Green Street Rescue



Green Street Rescue

Foster Application

Thank you for your interest in Green Street Rescue (GSR). Out organization is a non-profit organization that provides rescue and adoption services for abandoned and stray and TNR for feral cats.

Your contact information:

Name:

Home Phone: Work Phone:

Address:

City: State: Zip:

Email:

How did you hear about GSR?

Does your landlord allow pets?

Are you 18 or over? ___Yes ___ No

Note: we accept volunteers under 18, but require you be accompanied by an adult…talk to us!

Your experience with pets:

Do you own a pet now? ___ Yes ____ No

a. Please describe those pets that are currently with you (type, age, sex, altered status, indoor/outdoor, how long with you).

b. Did you own a pet before? Please describe those pets that are no longer with you (type, age, sex, altered status, indoor/outdoor, how long with you).

c. Any additional information about your current or previous pets, or other pet experience:

Your employment information:

Are you a student? ___ Yes ___ No What is your major? ___________________

Are you employed? ___ Yes ___ No ___Part time ___Full time

Who is your employer? _____________________________________

What hours will you be away from the house?

Please provide some references:

Name and phone number

of your veterinarian:

Please list one or two other references:

Reference #1name & phone number:

Reference #2 name & phone number:

By submitting this form I represent that the information that I have provided is true and correct to the best of my knowledge and belief. I hereby authorize my veterinarian to release to GSR information about my veterinary records of any and all animals I have owned if requested.

Green Street Rescue

Foster Care Agreement

I, ___________________________________, the person agreeing to foster the following GSR

animal(s): _______________________________________________________________________

do declare that I am aware that: (please initial after each section)

1. I am willing to allow inspection of the animal care area at my place of residence prior to and during the fostering of the above named animal(s). The inspection will be conducted by, and at the discretion of the founder or a board member of GSR. _______

2. I accept temporary possession of the above named animal(s) to be harbored at my own expense and risk. ________

3. I understand that these animals shall be fostered temporarily at my place or residence, and that I will return these animals to GSR at their request. ________

4. I also understand that the rights to these animals and their final disposition remain with GSR. GSR cannot guarantee placement of all foster animals. ________

5. I will NOT initiate proceedings for these animals, and I will refer all interested parties to GSR for adoption information. ________

6. I will be responsible for providing the following care for the above named animal(s):

a. Proper food and water ________

b. Toys ________

c. Adequate shelter and living space ________

d. Prescribed medication if needed. ________

e. Other: ____________________________________ ________

7. If at any time during the foster care of this animal(s), I feel that veterinary care, not already specified, is required, I WILL CONTACT GSR so that arrangements may be made with the vet of their choice. In case of emergency during non-business hours I may call University of Pennsylvania Veterinary Hospital at (215)-__________________.

8. If at any time I encounter problems in the foster care of this animal(s), I will contact GSR immediately. ________

9. If for any reason, I can no longer foster, I will contact GSR and arrange for the animal(s) to be returned to GSR. _______

10. I hereby acknowledge that I am an independent contractor and not an agent of GSR. __________

11. GSR assumes no liability for damages caused by the animal(s) while in the custody of the foster case person. GSR is not responsible for exactly determining the temperament of other personal characteristics of this animal(s). _______

Signature of Foster Care Volunteer: ___________________________________

Witness (GSR Representative, Director/Board Manager):

______________________________________________________________

Dated this _________________ day of _________________, ___________ at Philadelphia, PA.

day month year

cc: GSR

Foster care volunteer

Thinking of adopting?

If you would like to adopt one of your foster pets the fees will be the standard $75 adoption fee.

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