We appreciate the invaluable service that foster parents provide.  We want to make the most informed decision
regarding which animals to place in your care.  Completing this application is the best way to assure a positive
experience for both you and the animals.


Name        
Address        
Phone (Day)                                                                      (evening)
E-Mail        


Name/Age and type of animals you are interested in fostering:  ____________________________

Have you fostered animals before?  ______ for whom? __________________________________

Do you live in a House/ Apartment/ Condo?  ___________________________________

Do you have a fenced yard?       Yes         No
If yes, what height and type is it? ________________________________


Please list the names and ages of persons living in your home: _____________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________


Will you be able to keep the foster animals separate from your own if necessary? Yes No

How many hours a day will your foster animal be alone? _________________________

What will you do if your foster animal becomes lost?  ____________________________


What pets currently reside in your home?  _____________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Are the above pets currently spayed/neutered?  _________________________________
Are the above pets currently vaccinated?  ______________________________________

How did you hear about our foster program?  ___________________________________
________________________________________________________________________
________________________________________________________________________


Do you understand that anyone interested in adopting your foster animals (including yourself) must go through the
standard adoption process, and approval of candidates and placement of animals is up to Wags Rescue &
Referral?  (Of course, we welcome your referrals) Yes No


I have answered the questions above truthfully and completely.  I understand that although Wags Rescue &
Referral takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the
animals’ health, behavior or actions.  I understand that I receive foster care animals at my own risk and can reject
or return any animals for which Wags Rescue & Referral has asked me to provide care.  I indemnify and hold
Wags Rescue & Referral and its Directors and Volunteers free and harmless from all liability arising out of any
and all claims, demands, losses, damages, action, judgment of every kind and description which may occur to or be
suffered by me, members of my household, or any third parties by reason of activities arising out of this
agreement.


Signature:  ________________________________________  Date:  ______________


Please return completed form to:

Wags Rescue & Referral
P. O. Box 1514
Southampton, PA 18966



You can copy and paste to a new email and email it to WagsRescue@aol.com
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