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CONTACT INFORMATION
Name *
Name
Address *
Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Work Phone *
Work Phone
QUESTIONAIRE
DO YOU RENT OR OWN YOUR HOME? *
IF YOU RENT, DO YOU HAVE PERMISSION TO FOSTER? *
DO YOU HAVE A TRIP PLANNED IN THE NEXT 90 DAYS? *
DO YOU LIVE IN AN APARTMENT OR HOUSE? *
DO YOU HAVE A COMPLETELY FENCED BACKYARD? *
WHAT IS YOUR FENCE MATERIAL MADE OF? *
DOES EVERYONE IN THE HOME AGREE TO FOSTERING? *
ARE ALL ANIMALS IN THE HOUSE CURRENT ON VACCINES? *
IF "NO" YOU WILL NOT BE ELIGIBLE TO FOSTER UNTIL ALL ANIMALS ARE CURRENT ON VACCINES. THIS IS FOR THE SAFETY OF ALL ANIMALS INVOLED.
ARE ALL PETS IN THE HOME SPAYED OR NEUTERED?
IF "NO" YOU MAY NOT BE ELIGIBLE TO FOSTER CERTAIN DOGS. THIS IS FOR THE SAFETY OF ALL ANIMALS INVOLVED.
NOTE: WE PROVIDE ALL CARE FOR OUR FOSTER ANIMALS, THROUGH OUR VETERINARIAN. VETERINARIAN IS FOR REFERENCE AND TO CONFIRM VACCINATION STATUS AND SPAY/NEUTER STATUS.
WHERE WILL YOUR FOSTER BE KEPT WHEN YOUR ARE NOT HOME? *
DO YOU NEED A CRATE PROVIDED? *
HAS ANY ANIMAL WITH PARVOVIRUS, DISTEMPER, OR FELINE LEUKEMIA EVER BEEN IN THE HOME? *
PLEASE NOTE: IF "YES" WE WILL NEED TO DETERMINE IF IT IS SAFE FOR YOU TO FOSTER.
ANIMAL PREFERENCE
DOG OR CAT? *
PUPPIES/KITTENS OR ADULTS? *
ANIMALS RECOVERING FROM ILLNESS OR INJURY? *
DO YOU HAVE EXPERIENCE WITH MEDICAL NEED FOSTERS? *
PREGNANT MOTHER AND BABIES? *
ORPHANED LITTERS OF PUPPIES OR KITTENS? (BOTTLE FEEDING AROUND THE CLOCK) *
SIZE PREFERENCE FOR DOGS: *
GENDER PREFERENCE: *
HAVE YOU EVER FOSTERED BEFORE? *
FOSTERED WITH APHS? *
CAN YOU PROVIDE FOOD AND LITTER FOR YOUR FOSTER IN THE EVENT IT IS NEEDED? *
APHS GENERALLY PROVIDES FOOD AND LITTER FOR FOSTERS, UNLESS WE DO NOT HAVE DONATED FOOD AVAILABLE.
HOW LONG ARE YOU COMFORTABLE COMMITTING TO A FOSTER? *
PLEASE READ BELOW FOR FULL DETAILS AND TERMS
THE AMARILLO PANHANDLE HUMANE SOCIETY CANNOT GUARANTEE THE HEALTH OR DISPOSITION OF ANY FOSTER ANIMAL. WE DO NOT HAVE PAST RECORDS FOR THESE ANIMALS AND THERE MAY BE SOME RISK ASSOCIATED WITH TAKING IN FOSTER ANIMALS. FAMILY PETS SHOULD BE CURRENT ON ALL VACCINES AND FOSTER PETS SHOULD BE KEPT ISOLATED FROM YOUR FAMILY PETS IF YOU SUSPECT THEY MAY HAVE ILLNESS. APHS IS NOT LIABLE FOR ANY ILLNESS OR EXPENSES YOU MAY INCUR FROM YOUR OWN PET CONTRACTING AN ILLNESS FROM A FOSTER ANIMAL. ALL ANIMALS IN YOUR HOME MUST BE UP TO DATE ON VACCINES PRIOR TO TAKING IN AN APHS FOSTER. BY SIGNING YOUR NAME BELOW YOU ACKNOWLEDGE YOU HAVE READ AND UNDERSTAND THESE TERMS.
FOR PURPOSES OF LEASH AND RESTRAINT LAWS THE CITY OF AMARILLO RECOGNIZES THE FOSTER AS BEING RESPONSIBLE FOR THE ANIMAL. CITY ORDINANCE REQUIRES THAT ANIMALS MUST BE PROPERLY RESTRAINED AND CONFINED. IN ORDER TO COMPLY WITH LOCAL LAWS AND ENSURE THE SAFETY OF THE ANIMAL, IT IS CRUCIAL FOR ANIMALS TO BE IN A HOME OR IN A FENCED YARD, AND ON A LEASH WHEN OUTSIDE THE FOSTER'S PREMISES. FAILURE BY A FOSTER TO PROPERLY RESTRAIN OR CONFINE AN ANIMAL COULD RESULT IN THE CITY ISSUING A CITATION TO THE FOSTER. APHS IS NOT RESPONSIBLE FOR ANY CITATIONS ISSUED DUE TO THE FOSTER'S FAILURE TO COMPLY WITH THE LAW. A FOSTER'S FAILURE TO COMPLY WITH LAW OR RECEIPT OF CITATION COULD RESULT IN APHS REQUESTING RETURN OF THE ANIMAL. BY SIGNING BELOW YOU HAVE READ AND AGREE TO THE TERMS ABOVE.
ANIMALS CANNOT BE TRANSFERRED TO THE CUSTODY OF ANY OTHER PERSON WITHOUT PRIOR CONSENT AND PERMISSION OF THE AMARILLO-PANHANDLE HUMANE SOCIETY. BY SIGNING BELOW YOU HAVE READ AND UNDERSTAND THE TERMS ABOVE.
ALL THE PETS IN THE AMARILLO - PANHANDLE HUMANE SOCIETY FOSTER PROGRAM ARE THE PROPERTY OF APHS AND MUST BE RETURNED WITHIN 24 HOURS OF REQUEST. BY SIGNING BELOW YOU HAVE READ AND AGREE TO THE ABOVE TERMS.
BY SIGNING THIS APPLICATION, YOU AGREE TO THE FOLLOWING: I AGREE THAT I AM OVER 18 YEARS OF AGE. I AGREE TO PROVIDE A SAFE, LOVING, HUMANE ENVIRONMENT WITH ADEQUATE FOOD, WATER AND SHELTER AT ALL TIMES. I AGREE TO PROMPTLY NOTIFY THE AMARILLO-PANHANDLE HUMANE SOCIETY OF THE FOLLOWING: ANY SIGNS OF ILLNESS BEHAVIORAL ISSUES OR CONCERNS INABILITY TO CONTINUE TO FOSTER SHOULD THE PET BECOME LOST IF THE PET BITES SOMEONE I AGREE TO ISOLATE MY FOSTER PET FROM MY OWN PETS IF HE/SHE IS SHOWING ANY SIGNS OF ILLNESS. I FURTHER AGREE TO CONTACT APHS IMMEDIATELY IF A FOSTER PET APPEARS TO BE ILL. I AGREE TO ADHERE TO ALL STATE AND LOCAL ANIMAL LAWS. I AGREE OT HAVE THE FOSTERED PET AVAILABLE WIHTIN 24 HOUR OF NOTICE TO ATTEND AN ADOPTION DAY EVENT OR MEET A POTENTIAL ADOPTER. APHS AND THE FOSTER CAREGIVER WILL WORK COLLABORATIVELY TO MAKE ADOPTION ARRANGEMENTS. I AGREE NOT TO PLACE THE PET IN ANOTHER HOME WITHOUT WRITTEN AUTHORIZATION FROM APHS, WHETHER IT BE TEMPORARY OR PERMANENT. I AGREE NOT TO DECLAW, CROP EARS, OR CROP TAIL OF FOSTERED PET. I AGREE TO BE FULLY RESPONSIBLE FOR THE SAFETY AND WELL-BEING OF THE FOSTER PET. I AGREE THAT I AM FOSTERING THIS PET FOR THE AMARILLO-PANHANDLE HUMANE SOCIETY AND THAT I DO NOT HAVE ANY RIGHT OF OWNERSHIP OVER MY FOSTER ANIMAL. I AGREE TO PROVIDE AN EMPLOYEE OR DESIGNEE TO MY HOME AND PROPERTY TO CHECK ON MY FOSTER PET AT ANY TIME I AM IN POSSESSION OF MY FOSTER PET. IN THE EVENT I WANT TO ADOPT MY FOSTER PET, I AGREE TO FOLLOW APHS'S PROTOCOL (APPLICATION AND APPROVAL), AND UNDERSTAND THAT APHS MAY REFUSE TO ADOPT TO ME IF IT DETERMINES, IN IT'S SOLE DISCRETION, THAT DOING SO IS IN THE BEST INTEREST OF THE ANIMAL. IN THE EVENT APHS APPROVES ME TO ADOPT THE PET, I UNDERSTAND THAT I WILL BE REQUIRED TO PAY AN ADOPTION FEE. I AGREE THAT ACCIDENTAL ANIMAL BITES, OR OTHER INJURIES TO HUMANS AND OTHER ANIMALS DO OCCUR, AND AGREE TO HOLD HARMLESS AND INDEMNIFY AND PROTECT APHS, IT'S BOARD OF DIRECTORS, VOLUNTEERS, EMPLOYEES AND AGENTS FROM ANY CLAIM OR SUIT FILED BY SOMEONE AS A RESULT OF SUCH AN INCIDENT. IN ADDITION THE AMARILLO-PANHANDLE HUMANE SOCIETY WILL NOT BE RESPONSIBLE IF THE ANIMAL SHOULD DAMAGE OR DESTROY PROPERTY BELONGING TO A FOSTER CAREGIVER, OR FOSTER CAREGIVER HOUSEHOLD, OR SHALL TRANSFER ANY DISEASE, INTERNAL OR EXTERNAL PARASITES TO OTHER ANIMALS OR PEOPLE IN FOSTER CAREGIVER'S HOUSEHOLD. ACCURACY OF INFORMATION, SIGNATURE AGREEMENT BY SIGNING BELOW YOU ACKNOWLEDGE THAT THE INFORMATION PROVIDED ON THIS APPLICATION IS CORRECT TO THE BEST OF YOUR KNOWLEDGE. IF AT ANYTIME THE INFORMATION YOU HAVE PROVIDED CHANGES, YOU AGREE TO PROVIDE AN UPDATED FOSTER CARE APPLICATION TO APHS. BY SIGNING BELOW YOU ARE AGREEING TO ALL TERMS LISTED ABOVE.
Date *
Date