Abby's Angels Animal Haven

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Foster Application

All of our vetting takes place at Veterinary Medical Center in Everett PA. Do you live within reasonable distance to this to get your foster to vet appts? *

Yes, I am willing to take to Everett for Vet care

I do not live close enough

Applicant Name *

Applicant birthdate *

YYYY

Phone number *

Address (Street, City, State, Zip) *

Email address *

Do you own or rent your home? If renting, please provide landlord name and phone number below *

Why are you interested in fostering a dog through Abby's Angels? *

Have you ever fostered an animal? (If not, this does not exclude you, it only helps serve as a tool to help us know how to help you.) *

Yes (If yes, please include type of animal(s), organization and length of time you fostered.

Other:

Please list all persons living in your home, ages included. *

Please list any pets in your home, type and age, vaccinations UTD, and if they are neutered or spayed. *

How soon are you able to foster? *

What requirements does your foster need? Kid friendly, dog friendly, etc. *

Are you committed to provide a loving, stable home in which a rescue dog can learn to be a valued member of a family? *

Are you willing to have someone come to your home to do a home visit to ensure that it is a safe environment for a rescue dog? *

Yes

Other:

Have you (or anyone in your household) ever been convicted of a crime other than a minor traffic violation or placed on probation/parole? If yes, please provide charge(s) and circumstances surrounding conviction. *

Please provide three references. Name, phone number, relationship (please list 2 professional and one personal), and length of time known. If these are not submitted, we will not process your application.

Reference 1: Personal

Reference 2: Professional

Reference 3: Professional

Who is your current Veterinarian? Name, address, phone number of clinic. *

Do we have your permission to contact the references and veterinarian listed? *

Yes

Other:

Are you planning to adopt in the future? If you are, please fill out adoption application instead. Fostering is a commitment to give an animal a chance to be loved until it finds a forever home elsewhere. If you would like to adopt, you are still able to foster when filling out the adoption application but it helps us be aware of your intent. *

Yes

Foster Agreement

In order to be approved as a foster home for Abby's Angels Animal Haven, the following must be adhered to, understood and agreed upon.

*An inital home visit will be conducted by an Abby's Angels representative before approval for foster care can be determined.
*Provide shelter and necessary transportation to and from veterinary
appointments, events etc at no charge to the rescue.
*All foster dogs must be kept indoors with access to heat or air conditioning as weather permits.
*Keep dog contained in the yard at all times either with the use of a physical fence
(invisible fence not acceptable) or leash and further agree to never leave their dog
unattended.
*Make an effort to bring dogs to events for exposure when weather and temperament
permits.
*Provide regular updates and pictures (once a week or more if deemed necessary) and allow an Abby’s Angels representative to come check on the dog as deemed necessary.
*Provide necessary veterinary treatment from a veterinarian well-qualified and approved by the rescue. Except in cases of emergency, veterinary treatments other than those related to the annual examination, including all surgical procedures must receive prior approval. In the case of an emergency, foster agrees to make a reasonable effort to contact an Abby’s Angels representative.
*Comply with all local, state and federal ordinances and laws relating to keeping a dog
including leash/license laws.
*Keep the foster dog at the residence address stated in your application and provide the new address
and/or telephone number to an AAAH representative immediately in the event of a change
of residence or telephone number.
*Never give or sell this dog to another person, agency, animal shelter or to allow it to be used for experimentation, dog fighting, or any other commercial or illegal activity
*Immediately notify Abby’s Angels if dog is lost
*Immediately notify Abby’s Angels representative to return the dog if no longer able to keep the
dog, allowing for reasonable time for the rescue to find a replacement foster home
*Never leave state lines with foster dog unless receiving prior written consent.
*Contact a representative if you are going to be going on vacation or leaving your home for an extended period of time and obtain prior authorization and approval for temporary placement of foster dog.
*Permit an Abby’s Angels representative to observe the premises where the dog is housed and to
reclaim the dog if, in the sole judgment of the representative, it is not being cared
for as agreed to in this document, or if Abby’s Angels is required to return the dog to a third party,
or if facts have been misrepresented to Abby’s Angels Animal Haven.

Acknowledgement

By signing below, I acknowledge that I have filled this form out honestly and to the best of my ability. All answers are true and if it is deemed that I withheld pertinent information, I acknowledge my right to foster for Abby's Angels will be revoked.

I have thoroughly and fully read all aspects of the foster agreement and will commit to ensuring all items are adhered to.

If printing form and mailing, please sign below and mail to:

Nicole Wertz
c/o Abby's Angel Animal Haven
1018 S Rosina Ave
Somerset, PA 15501

If completing form online, you may skip to the next section.

______________________________________________________ ____________________
Signature of Applicant Date

______________________________________________________ ____________________
Signature of Co-Applicant Date

Signature of Applicants (typing full name provides acknowledgement of above), and Date *

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