Foster

Address *

Line 1

Line 2

City

State

Zip Code

Country

Describe, in detail, the type of animal you would like to foster: *

Please list the name of the dog or cat you would like to foster: *

What pets do you currently have? Please include age, sex, breed, and name: *

Have they been spayed/neutered? *

Yes No

If you are applying for a foster dog, are there time the dog will be tied up? *

Yes No

If you are a current cat owner and would like to foster a cat, have your cats been tested with other cats? *

Yes No

Where will your foster dog/cat be kept during the day and at night? *

Are there children living in your residence? If so, what are their ages? *

Where do you live? *

Apartment House Other

Do you own or rent? *

Own Rent

If renting, may we contact the owner to obtain permission for this foster animal to live in your home?: *

Yes No

If yes, please provide the name and phone number of the owner/property manager: *

Do you have a fenced in yard? *

Yes No

Have you ever surrendered any animals to a shelter or "pound"-type facility? If yes, why? *

Are you willing to allow a representative of Smiles Forever to come to your home for a home check?:* *

Yes No

What method of training will you provide the foster to become an adoptable pet?:* *

Please list the name and number of TWO personal references. *

Name and number of your current veterinarian: *

Do we have permission to have your previous veterinarian's records released to Smiles Forever Animal Rescue? *

Yes No

What is the best way to contact you? *

Phone e-Mail Other

If other, please explain: *

Please read and check: *

I certify that I have never been found guilty of animal neglect or cruelty nor had an animal forfeited under section 3.2.6569 of the code of Virginia

I understand that: *

I assume full responsibilities of this animal while in my care I will keep appointments for vaccinations and comply with all laws and ordinances governing animals and their care in the municipality in which the I reside and will affix an identification tag to a safe collar on the animal. I will not allow the animal to run at large or become a nuisance to neighbors or the community, will not chain, leash , or tether the animal for more than 6 hours in any 24 hour period. I will not give away, sell, or release the animal to an individual, a shelter, or a rescue organization without first obtaining written approval from Smiles Forever. Smiles Forever will accept the return of the animal if or when it becomes necessary for the foster to give the animal up. that Smiles Forever makes no guarantees whatsoever as to the health, temperament, mental disposition, or training of this animal. that I hereby fully and completely release Smiles Forever, its agents, and the volunteers from any defects or illnesses this animal may have or develop and from any claim, cause or action or liability for any injury or damage to persons or property caused by the animal and to indemnify and hold Smiles Forever harmless against all claims, including but not limited to those asserted by third persons. I will allow any staff member from Smiles Forever to inspect the animal and its living environment if a complaint about the animals care is received by Smiles Forever. If the staff member is not satisfied with the conditions under which the animal is being kept or believes that the conditions of the agreement are being violated, I will allow the animal to be removed. I agree to waive all claims for trespass or damage.

Electronic Signature by foster: *

Signature of Smiles Forever Animal Rescue Representative to be signed after submission: *

YOUR CART

Completion of this application does not guarantee approval to foster for Smiles Forever. Although it is helpful, you are not required to release your employment or income information. Thank you for your interest in fostering!

* indicates required field

YOUR CART

Completion of this application does not guarantee approval to foster for Smiles Forever. Although it is helpful, you are not required to release your employment or income information. Thank you for your interest in fostering!* indicates required field

Completion of this application does not guarantee approval to foster for Smiles Forever. Although it is helpful, you are not required to release your employment or income information. Thank you for your interest in fostering!

* indicates required field