FOSTER APPLICATION

Date
Date
Name *
Name
Home Phone
Home Phone
Cell Phone
Cell Phone
Other Phone
Other Phone
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Is anyone in your home allergic to animals? *
What types of animals are you interested in fostering? *
Please check all that apply
Are you comfortable with giving medications? *
This includes both oral medications and injections.
PLEASE INCLUDE ALL PETS, INCLUDING SMALL CAGED AND BARNYARD ANIMALS. TYPE OF PET. AGE. SEX SPAYED/NEUTERED? KEPT INSIDE OR OUTSIDE? DOG OR CAT FRIENDLY?
If you have cats are they up to date on all current vaccinations?
This includes Rabies, FVRCP, FELV.
If you have dogs are they up to date on all current vaccinations?
This includes Rabies, Bordatella, DHLPP.
Current Veterinarian Name
Current Veterinarian Name
Current Veterinarian Phone Number
Current Veterinarian Phone Number
CAS FOSTER EXPECTATIONS
PLEASE READ CAREFULLY AND TYPE YOUR INITIALS TO INDICATE AGREEMENT.
Foster Name *
Foster Name
Typing your name indicates that you have read, understand and agree to all terms within.
Date *
Date
RELEASE OF LIABILITY
PLEASE READ CAREFULLY, INITIAL EACH LINE, AND TYPE YOUR NAME TO INDICATE AGREEMENT
I/WE HAVE READ AND FULLY UNDERSTAND THE CAS FOSTER EXPECTATIONS. *
I/WE UNDERSTAND THAT ALL RESCUE VOLUNTEER WORK DONE WITH CAS IS AT MY/OUR OWN RISK. *
I/WE HAVE READ, UNDERSTAND, AND AGREE TO ABIDE BY THE CONDITIONS OF THE CAS FOSTER HOME AGREEMENT & GUIDELINES. I/WE UNDERSTAND THAT ALL WORK DONE WITH CAS AND THIS FOSTER AGREEMENT IS AT MY/OUR OWN RISK, AND THAT I/WE ASSUME SUCH RISK FREELY AND VOLUNTARILY. I/WE HEREBY RELEASE CAS AND ITS AGENTS AND EMPLOYEES OF ANY AND ALL LIABILITY, PROPERTY DAMAGE, AND MEDICAL COSTS WHILE I/WE AM/ARE PROVIDING VOLUNTEER FOSTER CARE FOR CAS. I/WE, HEREBY FOR MYSELF (OURSELVES), HEIRS, ADMINISTRATORS AND ASSIGNS, FULLY, IRREVOCABLY AND UNCONDITIONALLY RELEASE AND AGREE TO HOLD HARMLESS CAS AND ITS INDIVIDUAL MEMBERS FROM ANY AND ALL KNOWN OR UNKNOWN, ANTICIPATED OR UNANTICIPATED, SUSPECTED OR UNSUSPECTED CAUSES OF ACTION, CHARGES, SUITS, DEBTS, DEMANDS, CLAIMS, LIABILITIES, LOSSES, COSTS, EXPENSES (INCLUDING, WITHOUT LIMITATION, ATTORNEYS’ FEES) OR DAMAGES, INCLUDING BUT NOT LIMITED TO ANY MEDICAL COSTS, DAMAGE TO PROPERTY, PERSONS OR OTHER PETS, OF ANY AND EVERY KIND, NATURE AND DESCRIPTION, AT LAW OR IN EQUITY, IN CONNECTION WITH OR ARISING FROM WHILE I AM CARING FOR THE AGREED RESCUE COMPANION ANIMAL. *
Please type your name to indicate that you have read/understand and agree to the terms within. *
Please type your name to indicate that you have read/understand and agree to the terms within.
Typing your name indicates you agree.