|
*Name:
*Address:
*City:
*State:
*Zip:
*Home Phone:
Work Phone:
E-mail address:
Driver's License # State:
Have you been a foster care provider previously? Yes
No
For which organization did you foster?
Contact Name
Phone #
Do you have other pets? Dogs
Cats
Other
Are they spayed or neutered? Yes
No
Current on vaccinations? Yes
No
How many adults in home?
How many children and their ages?
Who is your Veterinarian?
City:
State:
Vets Phone #
1. All pets in my care remain the property of Noah's Bark Pet Rescue until adopted
through approved means.
2. As a foster home for Noah's Bark, I will not take in any animal(s) on behalf of
Noah's Bark without prior approval from an authorized intake representative.
3. I agree to a periodic inspection of my home as set forth by Georgia state law.
4. I agree to maintain adequate shelter, clean living conditions,food,water and
human contact for the foster pets in my care.
5. I agree to obtain prior approval from an authorized representative of Noah's
Bark for medical attention for the foster pets in my care. Failure to obtain
prior approval will result in my responsibility for any expense incurred.
6. I agree to make every effort to transport foster pets in my care to adoption
sites and events or will arrange other means of transportation.
7. I agree to surrender all foster pets in my care, supplies and records upon
termination of this foster agreement.
8. I agree to pay the adoption fee for any Noah's Bark foster pet in my care,
should I decide to keep the pet as my own.
By checking the box below I,understand and agree to the terms and conditions set forth above as an approved
foster home for NOAH'S bARK PET RESCUE, Inc.
*
I accept
these terms.
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Web Presence by Eagle Mountain Technology
|