VALLEY HUMANE SOCIETY

APPLICATION & AGREEMENT FOR FOSTER CARE PROVIDER

ANIMAL SELECTION FOR FOSTER CARE IS DETERMINED BY SHELTER PERSONNEL

*YOU MUST BE AT LEAST 18 YEARS OLD TO FOSTER*

(Click on the Grey Box to Type Your Answer)

Date:

Name:

Address:

City: State: Zip:

Is this address Permanent or Seasonal? If seasonal, when are you in the Pinal County area?

Do you own or rent?

If you rent does your lease allow animals?

Best Phone Number:

E-Mail Address:

If there are children living in your household, what are their ages:

Which do you prefer to care for (please list all that apply) – Adult Cats, Kittens, Nursing Moms With Kittens, Adult Dogs, Puppies, Nursing Moms with Puppies, Bottle Kittens, Bottle Puppies:

Do you have any experience with bottle babies that need around-the-clock care? If so, please explain:

What pets do you currently have?

Are your pets Spayed/Neutered?

(All pets in household must be spayed or neutered to be eligible for the program, proof of sterilization is required)

Are your pets current on rabies vaccination(s)? Boosters:

(Please provide records from your veterinarian and vaccine stickers if applicable)

Are your dogs licensed?

(Arizona state law requires that all dogs have a current rabies vaccination and license)

Please indicate any diseases your household pets may have or had: Parvo, Distemper, Feline Leukemia, FIV, Other: When?

Treatment/Outcome:

Do you have an enclosed outdoor area? How high is the barrier?

Do you have a pool, jacuzzi or pond? (All pets must be supervised when outdoors or around water)

Where will your foster animals be housed?

How long will you be able to foster an animal or litter?

I agree that my services as Foster Care Provider are provided on a strictly volunteer basis. I shall receive no pay, benefits, or compensation of any kind from Valley Humane Society for my foster care of animals.

I agree to provide foster care in strict compliance with the policies and procedures of Valley Humane Society. These include but are not limited to:

A. Providing adequate food, water, shelter, safe containment, and humane treatment for the animal(s) at all times.

B. Monitoring the animal(s) and providing proper care and socialization to increase their possibility for adoption.

C. Calling/Emailing the Foster Coordinator or Adoption Coordinator at least once a week to advise progress.

D. Notifying VHS within 24 hours of any major change in the fostered animals health or animal being lost.

E. Foster must contact Valley Humane Society for permission before taking a foster animal to a veterinarian. NO veterinary expenses will be reimbursed unless authorized in advance by Valley Humane Society.

F. Agree to make arrangements to have my foster at weekly adoption events as scheduled by the shelter (unless under 6 months or ill).

G. Agree to represent yourself professionally.

H. Agree to return VHS foster animals for sterilization on the scheduled date.

Please initial each paragraph after you have read and agree.

Valley Humane Society reserves the exclusive right to determine the proper course of action to take upon notification by the Foster Care Provider of any inability to comply with this agreement.

I understand and agree that the fostered animal(s) are the exclusive property of Valley Humane Society. This Foster Care Agreement transfers no ownership rights.

I understand all foster animals must be scheduled for sterilization through Valley Humane Society.

I understand if any foster animal under my care dies, the body must be returned to Valley Humane Society or verification of death signed by a licensed veterinarian must be provided.

I will respect Valley Humane Society's decision to determine whether a Foster Care Provider can adopt a foster animal.

I fully understand and agree that the ultimate disposition of any animal(s) under this foster care agreement is at the sole discretion of Valley Humane Society.

I will agree to vaccinate my own dogs against the following diseases before fostering:

Canines are immunized against Canine Distemper, Canine Parvovirus, Parainfluenza, Hepatitis (4-in-1 booster), Bordetella (kennel cough), and Rabies, and insure that my own animals are free of parasites.

I will agree to vaccinate my own cats against Feline Panleukopenia, Rhinotracheitis, Calicivirus (3-in1 booster), and Rabies.

I understand no reimbursement by Valley Humane Society will be given to me regarding any expenditure which I incur for the care and treatment of the foster animal(s).

I understand if a fostered animal under my care or my own animal dies from a contagious disease, I will not be considered for fostering other animals of the same species for a specific length of time as deemed suitable by Valley Humane Society. Discussion with a veterinarian will determine the length of time necessary before fostering any animal again in a Foster Care Provider's home that has been exposed to a specific disease. If a Foster Care Provider's home is exposed to either Parvovirus or Feline Panleukopenia (feline leukemia), they will not be allowed to foster the species of animal affected by the disease for six months. In the instance of any other diseases it is recommended that they do not foster for at least two weeks. The Foster Care Provider will be responsible for appropriately sanitizing all infected areas.

I understand that any breach of conditions of this foster care agreement may result in immediate re-possession of the fostered animal(s).

I understand that it is state law to report any bite including a scratch by an animal(s) tooth immediately to Valley Humane Society and return this animal to the shelter as soon as possible. The animal will have to be placed on a mandatory 10-day quarantine period at this time.

Indemnity

I agree to release, discharge, indemnify and hold harmless Valley Humane Society, including its agents and employees, for any and all personal injuries or damages to property or pets caused by the foster animal(s).

I recognize that in handling foster animal(s) there exists a risk of injury including physical harm caused by a foster animal. On behalf of myself, my heirs, personal representatives, and executors, I release, discharge, indemnify and hold harmless Valley Humane Society, its agents, volunteers and employees from any and all claims, causes of action or demands, or any nature of cause connected with my foster care agreement.

I understand that public relations are an important part of volunteering in the foster care program. I agree on behalf of myself, my heirs, personal representatives and executors to allow Valley Humane Society to use photographs taken of me for use of public relations efforts. Valley Humane Society will use reasonable efforts to notify me but such notification is not a condition of its release for public relations purposes.

I understand that I may refuse to be photographed and that such refusal shall not change my status as Valley Humane Society foster care provider.

I have received, read, and understand This Foster Care Application and Agreement.

Foster Care Provider Signature:

Date:

VHS Representative:

Date:

Lynda Nesbitt

2019-02-21

Deb

Mobile-Latham