Foster Application : Dogs by Debin

Full Name*

First Last

Address*

Street Address City State ZIP Code

Primary Email*

Phone Number

Driving License Number

Employer

Occupation*

Have you ever been convicted of a felony?*

No
Yes

What is the best way to contact you?

E-mail
Phone

Secondary Contact Information

Secondary Contact - Full Name*

First Last

Secondary Contact E-Mail*

Secondary Contact Address*

Street Address City State ZIP Code

Secondary Contact Phone*

Secondary Contact Relationship*

Accomodations

I currently live in a(n)*

Do you own or rent?*

Own
Rent

Who do you live with?*

How many adults live in the home?*

Are all parties agreeable to fostering a dog(s)?*

Yes
No

Family Pets

Do you have pets of your own that currently live with you?*

Yes
No

Have you ever had to give up a pet for any reason?*

Yes
No

If "yes", please explain below.

Fostering

Are you interested in fostering to adopt a dog(s)?*

Yes
No

When would you be able to start fostering?*

Month

Day

Year

How long would you be willing to foster a dog(s)?*

2-4 Weeks (Awaiting transport or rescue)
4-6 Weeks (Heartworm Treatment)
6+ Weeks (General Foster Commitment)
As long as needed

Would you be able to supply the basic care necessities for your foster dog(s) if we cannot?*

Food
Crate/Carrier
Toy
Collar/Leash
Food/Water Bowl

Have you ever fostered for a shelter or rescue group before?*

Yes
No

Are you willing to network your foster dog(s) online or through off site and on site adoption events; to help find potential adopters?*

Yes
No

References

Please provide 3 references - Friends or neighbors whom you are not related to.

Reference #1 - Full Name:

First Last

Reference #1: Phone

Reference #1: Relationship

Reference #2 - Full Name:

First Last

Reference #2: Phone

Reference #2: Relationship

Reference #3 - Full Name:

First Last

Reference #3: Phone

Reference #3: Relationship

Foster Care Agreement

Please read the following statements about the Foster Care Program, and check each box that you understand and agree to abide by them.

I understand that Dogs by Debin is the sole and rightful owner of the dog(s) in foster care. All decisions regarding any and all foster dog(s) are to be made by Dogs by Debin Staff.*

I Agree

I understand that I do not have the authority to give, transfer, or adopt out custody of any foster dog(s) to any other person, organization; unless approved by the Dogs by Debin Foster Coordinator or designated personnel.*

I Agree

I agree to return my foster dog(s) with in 24hours of request by any member of the Dogs by Debin Staff, unless other arrangements are made directly with the Foster Coordinator. I also agree to notify the Dogs by Debin Foster Coordinator with a minimum of 24hours notice if I will be returning my foster dog(s).*

I Agree

I understand for the duration of temporary custody, the foster dog(s) become the responsibility of the foster parent and are subject to any and all Rules, Ordinances, and Regulations of the city Municipality, Town, Township, Borough, Village, County and the laws of the State wherein the foster parent and foster dog(s) reside.*

I Agree

I agree that Canine’s in foster care will be provided the following: 1. Reasonable exercise in a fenced yard, dog run, or on a leash. 2. Chaining and tethering shall not be used as a primary means of confinement. 3. The foster dog(s) shall be under the immediate control and protection of the foster parents at all times and will not be permitted to roam outside of the fenced area.*

I Agree

I agree to incorporate the foster dog(s) into my daily routine; and to crate and leash train, housebreak, give medication (as directed by the shelter veterinarian), socialize and work through any behavioral problems including but not restricted to appropriate obedience.*

I Agree

I understand that I may have to work with the Foster Coordinator, and/or the Staff Trainer on behavioral issues with my foster dog(s), including but not limited to chewing, basic manners, anxiety, boredom, and any other issues that may arise. I understand that Dogs by Debin is not responsible for any damages that may be caused by these behaviors.*

I Agree

I understand that my foster pet may not be house/litter trained, and that puppies and kittens can be messy. I understand that my foster pet may have accidents in my home.*

I Agree

I agree to keep the Foster Coordinator updated on the health, behavior, and temperament of my foster dog(s) and agree to report any medical problem(s) to Dogs by Debin immediately via phone and/or email.*

I Agree

I understand that I must consult with Dogs by Debin, or the foster coordinator before taking my foster dog(s) to any other veterinary practice. I understand that if I choose to take my foster dog(s) to any other veterinary practice it will be at my own cost, and I will not be reimbursed by Dogs by Debin.*

I Agree

I understand that if any foster dog(s) is harmed due to my negligence I will be held responsible for the veterinary bills, surgery costs, and/or medications.*

I Agree

I agree to supervise any and all interactions that occur between my foster dog(s) and my personal pets, as well as any and all interactions that occur between my foster dog(s) and any children, regardless or not if the child(ren) reside in my residence.*

I Agree

There is some risk associated with bringing a foster dog(s) into your home, and I understand that Dogs by Debin can not be responsible for the medical treatment of my personal pets if they are to get sick. In addition, I understand that Dogs by Debin recommends that foster dog(s) be kept separate from my current pets.*

I Agree

I agree to feed my foster dog(s) separately from any other pets living in the residence.*

I Agree

I understand that if I choose to borrow a collar ($6), leash ($10), or kennel ($75) from Dogs by Debin I will be asked for a deposit in the appropriate amount, to cover the cost of the borrowed items. Deposits can be made in the form of a check, or photo copy of a credit/debit card. I understand that failure to return these items within 48 hours of my foster dog(s) being adopted, transferred or returned; or making appropr arrangements directly with the Foster Coordinator will result in cashing of my check, or the appropriate charges on my credit card.*

I Agree

I acknowledge that Dogs by Debin or any volunteers of Dogs by Debin have not made any warranties regarding the future conditions, temperament, or conduct of my foster dog(s). I agree and understand that a dog can be unpredictable and that Dogs by Debin cannot anticipate or insure against unexpected conduct of an dog in foster care from Dogs by Debin.*

I Agree

I agree to hold Dogs by Debin harmless from any direct or consequential damages arising out of this foster care agreement. I hereby accept this dog and assume all the risks and responsibility associated with this dog; including bites, and fully and completely release, indemnify and hold harmless, Dogs by Debin, its owners, directors, volunteers, and agents from any claim, cause or action or liability or any sort or nature, whether, known or unknown, directly or indirectly arising out of or in connection with this dog(s).*

I Agree

By submitting this form, I certify that I have read and agree to all the above terms and conditions:*

I Agree

Primary Email Address*

Become a Foster Parent

Secondary Contact Information

Accomodations

Family Pets

Fostering

References

Foster Care Agreement