Catahoula Rescue Inc. Foster Home Application Form
If you wish to foster dogs for Catahoula Rescue Inc. please fill out this form completely Applicants must be 18 years or older. ___________________________________________________________________________ Your Info: Applicant’s name:
Home Phone: Cell: Street Address: City: State/Prov: Zip/Postal Code: Best time to call: Email address: How long have you been involved with dogs? List breeds with which you’ve had experience: Do you have any special training or experience that you wish to mention? Dogs already in your household: (List breed, age, sex, altered, submissive/dominant)
Other pets in household: Children in household, please list ages and sex: Other people and animals with whom the dog must interact: ____________________________________________________________________________ Fostering Info:
How many and what sex & age of dogs will you foster at one time? Is there a specific Dog you would like to foster? Yes Name of Dog: Dog's Location: Length of time you are willing to foster: Do you have a fenced yard? Yes No Fence Height: Fence Type: Crates or kennels (describe): Amount of time per day and when dog(s) will be crated or kenneled: Will the dog be allowed in your home? Yes No Additional comments: _____________________________________________________________________________ References: 1) Veterinarian’s Name: Phone number: Street address: City: State/Prov: Zip/Postal code: 2) Referred by: Phone number: Street address: City: State/Prov: Zip/Postal code: ____________________________________________________________________________ Terms of Acceptance In consideration of Catahoula Rescue, Inc., hereinafter the "Corporation's", acceptance of my services as a Rescue Volunteer, Foster Home, or Special Volunteer, I agree that I, my assignees, heirs, distributees, guardians, and legal representatives forever release and shall not make a claim against, sue, or attach the property of the Corporation, its officers, directors, volunteers, committee members, members, employees, agents, heirs, successors and assigns for any actions, causes of actions, suits, liabilities, claims, demands, damages or causes of any kind or nature whatsoever, whether presently existing or arising in the future, whether known or unknown, which arise out of or are based upon any fact, matter, claim or thing involving my services as a volunteer. I agree to indemnify and defend the Corporation, its officers, directors, volunteers, committee members, members, employees, agents, heirs, successors and assigns against and save them harmless from any and all demands, claims, causes of action, or judgments, and any and all expenses (including, without limitation, attorneys fees) incurred in investigating or resisting the same, for injury to person, loss of life, or damage to property occurring during the term of my services as a Rescue Volunteer, Foster Home, or Special Volunteer, and until all applicable statutes of limitation expire, arising out of any act, omission, or neglect of the Corporation, its officers, directors, volunteers, committee members, members, employees, agents, heirs, successors and assigns. By submitting this application, I declare that all of the above information I have given is true and complete. I agree to foster for Rescue Rep’s Name: Phone number: OR Select 1 or both: I agree to foster for any Catahoula Rescue Inc. Rescue Rep: Yes I agree to foster for the above listed Catahoula Rescue Rep: Yes