Date *
Are you over 18 years old? * Choose One Yes No
Home Phone *
Cell Phone *
Work Phone *
Email *
Do you own or rent the place where you live: * Choose One Own Rent
Number of children in your household: *
Child 1 Age
Child 2 Age
Child 3 Age
Child 4 Age
Child 5 Age
If there are more children in the home please list them on separate lines below
Do you have a yard: * Choose One Yes No
If applicable, is the yard completely fenced: * Choose One Yes No Not Applicable
If applicable, how high is the fence :
Select option that describes your normal day: * Choose One Home All Day Out Part-Time Work Part/Full Time
Describe your home activity level: *
Are your pets: * Choose One Indoor Only Outdoor Only Both Not Applicable
Are your pets current on there vaccines: * Choose One Yes No Not Applicable
Are all your pets spayed and/or neutered: * Choose One Yes No Not Applicable
Young unweaned puppies without a mom: * Choose One Yes No
Young unweaned puppies with mom: * Choose One Yes No
Weaned Puppies: * Choose One Yes No
Adult dog(s) * Choose One Yes No
Sick or injured pets: * Choose One Yes No
Small or Large Breed: * Choose One Yes No Both
How long are you willing to foster at anyone time? *
Are you willing to foster more than one animal at a time: * Choose One Yes No Both
How will the foster pet receive exercise? *
Where will the foster pet be kept when loose indoors * Choose One Day Time Night Time Both Not Applicable
Where will the foster pet be kept when in a fenced yard * Choose One Day Time Night Time Both Not Applicable
Where will the foster pet be kept when tied outside * Choose One Day Time Night Time Both Not Applicable
Where will the foster pet be kept when kept in a crate * Choose One Day Time Night Time Both Not Applicable
Where will the foster pet be kept when blocked off in the home * Choose One Day Time Night Time Both Not Applicable
Have you cared for young, unweaned puppies: * Choose One Yes No
Have you ever given medication to sick animals before: * Choose One Yes No
Are you willing to provide food at your own cost for foster pets: * Choose One Yes No
Do you have a crate or pen to use for your foster : * Choose One Yes No
Have you fostered an animal before: * Choose One Yes No
make the above state- ments and voluntarily enter into this agreement to provide a temporary home as a foster caregiver to any animals Ozzies Pound Puppies. may temporarily place in my care. • I agree to provide a Ozzies Pound Puppies representative access to all parts of my home and property for a home inspection before my application to foster is approved. • I understand that I may be required to provide foster care to my foster animal for an extended and indefinite period of time. • I agree that I am over 21 years of age. • I understand that Ozzies Pound Puppies. provides no guarantee as to the health of my foster animal and that,my foster animal may have medical needs, socialization problems, and may not be housebroken. • I agree to provide my foster animal with veterinary care as authorized by Ozzies Pound Puppies . I will not arrange or pay for any elective veterinary care for my foster animal without the express consent of an authorized Ozzies pound Puppies. representative. • I understand that I may only have my foster animal temporarily. • I agree that I am fostering this animal for Ozzies Pound Puppies, and that I do not have any right of ownership over my foster animal. I also agree to provide a Ozzies Poud Puppies representative access to my home and property to check on my foster animal, at any time that I am in possession of my foster animal. • I agree to immediately return any foster animal in my care to Ozzies Pound Puppies . at the request of its authorized representative at any time and for any reason. If Ozzies Pound Puppies is forced to undertake legal action to enforce this provision of the agreement, I agree to indemnify Ozzies Pound puppies for all court costs and attorneys fees connected with such an action. If I am planning to move at any time during the period when I am housing a foster dog, I agree to contact Ozzies Pound Puppies, prior to my move and provide Ozzies pound Puppies with my new contact information. I understand that Ozzies Pound Puppies has the right to request return of my foster animal based on my change of residence, and agree that I will surrender my foster animal to Ozzies Pound Puppies immediately upon request. • I understand that as long as I provide foster care to my foster animal to Ozzies Pound Puppies satisfaction, I will be given the first right of adoption of my foster animal, at such time as Ozzies Pound Puppies. decides to place my foster animal for adoption. If at any point I can no longer, or do not want to continue to, provide care and shelter for my foster animal, I agree to contact Ozzies Pound Puppies and arrange for surrender and return of my foster animal back to Ozzies Pound Puppies. I will not transfer possession or custody of my foster animal to any other person at any time, except for temporary, short-term possession for the purpose of vet care, grooming, etc. • I agree to contact Ozzies Pound Puppies with any and all questions or concerns about my foster animal or the Foster Care Program as well as with updated contact information. • I agree that if I refuse or fail to comply with any provision of this agreement, Ozzies Pound Puppies has the right to terminated this agreement and also has the right to the immediate surrender and return of my foster dog(s). I further consent to provide Ozzies Pound Puppies access to my premises if necessary to facilitate the return. • I agree that the opportunity given to me to help rehabilitate my foster dog, as well as the chance of a potential future adoption, is of significant benefit to me, and serves as proper legal consideration in exchange for my agreement to the terms of this contract. I have read this application and Agreement in its entirety, and I agree that all statements and agree- ments contained in this document are made by me and are truthful, under penalty of perjury under the laws of the State of California. Do you agree * Choose One Yes No
Foster Name: ( printed ) *
Signature (Type your complete name) *
Ozzies Pound Puppies Rep (for representative's use only)