Foster Application First & Last Name E-mail Address: Home Phone Mobile Phone Street Address City State Zip CDL & Expiration Ages of all family members living in the home In exchange for being granted temporary custody of dogs which are the property of Foothill Dog Rescue of the Sierras, Inc. (hereinafter “FDR”) for the purpose of providing foster care for said dogs while they await adoption (hereinafter “foster dogs”), I, the above-named foster provider, freely and voluntarily agree to accept custody of said foster dogs subject to the following conditions: 1. I warrant that I never have been adjudicated responsible for any act of cruelty to an animal in any criminal, civil, or administrative action. 2. I understand that FDR does not warrant the temperament or behavior of the foster dogs. Due to the unpredictable nature of animals, certain risks and dangers exist when caring for an animal, including risks of injury to persons and property. With full knowledge of such risks, I assume full legal responsibility for all risks and obligations associated with care of the foster dogs, and hold harmless FDR and its directors, officers, employees, agents, and volunteers for any loss of, damage to, or injury to persons, animals, or property arising from or relating to care of the foster dogs and their living with me. Please initial here indicating you have read and understand the above statement: 3. I understand that the foster dogs are, and shall remain the property of FDR until ownership is transferred by a final adoption. 4. I will maintain custody of the foster dogs and not give them away, sell them, or abandon them. If, for any reason, I discover the foster dogs will not be able to remain in my care, even temporarily, I will notify FDR immediately so that it may make advance arrangements for care of the foster dogs when they cannot remain with me. 5. I agree not to violate any local ordinance regarding the number of animals that I may have in my care as a result of accepting or maintaining custody of a foster dog. 6. I will provide the foster dogs with a safe, clean environment, and under no circumstances allow the foster dogs to be off lead except when inside my home or other building or inside a securely fenced yard or other securely fenced area. I certify that the premises of the residence at which the foster dogs will be kept is fenced. 7. I will supervise the foster dogs when in the presence of other animals and children to ensure the safety of their interaction. This includes preventing any harassing treatment of the foster dogs that might prompt the foster dogs to become aggressive. 8. I will keep the foster dogs well fed and watered, and comply with the laws of the State of California regarding the proper care and treatment of animals. I agree to abide by all instructions provided by FDR regarding the care, feeding, and medication of the foster dogs. I will provide the foster dogs with positive socialization to ensure they have a temperament conducive to adoption. Signature If you are a renter, please provide landlord phone number so we can confirm approval: Additional information about your home: How many cats do you own? How many dogs do you own? What are the ages of your dogs? Do you own livestock?YesNo If yes, what type? Do you have kids in the home?YesNo If yes, what are their ages? Do you have a preference in type/breed of dog? What is the largest size you will take in? Do you have a fenced yard?YesNo Are you home during the day?YesNo *Please contact the foster coordinator if you are not going to be available during certain time periods. Δ