MISSION VALLEY ANIMAL SHELTER (MVAS) FOSTER CARE APPLICATION Contact Information * First Name Last Name Phone * (###) ### #### Email Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Reference 1 (non-family and from different households) * First Name Last Name Phone * (###) ### #### Reference 2 (non-family and from different households)) * First Name Last Name Phone * (###) ### #### HOUSEHOLD INFORMATION Occupation and Employer * How many people live in the home? * Household members * name, age, male or female, relationship Do they know you would like to foster? * Yes No Is anyone allergic to animals? * Yes No Type of housing * House Apartment Other Rent or Own? * Rent Own Landlord * (if renting) First Name Last Name Phone (###) ### #### Is your yard fenced? Yes No Fence height at lowest point Do you have an outside kennel? Yes No Do you have a doggie door? Yes No YOUR PET INFORMATION Total number of current pets: * All animals in home: * name, dog/cat, breed, age, male/female, spayed/neutered Where do your pets sleep? Where do your pets stay when you aren't home? Have you ever surrendered an animal to the shelter? Yes No If yes, please explain: Are your cats OR dogs current on vaccinations? * Yes No Do they wear ID tags? Yes No Are your cats tested for feline Leukemia/Feline aids? Yes No Veterinarian Clinic * Phone * (###) ### #### May we contact your vet for a reference? Yes No When was your last visit and why? FOSTERING What type of animals would you like to foster? mark all that apply Adult small dog Adult large dog Dog with pups Orphan pups Adult cat Cat with kittens Orphan kittens Bottle babies Are you willing to care for animals with special needs? Yes No Where will you keep the foster pet(s)? Will your personal pets have access to the foster pet(s)? Yes No How long can you foster? * If necessary, will you be able to transport your foster to and from our MVAS facility? * Yes No Do you have fostering experience? * Yes No If yes, with what organization? Tell us about your experience FOSTER AGREEMENT Please read carefully: • I agree to provide the Authorized MVAS Representative, or his/her designate, access to all parts of my home and property for a home inspection before my application to foster is approved. • I understand that I could be required to provide foster care to my foster animal for an extended and indefinite period of time. I agree that the period covered by this agreement is the entire time during which I have custody of my foster animal. • I agree that I am over 21 years of age. • I understand that MVAS provides no guarantee as to the health of my foster animal, and that my foster animal may have significant medical needs, socialization problems, and not be housebroken. • I understand that I may only have my foster animal temporarily. • I agree that I am fostering this animal for MVAS, and that I do not have any right of ownership over my foster animal. I further agree that MVAS’s rights in and to my foster animal are superior to mine. I also agree to provide the Authorized MVAS Representative, or his/her designee, access to my home and property to check on my foster animal, at any time that I am in possession of my foster animal. • I agree to immediately return any foster animal in my care to MVAS, at the request of the Authorized MVAS Representative, or his/her designate, at any time and for any reason. If MVAS is forced to undertake any action to enforce this provision of the agreement, I agree to indemnify MVAS for all court costs and attorneys’ fees connected with such an action. • If I am planning to move at any time during the period covered by this agreement, I agree to contact the Authorized MVAS Representative prior to my move, with new contact information. I understand that MVAS has the right to request return of my foster animal based on such a change of residence and agree that I will surrender my foster animal to MVAS immediately upon request. • I understand that because the provisions of this agreement are legally binding, any violation of this agreement could result in legal liabilities for me and/or MVAS. • I understand that, as long as I provide foster care to my foster animal to MVAS’s satisfaction, I will be given the first right of adoption of my foster animal, at such time as MVAS decides to offer my foster animal for adoption. I understand and agree that my foster animal will be spayed/neutered immediately upon my adoption of the animal. • If at any point I can no longer, or do not want to continue to, provide care, food, shelter or veterinary care for my foster animal, I agree to contact the Authorized MVAS Representative, or his/her designate, and arrange for surrender and return of my foster animal back to MVAS. • 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. • I agree to contact the Authorized MVAS Representative with any and all questions or concerns about my foster animal or the fostering program, as well as with updated contact information. I also agree to contact the Authorized MVAS Representative with quarterly reports on the health status of my foster animal. • I agree that if I refuse to comply with any provision of this agreement, MVAS has the right to terminate this agreement and also has the right to the immediate surrender and return of my foster animal and any other animals for whom I am providing foster care for MVAS. I further consent to provide MVAS with access to my premises, if necessary, to facilitate the return. • Foster Caregiver agrees not to show or introduce said foster animal to any person or guest who is not a current resident of the foster caregiver's household in order to minimize the possible spread of infectious diseases. • I agree that the opportunity given to me to help rehabilitate my foster animal, as well as the chance of a potential future adoption, is of significant benefit to me and serves as proper legal consideration in exchange for my agreements stated in this contract. *I have read this Agreement in its entirety, and I agree that all statements and stated agreements contained in this document are made by me, and are truthful, under penalty of perjury under the laws of the State of Montana. Please sign your name agreeing to the above statement * First Name Last Name Thank you! We will be in touch soon!
