement. The applicant releases and discharges LIFESAVERS CORP. forever from liability for any injury or damages to any person or property caused in the future by said animal and from any causes of action, claims, suits or demands whatsoever that may arise as a result of such injury or damages. The applicant understands that this contract is under the jurisdiction of the State of Texas, which shall be the place of venue for purposes of enforcement of the terms of this contract. Should LIFESAVERS CORP. need to seek legal action against me for any violations of this contract, I agree to assume any and all attorney costs and court fees. I acknowledge that all statements contained in this placement contract completed by me are true and accurate.
Applicant's Name
First Name
Last Name
Signature
Co-Applicant'sName
First Name
Last Name
Signature
DateTime
Lifesavers Corp's Director's Name
Volunteer Waiver Release and Indemnification Agreement
Waiver
LIFESAVERS CORP. cannot be held liable for injuries or accidents which may occur as a result of working with the animals. Volunteers understand that there are risks associated with working with shelter animals.
Waiver
I understand that LIFESAVERS CORP. has limited information on the animals that are in the rescue program. It is my responsibility to notify LIFESAVERS CORP. staff if I am bitten, scratched or injured in any way by any of the animals. I also hereby agree to not hold LIFESAVERS CORP. directors, officers, volunteers, associates or foster care providers liable for any physical, emotional or property damages that are a direct or indirect result of activities involved in the placement, transport, grooming, walking, playing, training, handling or evaluating of dogs in any way associated with LIFESAVERS CORP. I realize that I am responsible for my own medical expenses and agree to provide my own health insurance, property insurance and vehicle insurance. I am also stating that I have no physical or mental conditions that exist that would prohibit me from volunteering at LIFESAVERS CORP.
Volunteer's Name
First Name
Last Name
Volunteer's Signature
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
-
Area Code
Phone Number
Home Phone Number
-
Area Code
Phone Number
Email
example@example.com
*
Submit
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