HAL - Foster Dog Application

HAL Foster Application

Dogs and Puppies

1) Our Mission

Humane Association of the Lowcountry (HAL) was formed to enhance the Beaufort County Animal Shelter's foster care program and improve their adoption rates.

Thank you for completing this application form and your interest in fostering.

2) Applicant

Name (first) (last)

Street Address

Street Address 2

City State Zip

Home Phone Work Phone

Email Address

Age Date of Birth

Drivers License Number

Have you had a tetanus or booster shot in the last five (5) years? Yes No

Please list any allergies or physical, medical (including pregnancy), psychological limitations or disabilities that might hinder you or any member of your family from safely participating in any area of the foster program.

Have you been convicted of a felony or misdemeanor associated with animal abuse
or neglect within the last seven (7) years? Yes No
Explain:

3) Home Information

Which best describes your home

If Other, please describe

Is your home rented? Yes No

If rented please list your landlord and contact information (phone / address)

If you OWN, is ownership listed in your name? Yes No

How long have you lived at this address year(s).

4) Play & Exercise Area

Does your home have a yard? Yes No

What type of fencing - containment do you have

Height of fencing
Length of fencing
Width of fencing

5) Please list the names and ages of all children in the home or who visit regularly:

6) Please list all other members of your household (names and ages) whether relatives or not:

7) Animals in the Household

List all animals that are currently in your home:

Have all the animals in the household been vaccinated against rabies? Yes No

Have your dog(s) been vaccinated against Parvo? Yes No

Does your dog(s) get monthly heart worm medication? Yes No

Do your outdoor or indoor/outdoor animals get monthly flea medications? Yes No

What other vaccinations?

8) References

Name (Vet preferred)

Street Address

City State Zip

Phone

Email Address

Comments - e.g., names of your pets seen by this vet.

9) Is everyone in your household in agreement about fostering?

Yes No

If No, please explain

10) What hours is someone usually at home?

Check all that apply

6 AM to 8 AM 8 AM to 11 PM 11 AM to 1 PM 1 PM to 3 PM
3 PM to 6 PM 6 PM to 9 PM 9 PM to Midnight Midnight to 6 AM

11) What provisions for the dog(s) will be made when no one is home?

12) Dog / Puppy (s)

Please expand on the following questions

Have you ever owned or cared for a difficult dog?

Have you ever bottle-fed puppies?

Would you be willing to foster a pregnant dog?

Would you be willing to foster a female dog with puppies?

Would you be willing to foster puppies? - How many?

Would you be willing to foster a dog that needs socializing? training?

Would you be willing to foster a dog/puppies with medical needs?

Would you be willing to foster a dog/puppy that needs hospice (end of life) care?

Why do you want to foster a dogs/puppies?

What size (small, medium, large), type, sex of dog would you be interested in fostering?

Are you willing to foster until the dog finds a loving home?
Sometimes this can take weeks or even months.
Or until they can be spayed/neutered and placed in the Adoption Room at the shelter?

13) How did you find out about Humane Association of the Lowcountry (HAL)?

14) Do you have anything you want to add to this application?

By selecting 'I Agree' below I certify that the information I have supplied above is true and that any false statements may result in nullifying this application. I further understand that this application is the property of Humane Association of the Lowcountry (HAL) and will be retained by them. I also agree to contact a representative of HAL immediately to return any DOG/PUPPIES that I may foster from them should I need to relinquish ownership of the animal(s) at any time.

Selecting 'I Agree' below constitutes an electronic signature that is valid and a legal substitution for my written signature.

Thank you for considering fostering an animal for HAL. Our furry friends are most appreciative.

15) Foster Family Requirements - All animals

The following requirements are mandatory for all foster families.

These requirements are incorporated in and become a part of your Foster Family Application.

In order to be considered as a foster family today, you must:

BE 18 YEARS OF AGE OR OLDER.
Have identification showing your present address.
Have the knowledge and consent to foster of all adults living in your household.
Have the knowledge and consent of your landlord or the person owning the premises in which the animal will live.
Understand that this application is the property of HAL and will be retained in its files.
Understand that HAL has full authority to approve or deny your Foster application.
Understand that HAL reserves the right to verify all information submitted on this application, including veterinary information.
Understand it is my responsibility to provide a safe, warm, indoor housing for fostered animal(s).
Understand that I must provide high quality food and access to water all times.
Understand that despite best efforts, some dogs/puppies may not survive due to physical or other health-related complications.
Understand that I must spend as much time as possible socializing and playing with the foster animal(s).
Understand that I must walk the dogs on a leash several times a day.
Understand that I am responsible for bringing the foster animal(s) to the shelter for vaccinations/spay/neuter and work with HAL to determine where the foster animal should be brought for medical treatment.
Understand that I must closely monitor the condition of the fostered animal(s) and contact HAL immediately when problems are observed or when I have questions/concerns.
UNDERSTAND THAT YOU MAY NOT TRANSFER OWNERSHIP OF ANY ANIMAL FOSTERED FROM HAL TO ANOTHER PARTY. IF YOU MUST RELINQUISH OWNERSHIP OF ANY DOG/PUPPIES THAT YOU ARE FOSTERING FROM HAL, CONTACT A REPRESENTATIVE OF HAL TO RETURN THE ANIMAL or DISCUSS ALTERNATIVES.
Agree to comply with the HAL rules and regulations, instructions and mandates and understand that failure to comply may result in immediate termination as a Foster family.
Understand that my services are provided strictly as a volunteer basis without any pay or compensation of any kind and without liability of any nature on behalf of HAL; all services to be performed are at your own risk.
Understand that in handling animals there exists a risk of injury, infection, disease including physical harm caused by animals to me, my family or my pets. On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify, and hold harmless HAL, its agents, servants and board from any and all claims, causes of actions, or demands and any nature of cause, including costs and attorney fees incurred or sustained by me in any way connected with my services to HAL but not limited to: animal bites, accidents, injuries, property damage and veterinary fees.
I understand that the foster animal(s) are temporarily in my care and belong exclusively to HAL. I also understand that the purpose of this foster relationship is solely to provide care for the foster animal(s).

Date:

I Agree I Do Not Agree

your application