| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | FOSTER FORM | |||||||||||||||||||||||||
2 | ||||||||||||||||||||||||||
3 | ||||||||||||||||||||||||||
4 | THANK YOU FOR OFFERING TO OPEN YOUR HEART AND HOME TO ONE OR MORE OF OUR VERY SPECIAL ANIMALS! | |||||||||||||||||||||||||
5 | ||||||||||||||||||||||||||
6 | ||||||||||||||||||||||||||
7 | Please complete the form in its entirety. | |||||||||||||||||||||||||
8 | PERSONAL DETAILS | |||||||||||||||||||||||||
9 | Name & Surname | |||||||||||||||||||||||||
10 | Identity number | |||||||||||||||||||||||||
11 | Address | |||||||||||||||||||||||||
12 | ||||||||||||||||||||||||||
13 | ||||||||||||||||||||||||||
14 | Email address | |||||||||||||||||||||||||
15 | Work telephone number | |||||||||||||||||||||||||
16 | Cell phone number | |||||||||||||||||||||||||
17 | Car registration number | |||||||||||||||||||||||||
18 | Employer | |||||||||||||||||||||||||
19 | Amount of family members in the household | |||||||||||||||||||||||||
20 | Number of children in the household and age of children | |||||||||||||||||||||||||
21 | ||||||||||||||||||||||||||
22 | ||||||||||||||||||||||||||
23 | REFERENCE OF A FAMILY MEMBER OR FRIEND | |||||||||||||||||||||||||
24 | Name & Surname | |||||||||||||||||||||||||
25 | Email address | |||||||||||||||||||||||||
26 | Work telephone number | |||||||||||||||||||||||||
27 | Cell telephone number | |||||||||||||||||||||||||
28 | Relation | |||||||||||||||||||||||||
29 | ||||||||||||||||||||||||||
30 | PLEASE COMPLETE THE FOLLOWING | |||||||||||||||||||||||||
31 | Have you fostered before? | |||||||||||||||||||||||||
32 | Have you ever given an animal away and if so why? | |||||||||||||||||||||||||
33 | Is your property securely closed? | |||||||||||||||||||||||||
34 | If you stay in a complex or estate, do you have the necessary permission to foster the animal? | |||||||||||||||||||||||||
35 | Do you have a pool and if so, is it secure for pets? | |||||||||||||||||||||||||
36 | What kind of shelter is available for the pet? | |||||||||||||||||||||||||
37 | Will this pet be chained or caged? | |||||||||||||||||||||||||
38 | Are your current animals up to date with their vaccinations? | |||||||||||||||||||||||||
39 | Have you had a sick animal on your property within the last 6 months and is so, what was the animal's diagnosis? | |||||||||||||||||||||||||
40 | Do you intend to keep the animal: | |||||||||||||||||||||||||
41 | Outdoors | Indoors | ||||||||||||||||||||||||
42 | What are the sleeping arrangements for the animal? | |||||||||||||||||||||||||
43 | Inside the house | |||||||||||||||||||||||||
44 | kennel | |||||||||||||||||||||||||
45 | Garage or stoep (Specify) | |||||||||||||||||||||||||
46 | Other (Specify) | |||||||||||||||||||||||||
47 | Do you have an existing vet? If yes, who? | |||||||||||||||||||||||||
48 | Yes | No | ||||||||||||||||||||||||
49 | Vet Name | |||||||||||||||||||||||||
50 | Will you be willing to have a rescue representative visit your home? | |||||||||||||||||||||||||
51 | Yes | No | ||||||||||||||||||||||||
52 | ||||||||||||||||||||||||||
53 | Do you own any other pets? | |||||||||||||||||||||||||
54 | If so, what kind of pets, gender and ages and whether they are sterilized / castrated? | |||||||||||||||||||||||||
55 | Type of breed | Gender | Age | Sterilized (Yes/No) | Castrated (Yes/No) | |||||||||||||||||||||
56 | ||||||||||||||||||||||||||
57 | ||||||||||||||||||||||||||
58 | ||||||||||||||||||||||||||
59 | ||||||||||||||||||||||||||
60 | Are you planning to move in the near future? | |||||||||||||||||||||||||
61 | Yes | No | ||||||||||||||||||||||||
62 | Vacation arrangements/kennelling | |||||||||||||||||||||||||
63 | Who cares for your pets whilst you are away on vacation or business? | |||||||||||||||||||||||||
64 | Registered boarding kennels | Name | ||||||||||||||||||||||||
65 | Domestic worker | |||||||||||||||||||||||||
66 | Family | |||||||||||||||||||||||||
67 | Neighbours | |||||||||||||||||||||||||
68 | Other | Specify | ||||||||||||||||||||||||
69 | What type of animal are you willing to foster? | |||||||||||||||||||||||||
70 | Bottle feeding puppies | |||||||||||||||||||||||||
71 | Bottle feeding kittens | |||||||||||||||||||||||||
72 | Puppies with a mother | |||||||||||||||||||||||||
73 | Puppies without a mother | |||||||||||||||||||||||||
74 | Kittens with a mother | |||||||||||||||||||||||||
75 | Kittens without a mother | |||||||||||||||||||||||||
76 | Adult dogs | |||||||||||||||||||||||||
77 | Elderly dogs | |||||||||||||||||||||||||
78 | Adult cats | |||||||||||||||||||||||||
79 | Elderly cats | |||||||||||||||||||||||||
80 | ||||||||||||||||||||||||||
81 | LEGAL STUFF – PLEASE READ | |||||||||||||||||||||||||
82 | ||||||||||||||||||||||||||
83 | This agreement serves to confirm the following. | |||||||||||||||||||||||||
84 | · Our animals legally belong to Loving Paws Rescue and are fostered solely in our discretion. | |||||||||||||||||||||||||
85 | · We have the right to refuse a foster application without giving reasons. | |||||||||||||||||||||||||
86 | · We cannot accept responsibly for the temperament or behaviour of the animal. | |||||||||||||||||||||||||
87 | · Should any information on this form be found to be false and/or incorrect and/or not complied with, Loving Paws Rescue has the right to investigate and reclaim / remove the animal without notice. | |||||||||||||||||||||||||
88 | · This animal should always be treated in a loving and kind manner, it is expected that you will provide this animal with access to adequate shelter, food and water and any medical treatment it may require as well as to see to its emotional well-being. | |||||||||||||||||||||||||
89 | · Fostering one of Loving Paws Rescue dogs/cats means that you take care of it as though it is one of your own. | |||||||||||||||||||||||||
90 | · Please take special note that should the animal become sick, you are required to please contact us immediately and we will arrange an appointment at our vet to examine them. However, if you are in the position to take the dog/cat to a vet of your choice, please note that we will not cover the costs or any expenses if it is not our vet. | |||||||||||||||||||||||||
91 | · You need to be aware that when you are fostering one of our animals, you are under NO CIRCUMSTANCES allowed to give the animal away or try to rehome them yourself, unless it was approved by us, the animal remains Loving Paws Rescue property until he/she is adopted. | |||||||||||||||||||||||||
92 | · We require confirmation within 7 days should you decide to adopt the animal, otherwise the animal needs to be returned to Loving Paws Rescue (or if any other arrangements are made between you and Loving Paws Rescue). | |||||||||||||||||||||||||
93 | · No animal adopted from Loving Paws Rescue may be used as a performance animal / security animal for any reason whatsoever. | |||||||||||||||||||||||||
94 | · Neither Loving Paws Rescue, nor its employees, volunteers, directors, affiliates or members can be held liable for any loss of property, damage or injury as a result of fostering this animal. | |||||||||||||||||||||||||
95 | · Unfortunately, in most instances we have no idea where our puppies / kittens and/or dogs / cats come from as most of them are dumped or found as strays. | |||||||||||||||||||||||||
96 | · All puppies / kittens and / or dogs / cats will receive their first vaccination and, in the event, that they are not adopted before the second vaccination or annual vaccination is due, we will provide them with the same. | |||||||||||||||||||||||||
97 | · Although all reasonable precautions are taken, we cannot guarantee that puppies / kittens and / or dogs / cats will not become ill or pass away as a result of illnesses. | |||||||||||||||||||||||||
98 | · Puppies / kittens and / or dogs / cats can get sick and become ill. If you find your foster puppy / kitten and / or dog / cat is vomiting and / or has a runny tummy and off its food, please call us immediately, we will assist where possible by referring the animal to our vet, or please take your puppy / kitten and / or dog / cat to a vet immediately. | |||||||||||||||||||||||||
99 | · Please note that Loving Paws Rescue provides no guarantee as to the health of the foster animal and that your foster animal may have medical needs, socialization problems, and may not be housebroken. | |||||||||||||||||||||||||
100 | · If for whatever reason you are no longer to foster the animal, please inform us timeously so that we have an opportunity to make alterative arrangements. | |||||||||||||||||||||||||