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FOSTER CARE APPLICATION AGREEMENTTop of FormNortheast Pa Pet Fund & RescuePO box 3953Scranton, PA 18505FOSTER CARE APPLICATION AGREEMENTNortheast PA Pet Fund and Rescue was founded in August 2013. Our mission is rescue and animal welfare advocacy. We work daily to end neglect, abuse, cruelty and exploitation of animals, ensuring that their interests and well-being are humanely protected as we work to end the 125 year old failed practice of euthanizing 4 million pets annually in America.Name of the pet you are interested in fostering:What do you know about this breed? Why this dog?Applicant/Co-Applicant InfoApplicant Name:Current Address:Home/Cell/Work phone #’s :Email address:Age & Occupation:Do you rent or own?Are animals allowed?Are there restrictions on animals?If yes, please explain:If you rent or reside in another person’s home, provide their Name:Phone number:How many children in your home and what ages are they?: What type of yard do you have? Size: ____________ feet by _____________ feetFully FencedPartially FencedNot FencedIf your yard is not fully fenced, how do you plan to keep your dog safely on your property?Check the option that describes your normal day:home all dayout part-timegone 7 – 10 hours, dailyOther ____________________________Indicate pets currently living with you:DogsCatsBirdsOther: ________________Name and phone number of your veterinarian:Are your pets:Indoor onlyOutdoor onlyBothAre all your pets spayed and/or neutered:YesNoIf no, please explain: Are your pets current on their vaccinations including Bordetella (Kennel Cough)?YesNoIf no, please explain:What type of animal(s) would you like to foster? SmallMediumLargeyoung un-weaned puppies without a mom: YesNoyoung un-weaned puppies with mom: YesNoweaned puppies: YesNoadult dogs: YesNosick or injured pets: YesNoHow long are you willing to foster at any one time? Short TermLong TermAre you willing to foster more than one animal at a time? YesNoAny foster pet you take needs to get along with: DogsCatsKidsHow will the foster pet receive exercise? Where will the foster pet be kept in the day time and also the night time? (ie... loose indoors, basement, garage, fenced yard, pen, loose outdoors, tied outside, crate or carrier, or closed in a room.) Explain:Have you cared for young, un-weaned puppies or kittens before:YesNoExplain:Have you ever given medication to sick animals before:YesNoExplain:Have you fostered an animal before:YesNoIf yes, what organization did you foster for:I voluntarily enter into this agreement to provide a temporary home as a foster caregiver to any animals Northeast PA Pet Fund and Rescue may temporarily place in my care.Yes or No (please circle) I agree that I am over 21 years of age. Yes or No (please circle)I agree to contact Shannon Ceccoli (Director) at (570) 357-8032 should a foster animal need veterinary care. I understand that as long as I provide foster care to my foster animal, I will be given the first right of adoption of my foster animal, at such time as Northeast PA Pet Fund and Rescue decides to place my foster animal for adoption. If my foster animal is available for adoption from the time he is placed in my home, I will have 72 hours to make a decision before potential adopters are considered. If at any point I can no longer, or do not want to continue to, provide care and shelter for my foster animal, I agree to contact Northeast PA Pet Fund and Rescue and arrange for surrender and return of my foster animal back to Northeast PA Pet Fund and Rescue. I will not transfer possession or custody of my foster animal to any other person at any time, except for temporary, short-term possession for the purpose of vet care, grooming, etc. approved by Northeast PA Pet Fund and Rescue. I agree to contact Northeast PA Pet Fund and Rescue with any and all questions or concerns about my foster animal or the Foster Care Program as well as with updated contact information.Foster/Volunteer WaiverI hereby release Northeast PA Pet Fund and Rescue from any liability of injury or illness my family, pets, or I may receive while volunteering for Northeast PA Pet Fund and Rescue at events or providing foster care for one of our fosters. I have read, understand and agree to the dog walking and/or foster parent guidelines posted. I understand that any animal in my care is the property of Northeast PA Pet Fund and Rescue. I understand I am not authorized to allow to foster an animal to other parties without notifying Northeast PA Pet Fund and Rescue first. If I would like to adopt an animal, I understand that I must apply to qualify to adopt and pay the adoption fee before I can officially adopt the dog.Applicant’s Signature:By completing the above application to the best of my ability, I certify that all information is true, and that any false information may result in nullifying the adoption.Applicant’s SignaturePlease use this box to tell us in your own words why you want to foster a pet.Bottom of Form ................
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