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Name
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Home Address(No P.O Box)
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City
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state
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zip
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Email address:
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Home Number
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Cell Number
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Work Number
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What type of animal would you like to foster?
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I would consent to having a member of Rock N Acres Animal Rescue visit my home:
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Yes
No
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Number of children who live at home or visit regularly:
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Number of animals who live at home or visit regularly:
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Breed, Age, Gender, Spayed and neutered?
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Current on their vaccinations:?
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Yes
No
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Name of Vet you use(number and address)
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Where would you keep you foster pet?
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Are you willing to Foster a nursing mother and her puppies or kittens?
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Yes
No
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Are you willing to Foster a sick animal?
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Yes
No
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Are you willing to Foster an animal recovering from surgery?
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Yes
No
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Are you willing to give Give medications as prescribed (Ear drops,Eye drops , Pills,etc)
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Yes
No
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Are you willing to Work on basic obedience training and house training in the home?
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Yes
No
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I,(your name), am undertaking a commitment to act as a foster parent for
Rock N Acres Animal Rescue (RNA).
I understand I will be working with animals as part
of this volunteer activity and that there are
inherent risks in such activity.
I further understand that while RNA makes every
effort to ensure the safety of its foster families, accidents may and do happen.
I hereby release Rock N Acres Animal Rescue, its agents, officers
and assigns from any and all liability stemming from
my activity as a foster parent and will not make any
legal claims for personal or other injuries sustained
while volunteering as a foster family for
Rock N Acres Animal Rescue. Anyone fostering a pet(s) is responsible for
the care of the pet if it was his(Her)
own loved one.
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True
False
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