PFLR Foster Application

PAWS for Life Rescue Foster Application
Have you ever fostered a pet?*
Your Name*

First NameLast Name
Birthday*

MonthDayYear
Date
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Mobile Phone*

Area CodePhone Number
E-mail*
Employer*
Occupation*

Spouse / Partner

First NameLast Name
Other household members: name, gender, age (one per line)
Have you ever owned a pet?*
List pets you currently own by species / gender / spayed / neutered
Anyone in the household allergic to animals?*
Your living situation*
Can you provide proof that your landlord or HOA allows pets?
How long have you resided at your current residence?*
Do you have a fully fenced in yard?*
Are you willing to email us a photo of your home, yard, and fence prior to adoption?*
Where will you keep your pet reside during the day-time?*

Where will your pet sleep at night?*
Where will your pet spend his/her time when alone?*
Do you plan to use a crate?*
What will you do if your pet is destructive when left alone?*
Are you willing to attend obedience training with your pet?*
Have you ever surrendered, sold, or given away your pet to an animal shelter or rescue group?*
If Yes, Why?
How will you care for your pet during overnight family absences and vacations?*

Has anyone in your immediate family or household ever been convicted of a charge related to cruelty to animals or child abuse?*
Are there any charges pending now?

Who is or will be your regular veterinarian?*
Veternarian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Veternarian Phone Number

Area CodePhone Number

Please provide 3 References PAWS for Life Rescue may contact
Reference 1 Information*

First NameLast Name
Area CodePhone Number
Reference 2 Information*

First NameLast Name
Area CodePhone Number
Reference 3 Information*

First NameLast Name
Area CodePhone Number
Do you have any more information you would like PAWS for Life Rescue to consider in reviewing your application?

Read and initial the following:
I agree that all information on this application is true.*
I consent to verification of all the information I provided in the adoption application by Cynthia Merriman or by a PAWS for Life Rescue representative.*
I agree to provide proper shelter, nutrition, regular veterinary care, emergency care when needed and a safe environment of the pet.*
I agree to keep this pet as a companion and to devote the time necessary to provide for its comfort, safety, and happiness.*
I agree if I cannot keep this dog, I agree to return it to PAWs for Life Rescue (808)283-8828.*
I agree that this animal can be reclaimed from my property if I fail to comply with the agreed terms outlined in this application and verbal agreements.*
Should I fail to carry out the agreements I have made as part of this contract, or should any of the statements I have made be found to be false, I agree to surrender the dog/puppy adopted through Cynthia Merriman and or PAWS for Life representatives upon demand.*
I understand that applying for the foster of a specific animal does not mean that my foster application is accepted. All applications must be assessed for suitability.*

YesNo
***I hereby release Cynthia Merriman .. (founder) of Paws For Life Rescue cynthia@pawsforliferescue.net...(rescue) for all liability relating to this animal. ** I accept full and immediate possession of this animal and all the responsibilities related to his/her care, including finding an adoptive home selected by my/our rescue. ** I am aware that Cynthia Merriman ....(founder) . and Paws for Life Rescue cynthia@pawsforliferescue.net .... (rescue) cannot guarantee the temperament or health of this animal and I release them from all liability in relation to this animal.*

I agreeI disagree
Adoption Fee: $150.00 - $300.00. This helps cover the cost of medical examinations and care to date, spaying or neutering, appropriate vaccinations, heartworm testing, insertion of microchip and deworming.
If your pet gets ill, you must notify us to find out what steps need to be taken. If you do not want to responsibility of caring for this animal, please return it immediately.

As a reminder to all of ourfosterfamilies, as stated in ourfosterapplication and contract, if for whatever reason you are unable to keep yourfostered pet, it is required that thepetbe returned to us.

Let’s be understanding of what these beautiful animals have been through. The commitment and mission of our foundation is to ensure that these pets are cared for. By returning them to us, we will be able to screen potential newfosters or forever homefor our pets.

Thank you for your cooperation and support
Todays Date*

MonthDayYear
I have read the above and agree, written and Applicant Signature*
Should be Empty:

PAWS for Life Rescue Foster Application