Date

MM

DD

YYYY

Name *

First Name

Last Name

Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell

(###)

###

####

Home

(###)

###

####

Work Phone

(###)

###

####

Have you ever fostered before?

Yes

No

Do you plan on adopting a dog in the near future?

Yes

No

Uncertain

Veterinarian's Contact:

(###)

###

####

What type of home do you live in?

Single Family

Duplex

Apartment

Townhouse

Condominium

Mobile Home

Military Housing

Do you own or rent your home?

Own

Rent

If you rent, have you received the approval of your landlord to have an animal?

Yes

No

Uncertain

Do you plan to move in the next 6 months?

Yes

No

If you plan to move will you still foster?

Yes

No

Do you have a city or county ordinance that limits the number of dogs you are allowed to have in your home? *

Yes

No

Do you have home owners insurance?

Yes

No

As a foster family I/we agree to provide nutritious meals, fresh water, grooming, a safe environment, and appropriate shelter for this foster dog/cat. I will not leave my foster dog/cat tied up, especially when unattended. I will never leave my foster dog/cat unattended in a vehicle. I agree to arrange my family’s schedule so that the dog/cat is seldom left alone for more than eight hours at a stretch. I agree to play with, pet and give attention to my foster dog when I am home. I agree to let Good Karma Dog Rescue (GKDR) know immediately if there is any change in the health of the dog and will get clearance before I get anything other than emergency care for my foster dog. I will check my foster dog regularly for any signs of illness. I will do frequent flea and tick checks on my foster dog. I will not hit my foster dog. I understand that animal trainers acknowledge that this is an ineffective way of changing bad behavior. I will seek to modify behavior by praising the behavior that I desire. I agree to consult GKDR if I am experiencing any behavior difficulties with my foster dog. I will closely supervise my foster dog when around children (especially children, or adults, he/she is not familiar with). I will closely monitor my foster dog when near roadways or water, when riding in a vehicle (preferably the dog should be in a dog crate during car travel) and in any other situation which is potentially dangerous to my foster dog. I will have my foster dog wear an identification tag (preferably with a phone number) at all times. I agree to any home visits needed, as determined by GKDR. I will relinquish the dog upon request. I understand that GKDR does its best to evaluate an animal’s temperament and behavior. GKDR is concerned about the health of the animals in its care and exercises due caution to prevent the transmission of diseases. Unless you are notified otherwise, the animals you foster will have been given preventive immunizations. However, because of the dire circumstances from which many of the rescue animals come, any animal may carry or could have already been exposed to an infectious disease, which may not be apparent for several days. GKDR cannot warrant or guarantee the foster dog is healthy or good-natured. Any animal has the potential to bite or cause injury. You have determined for yourself the animal is acceptable for you and your household to foster.

First Name

Last Name

I release Good Karma Rescue, Inc., its Board of Directors, volunteers, foster volunteers and representatives, and the veterinarian treating the animal at the request of Good Karma Dog Rescue, Inc., from any and all claims and actions, whether it’s for property damage caused by the animal(s) or for personal injury to me, family members, any other person and any other animal (including personal pets, livestock, or other animals) from biting, scratching, transmittal of disease, and/or any other matter attributable to said animal(s). I/we further agree to hold harmless Good Karma Dog Rescue, its board of directors, its officers, its volunteers, and any individuals associated with GKDR and to indemnify such organizations or individuals for any damages or costs resulting from liability, known or unknown, anticipated or unanticipated, as a result of the dog's or cat’s conduct after the date of this Foster Agreement. By signing below, you acknowledge that you have read, understand and agree to all terms outlined above.

First Name

Last Name