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Foster Application.
NOTE: Derby City Dog Rescue is located in Louisville, KY, USA. Fosters must live in the Louisville, KY, area or within a close enough geographical range that taking foster dogs for treatment to our preferred vets or to adoption events is feasible.
Fields marked with * are required.
NOTE: AFTER YOU SUBMIT THE APPLICATION, YOU SHOULD SEE A CONFIRMATION MESSAGE. IF YOU DO NOT SEE THAT MESSAGE, PLEASE REVIEW YOUR APPLICATION FOR MISSING INFORMATION. IF YOU DO NOT SEE A CONFIRMATION MESSAGE, WE HAVE NOT RECEIVED YOUR APPLICATION.
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Indicates required field
Applicant's Name
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First
Last
Phone Number
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Best Time to Call
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact
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First
Last
Emergency Contact Phone
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Do You Rent or Own Your Home?
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Rent
Own
If Rent, Provide Landlord Name
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Landlord Phone Number
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Names/Ages of All Persons in Household (including applicant).
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Names/ages/descriptions of current pet(s) in home. Please indicate if vaccinated/spayed/neutered. (Type "N/A" if no current pets.)
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Describe the physical environment in which the adopted dog will live (indoor/outdoor, where dog will sleep, crated and for how many hours per day, etc.)
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Please indicate whether yard is fully/partially fenced or if there is no fence. If fenced, give type (e.g., privacy, chainlink, farm, etc.) and height of fencing.
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What are your feelings about crating a pet?
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Current or most recent veterinarian (clinic name, vet's name, address and phone). Type "N/A" if you have never owned a pet.
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Please give us an idea of your fostering preferences (breeds, gender, age, energy level, "special needs," long-term [through adoption] or short-term [through transport], etc.)
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Please list two personal references. (References cannot live in applicant's household.)
Reference Name
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First
Last
Phone Number
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Reference Name
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First
Last
Phone Number
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Please read the following before submission of application. If approved to foster, the following constitutes your contract with Derby City Dog Rescue.
By submitting this application, I understand that, if approved, I agree to the following terms and conditions:
* I understand that Derby City Dog Rescue makes no guarantees regarding the breed, potential size, temperament, or age of any pet available.
* I agree to provide adequate food, shelter, exercise, grooming, veterinary care, and attention for the foster pet.
* I understand that Derby City Dog Rescue pays for all veterinary care, but it is my job to arrange transportation to approved veterinarians for needed care and to advise Derby City Dog Rescue of any health issues or concerns that arise while the pet is at being fostered by me.
* I agree to, if the foster pet has surgery, illness, or parasites, follow care or after-care guidelines prescribed by a licensed veterinarian. I further agree to administer any needed medications. If I cannot comply, I will advise Derby City Dog Rescue so that a medically-experienced foster can be found.
* I agree to provide, at my own expense, regular preventatives for heartworm, fleas and, if applicable, ticks. Donated flea and/or tick treatment may be available, but is not guaranteed. Heartworm medication must be obtained from a licensed veterinarian.
* I agree that I will have my foster pet secured and under control at all times while outdoors, whether in a fully-fenced yard or area (including runs), on an aerial run, or on a tether or leash. I will not chain or tether the foster pet in violation of local laws. I will not leave the dog outdoors, whether in a fenced area or on a tether, unmonitored or when I am not at home.
* I agree to notify Derby City Dog Rescue immediately if the foster pet is lost or believed stolen, gets injured, or becomes seriously ill while in my care.
* I agree to advise Derby City Dog Rescue of any behavioral issues in my foster pet, if they arise, and allow assessment of whether professional
training or consultation is necessary. If professional training is needed, I will only use approved trainers with the permission of Derby City Dog Rescue. Derby City Dog Rescue will pay for training or consultation deemed necessary.
* I agree to use a properly fitted collar (buckle or martingale) or harness (body or head) on my foster pet. I will not use a choke chain or prong or
pinch collar without the express permission of Derby City Dog Rescue. I will never use a "shock collar" on my foster pet.
* I agree to a home visit by Derby City Dog Rescue, at any time.
* If I rent my home or live in a home owned by another individual, I agree to provide contact information regarding the landlord, property manager, or owner of the property to Derby City Dog Rescue. Further, I agree to notify Derby City Dog Rescue immediately of any changes in stated "pet policies" or any request by the rightful owner of the property to remove the animal from the property.
* I agree to return the foster pet to Derby City Dog Rescue if I cannot keep the pet, for any reason, or at the request of Derby City Dog Rescue.
* I understand the pet in my care is the lawful property of Derby City Dog Rescue and any decisions regarding the pet and the pet’s future will be made by Derby City Dog Rescue. I further understand and accept that it is Derby City Dog Rescue’s prerogative to decide which home is most appropriate for the individual dog and, therefore, I will not take issue with the decision.
* I agree to attend a reasonable number of scheduled “adoption day” events with my foster dog.
* In the event that I need temporary boarding or pet-sitting, for any reason, I agree to notify Derby City Dog Rescue and will not board the dog in any facility, nor leave the dog with any private individual, without the express consent of Derby City Dog Rescue. Derby City Dog Rescue will assist in finding a temporary foster or boarding arrangement, if needed.
* I acknowledge that Derby City Dog Rescue cannot guarantee any foster animals against parasites, disease, or destructive behavior. Further, I will
not hold Derby City Dog Rescue responsible, nor seek any compensation for, damages, medical fees or other liabilities incurred by the pet I foster.
* I understand that any bites or injuries caused by the pet I foster are to be reported immediately to Derby City Dog Rescue.
* I understand that, unless otherwise indicated by Derby City Dog Rescue, if a foster is not a "good fit" for my home and situation, I may be considered for another dog more suitable for my household.
* If I wish to adopt the foster pet, I understand I must sign an adoption contract and comply with all terms and conditions required by Derby City Dog Rescue to finalize the adoption.
* I have read the above stated application carefully and certify that the information I have given is accurate and true. I understand that any misrepresentation of the above information authorizes Derby City Dog Rescue to deny application and/or reclaim the foster pet that is in my home.
I have read and agree with the above terms and conditions
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Yes
No
Electronic Signature
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First
Last
Date
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You must click the "Submit Application" button below to send your application to Derby City Dog Rescue. If, after clicking, you do not see a message confirming your submission, please re-check your form for missing information.
Submit Application