First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code
 - 

Email*

Work Phone
x

Cell Phone

Text/Pager Email

Is there a specific pet you're applying to foster? If so, who?*

What is your date of birth?*

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you have roommates? If so please list their name and number.

Do you own or rent your home?*
Choose one: Rent Own

If you rent, have you received the approval of your landlord to have an animal?
Choose one: Yes No

If you rent, please enter your landlord's name and phone number:

Do you have children in your household?
Choose one: Yes No

What are their ages?

Do you have a yard?
Choose one: Yes No

Is your yard fenced?*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence do you have in your yard?
Choose one: Privacy Chain Link Invisible

What is the height of the fence?

Which option describes your normal day?
Choose one: Home all day Out part-time Gone 7-10 hours daily

Do you currently have any pets? If so, what type of pet and what is their age?*

Veterinarian's Name and Phone Number*

Will the animal be kept inside or outside*
Choose one: Inside Only Outside Only Inside and Outside

Are your current pets up-to-date on their vaccinations?

Are your pets altered (spayed/neutered)?

If they are not up to date or altered, why?*

Please select all types of animal you are willing to foster.
Choose all that apply: Young unweaned puppies with mom Young bottle-fed puppies Weaned puppies Sick or injured pets Adult dogs Cats Farm animals Rabbits/Ferret Rodents/Reptiles

How long are you willing to foster?
Choose all that apply: Vacation/Boarding Emergency foster 10 days Until adoption

Are you willing to foster more than one animal at a time?

Please select any requirements from your foster that are needed for compatibility in your home.
Choose all that apply: Child friendly Dog friendly Only female foster dogs Only male foster dogs Cat friendly

How will your foster pet exercise?

Where will the animal be kept when you are home*

Where will the animal sleep*

Where will the animal be kept when you are not home*

Are you comfortable administering medication to your foster? If so, please check what medications you have experience with.
Choose all that apply: Oral medications Typical medications Insulin IV fluids

Have you fostered before? If so, what organization?

List at least three reference with phone numbers that we can contact to talk about your pet history.*

I make the above statements and voluntarily enter into this agreement to provide a temporary home as a foster caregiver to any animal's PJ's Rescue may temporarily place in my care.

I agree to provide a PJ'S RESCUE representative access to all parts of my home and property for a home inspection before my application to foster is approved.

I understand that I may be required to provide foster care to my foster animal for an extended and indefinite period of time.

I agree that I am over 21 years of age.

I understand that PJ'S RESCUE provides no guarantee as to the health of my foster animal, and that my foster animal may have medical needs, socialization problems, and may not be housebroken.

I agree to provide my foster animal with veterinary care as authorized by PJ'S RESCUE. I will not arrange or pay for any elective veterinary care for my foster animal without the express consent of an authorized PJ'S RESCUE representative.

I will take all necessary precautions to prevent my foster animal from either impregnating another animal or becoming impregnated. In the event that that happens, I will notify PJ'S RESCUE immediately.

I understand that I may only have my foster animal temporarily. 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 PJ'S RESCUE and arrange for surrender and return of my foster animal back to PJ'S 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., but I agree to let PJ's Rescue know ahead of time that this will be taking place, and an approximate length of time that the animal will not be with me.

I agree to contact PJ'S RESCUE with any and all questions or concerns about my foster animal, as well as with updated contact information.

I agree that if I refuse or fail to comply with any provision of this agreement, PJ'S RESCUE has the right to terminate this agreement, and I the above listed person will be solely responsible for the care and legal needs of the animal in my care.

I agree that the opportunity given to me to help rehabilitate my foster animal is of significant benefit to me, and serves as proper legal consideration in exchange for my agreement to the terms of this contract. I have read this application and Agreement in its entirety, and I agree that all statements and agreements contained in this document are made by me and are truthful, under penalty of perjury under the laws of the State of Minnesota.

I have read and fully understand the Foster Application and Agreement, as well as agree to be bound both of their provisions. By typing signing below, I agree to be bound by this agreement and certify that the information entered on this applicant is true. Enter your name and date.*