PPA! Dog Foster Questionnaire
If you are interested in fostering one of our dogs, please complete this questionnaire and submit. If you need more information please email foster@pflugervillepetsalive.org Please note, your drivers license will be requested as part of this process.
Name *
Address *
Please include City, State, Zip
Driver's License Number (and state)
Best phone number to contact you at
2nd Best phone number to contact you at
Best email address to reach you *
Emergency contact name and phone number
Please use a contact that is not currently living with you
Best time to reach you
Clear selection
How many people in your household?
How many children?
Is everyone in the household in agreement to foster?
Clear selection
Will you be moving within the next 60 days?
If yes, please provide an explanation
Do you have other pets in the home?
If you answer yes, please list how many and their type
If you have pets, do they have any medical issues?
If you answer yes, please explain what those issues are.
Please list the name and number of your veterinarian.
Do you agree that a representative from Pflugerville Pets Alive may contact your veterinarian to confirm the information provided?
Clear selection
Do you have any experience fostering canines?
If yes, please explain your prior experiences.
Where will the dogs be kept?
Clear selection
Do you have a yard or a supervised outside area for the dog to run and play?
Clear selection
If you answered no to the above question, are you willing to take the dog for walks or to a dog park to release energy and play?
Clear selection
How many hours a day would your foster be alone?
Are you able to provide the following supplies for your foster?
Check all that apply
Is there a certain pet listed that you would like to foster?
If yes, please list their name and animal ID number if provided.
Please list/explain any concerns or requests you may have about fostering
How did you hear about Pflugerville Pets Alive?
Clear selection
Do you allow a representative from Pflugerville Pets Alive to visit your home to check on the pet while it is in your care?
Clear selection
Please read the following information. If you agree to the information, please type your name at the bottom.
By agreeing to foster in partnership with Pflugerville Pets Alive, I agree to the following: Pet's Health and Disposition: Pflugerville Pets Alive! cannot guarantee the health or disposition of any foster animal. We do not have past records for these animals and there are some risks associated with taking in foster animals. Family pets will be current on all shots and foster pets will be kept isolated from family pets, for a minimum of 7-10 days, for the protection of all animals. I agree to be fully responsible for the safety and well being of the foster pet. I will provide a safe, loving, and humane environment with adequate food, water, and shelter at all times. I will not have any veterinary procedures done on the fostered pet without the consent of Pflugerville Pets Alive!. I will adhere to all state and local animal laws and all foster animals will wear a collar with identification. I will promptly notify Pflugerville Pets Alive! of any signs of illness, behavioral issues or concerns, if I am unable to continue to foster, if the pet become lost, and/or if the pet bites someone. Transfer of Animals: Animals cannot be transferred to the custody of another person, shelter, humane society, SPCA, or other entity without prior consent and permission of Pflugerville Pets Alive!. I agree to not place this pet in another home without the written or verbal authorization from Pflugerville Pets Alive!, whether it be temporary or permanent. Return of Animals: All the pets in the Pflugerville Pets Alive! Foster program are the property of Pflugerville Pets Alive! and must be returned within 24 hours of request. I agree that I am fostering this pet for Pflugerville Pets Alive! and that I do not have any right of ownership over my foster animal. I further agree that Pflugerville Pets Alive! rights in and to my foster pet are superior to mine. I agree to provide the Authorized Representative, or his/her designate access to my home and property to check on my foster pet, at any time while I am in possession of my foster pet. Personal or Property Damage and/or Injury: I agree that accidental animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Pflugerville Pets Alive! from any claim or suit filed by someone as a result of such incident. In addition, Pflugerville Pets Alive! will not be responsible if an animal should damage or destroy property belonging to Foster Caregiver, Foster Caregiver household, or others, or if the animal shall transfer any disease, internal or external parasites to other animals and people in Foster Caregivers household. I understand that if I am approved for fostering, this declaration represents a legal contract between me as the foster home caregiver and Pflugerville Pets Alive!. I understand that if I am approved to foster an animal, I must abide by this agreement and that this agreement applies to any and all animals that I foster with Pflugerville Pets Alive! Accuracy of Information: By typing my signature below, I acknowledge that the information provided on this questionaire is correct to the best of my knowledge. If at any time the information I have provided changes, I will provide the updated information to Pflugerville Pets Alive! Foster Care Program. I agree that a representative of Pflugerville Pets Alive! may contact my veterinarian to confirm the information provided herein regarding my pets and I consent to the release of such veterinarian information by my veterinarian to Pflugerville Pets Alive!.
I certify that I am at least 18 years of age.
Please type your name below to verify this information
Submit
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