Foster Application
Little Charlotte's Rescue
3012 Post Road
Stevens Point WI 54481
920-427-7735

Once completed our director will do a phone call with you.
Email *
Name (First, Middle, Last) *
Address (Street, City, State)
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Phone Number
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Birthday
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MM
/
DD
/
YYYY
Please list all family members (names and birthdays)
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Do You
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If Renting please provide Landlord's name and phone number.
What is your homes activity level?
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Please list all animals in the household
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Are all household members agreeing to fostering
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Are you willing to foster a dog of any age
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If no, why not?
Do you have access to bring your foster to appointments or general transports
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Are you willing to give medication to your foster?
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Are you able to potty train
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Do you have experience with emotionally or physically neglected dogs?
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If yes, please explain
Are you going to crate the dog
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If yes, for how long? 
Do you have a fenced in yard?
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If yes or partially, please describe material, height, and if gates are lockable
How many house a day would the dog be left alone
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What are your plans to keep the dog exercised physically and mentally 
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Please list 3 personal references (names and phone number, NO family members)
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Your vets name and phone number
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Any other concerns we need to know about
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By sending this electronically or in person, I acknowledge that I have completely read this form and comprehend it fully. I, for myself and (if accompanied by) any minor children HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge LITTLE CHARLOTTE’S RESCUE, INC. and its agents, employees, officers, directors, successors and assigns, of and from all claims, demands, expenses, causes of action, lawsuits, damages, and liabilities, of every kind and nature, whether known or unknown. The rescue animals are handled daily after they are taken out of the situation they were rescued in, and I understand that, as with most animals, they may react in an unpredictable way to sounds, sudden movements, certain people, or other animals that could result in injuries. By this waiver, I/children, assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property. This waiver is for the duration of my foster or any time spent working with the LITTLE CHARLOTTE’S RESCUE, INC.

Please Initial
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I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any LITTLE CHARLOTTE’S RESCUE, INC.  animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically or in person, I agree to release and covenant to hold harmless LITTLE CHARLOTTE’S RESCUE, INC.  and its members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog. I will accept full responsibility for the dog(s) actions at all times and release LITTLE CHARLOTTE’S RESCUE, INC. from any liabilities or damages that may be incurred because of fostering such dog(s)

Please Initial
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I, the adopter(s) or foster family(ies), desire to hold harmless and indemnify Little Charlotte’s Rescue from all liabilities, losses, claims, judgements, suits, fines, penalties, demands or expenses that may arise from activities resulting from dog adoptions and fostering.

Please Initial
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Sign (First, Last) and Date *
Submit
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