Foster Care Application Step 1 of 3 - Personal Information 0% * = required fieldsApplicant Name* First Last Address* Street Address City Choose OneAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Type*Type of PhoneHomeMobileBothHome Phone:*Cell Phone* If Different then HomeAlternative Contact:Secondary number or person you can be reached by contacting.Email:* You live in:* House Apartment Duplex Household is:* Quiet Active Does your home have a yard?* Yes No Is the yard fenced:* Yes, it is fenced No, it is not fenced Do you:* Own Rent Live w/Parents Live w/Roommates Landlord's Name* First Last Landlord's Phone Number*Parent 1 Name:* First Last Phone Number:*Parent 2 Name: First Last Phone Number:Are you allowed to have pets?* Yes No Do all adult members of your household want to and/or agree to the foster?* Yes No If not, explain:Does anyone in your home have Pet Allergies.* Yes No To What kind of Pet Please describe; Dogs? Cats? Etc. Do others Adults live in your home?* Yes No List all people who live in your home (excluding yourself)NameRelationshipAge Click the Plus to add additional people.Do you have Children in your home?YesNoDo you have Pets Currently?*NoYesHave you had Pets?*YesNoPersonal Pet Profile*Please provide details of all pets currently a part of your household. Use the + to add additional Pets.Pet's NameType/BreedAgeGenderCurrent on Vaccinations?Spayed/Neutered? Personal Pet Profile*Please provide details of all pets currently a part of your household. Use the + to add additional Pets.Pet's NameType/BreedAgeWhat happened to them? Foster Pet QuestionsDo you think your pet(s) will get along with a foster pet?* Yes No What kind of pets are you interested in fostering?* Dogs (6+mos) Puppies (under 6mos) Mother Dog w/Newborn Puppies Orphaned Newborn Puppies Senior Dogs (10+yers) Why or why not?* Do you feel you could foster more than one pet at a time?* Yes No How many at one time:*Would you be willing to care for a foster pet that is ill, needs medication or is disabled in some way?* Yes No *We will provide you with any required medication the pet might need.How long would you be able to foster a pet?* 1-3 days only Up to 1 week 1-2 weeks 3-4 weeks As long as needed How many hours in a day will your foster pet(s) be home alone?*Check all that apply Someone is always home 1-4 hours alone 8-12 hours alone I come home on lunch break I bring my pet to work with me Other Please explain:* Where will you keep your foster pet during the day while gone?* Inside Outside Please explain:* Where will you keep your foster pet during the day while home? Inside Outside Please Explain:* Where will you keep your foster pet at night? Inside Outside Please explain:* Do you have all of the supplies necessary to care for a foster pet?* Yes No What kinds of supplies will you need the rescue organization to provide?* Is this your first experience with a dog, or with fostering?* Yes No Please explain:* What training methods are you familiar with, if any? Would you be willing to transport a foster pet to vet appointments and adoption events?* Yes No Please explain:* Do you have a dog crates to use for transports?* Yes No Please tell us anything else about yourself or your family that you feel this organization would need or want to know (i.e. previous experiences, why you want to foster, other groups you have worked with, special skills, personal contacts, etc.):Consent Agreement*Section 1: Designated Contact Hearts 4 Paws will serve as the designated point of contact for the Foster at Hearts 4 Paws. The Foster agrees to communicate with their designated Hearts 4 Paws representative regarding the care and fostering of the Pet. Section 2: Appointment Coordination The Foster is responsible for coordinating and scheduling all medical, veterinary, or grooming appointments for the Pet through Hearts 4 Paws. The Foster shall transport the Pet to and from appointments unless otherwise arranged. If the Pet is not spayed or neutered by the Foster Date, the Foster must arrange, through Hearts 4 Paws, for the Pet's spaying or neutering at one of Hearts 4 Paws' approved veterinary partners. Breeding the Pet is prohibited. The Foster shall promptly notify Hearts 4 Paws of the Pet’s injury, illness, or death during the foster care period. Section 3: Food & Supplies Hearts 4 Paws will provide the Foster with necessary food and supplies for the Pet during the foster care term. If the Foster chooses to purchase food, supplies, or items related to the Pet's care, such expenses shall not be reimbursed by Hearts 4 Paws. Advance notice to Hearts 4 Paws is required for expected supplies or food needed. Section 4: Marketing Assistance Hearts 4 Paws markets adoptable pets through various channels. The Foster is expected to assist in marketing the Pet for permanent adoption. This may include attending adoption events, providing photos and descriptions, and promoting the Pet through word of mouth and other means. Section 5: Foster Commitment The Foster understands that the duration of the foster period is variable, potentially spanning weeks or months. The Foster commits to fostering the Pet for the necessary duration. If the Foster can no longer care for the Pet, they shall notify Hearts 4 Paws and actively seek a suitable foster or adoptive home. Hearts 4 Paws retains ownership of the Pet during the foster period and can reclaim it as needed. Section 6: Option to Adopt Fosters have the first option to adopt the Pet. However, adoptions require sterilization, payment of the adoption fee, and signing a written registration contract. Section 7: Assumption of Risk The Foster acknowledges inherent risks and uncertainties related to caring for the Pet. These risks include injury to persons or property. The Foster voluntarily assumes responsibility for these risks. Hearts 4 Paws and its affiliates are released from claims, losses, liabilities, injuries, or damages arising from the Pet's care. This includes bodily injury or property damage claims. Section 8: Indemnification The Foster agrees to be solely responsible for the Pet's actions and to indemnify and hold Hearts 4 Paws and its associates harmless from liabilities, injuries, losses, or claims caused by the Pet. This covers actions, claims, suits, or demands arising from such occurrences. Section 9: No Warranties The Foster acknowledges that Hearts 4 Paws makes no guarantees, promises, or warranties regarding the Pet's disposition, health, or personality. The Foster accepts the Pet "as is" with any faults. Section 10: Entire Agreement This Contract constitutes the full agreement between the parties and supersedes prior agreements. It outlines that no other understandings, agreements, or warranties are valid unless in writing and signed by both parties. Section 11: Governing Law and Disputes The enforcement and interpretation of this Contract are governed by Utah law. Unresolved disputes shall be submitted to binding arbitration, with details specified. Section 12: Future Fosters This Contract is binding for all current and future pets under the Foster's care on behalf of Hearts 4 Paws. I Agree and ConsentFoster Agreement*Section 1: Care and Environment The Foster agrees to consider and accept the Pet as a household companion, providing a safe environment, humane treatment, proper food, fresh water, shelter, and exercise. Section 2: Abuse and Neglect The Foster shall not abuse or neglect the Pet. Physical punishment is prohibited. Chaining the Pet and allowing it off the property without mature supervision are not permitted. Section 3: Indoor Living The Pet shall sleep indoors and be protected from adverse conditions. Outdoor housing and unsupervised roaming are prohibited. Section 4: Responsibility for Pet The Foster shall prevent the Pet from becoming a nuisance and maintain identification on it. In case of loss, immediate efforts to locate the Pet are required. Hearts 4 Paws must be notified of the Pet's disappearance and return. Section 5: Ownership and Transfer The Foster shall not transfer Pet ownership to any person or entity, including friends, family, or rescue groups. Section 6: Medical and Experimental Use The Pet shall not be given up or sold for medical or experimental purposes. Section 7: Alteration The Pet's appearance shall not be altered, including cropping or docking. Section 8: Visits and Monitoring Hearts 4 Paws may visit the Foster's home to check the Pet's well-being. Section 9: Reclaiming the Pet Hearts 4 Paws can reclaim the Pet if the Foster fails to comply with the contract or provides inaccurate information. Section 10: Accuracy of Information The Foster affirms the accuracy and completeness of provided information. Section 11: Zoning and Animal Control The Foster agrees to adhere to relevant zoning and animal control codes. Section 12: Liability Unauthorized expenses without written approval from Hearts 4 Paws, such as grooming or unscheduled vet visits, are the Foster's responsibility. Section 13: Entire Agreement This Contract constitutes the entire agreement, superseding prior agreements. Section 14: Governing Law and Disputes The Contract is governed by Utah law. Unresolved disputes shall be submitted to binding arbitration. Section 15: Future Fosters This Contract governs all current and future pets under the Foster's care on behalf of Hearts 4 Paws. I Agree and ConsentNameThis field is for validation purposes and should be left unchanged. Δ
Hearts 4 Paws Mailing Address
