Magnificent Mutts Rescue

Magnificent Mutts, NFP

Magnificent Mutts Rescue

Fostering Application

(If under 18 or living at home, please have parent or homeowner sign as well)

Name:______Date:______

Phone:______Cell phone:______

Address:______City:______Zip: ______

E-mail:______Age:______

Place of Employment:______Phone:______

EmergencyContact: Name:______Phone:______

What type of animal would you like to foster (circle) Adult Mom and Pups Special Needs/Medications

What is your experience with the type of foster you listed above?______

How many dogs or puppies can you foster at one time?______

How long can you foster for?______

What other animals do you have in your household? (Please include breed(s) ______

______

Do you intend to keep your foster animal separate from your other animals?______

Are your animals vaccinated for Rabies/Distemper Yes/No Spayed or Neutered? Yes/No

Do you own your home or rent? Own/Rent If renting, do you have landlord permission to foster dogs/puppies:

Yes/No If yes, provide landlords name, phone, email address: ______

______

Do you have a fenced in yard? Yes/No If yes, what type of fence and how high is it? ______

Who will have primary responsibility for the dogs/puppies in your care?______

Please review the statements below and initial where indicated:

1.I understand that Magnificent Mutts foster animals will be vet checked and vaccinated (unless age prohibits it.. i.e. puppies), however I understand there is always risk in bringing an animal into my home and agree to release and hold harmless Magnificent Mutts for any involuntary spread of disease or injury to myself and other household residents by Magnificent Mutts foster animal ____

2.I understand that I am to provide food and water and humane care to my foster animal. Magnificent Mutts will provide food/supplies and provide for needed veterinary care. I agree my foster animal will be homed inside by house. ____

3.Should my foster animal need veterinary care I agree to transport him/her as needed to obtain vetting ____

4.I understand that fostering commitments can run 2-10 weeks and fostering commitments require bringing the foster(s) to events for adoption appointments ______

(over)

Please list 2 pet owning references (name and phone #)

1. ______

2. ______

Signature ______Signature ______

Date______Date______

Please return completed form to:

Linda Latelle @ Magnificent Mutts Rescue

Hand deliver

Fax to 708-401-0546

U.S. Mail to: Magnificent Mutts Rescue, 755 N. Wolf Rf. Hillside, IL 60162

Email:

Magnificent Mutts Rescue - magnificentmutts.org – Fostering Application