Name
*
First Name
Last Name
Email Address
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How many adults live in the home?
*
1
2
3
4
5
6
Ages of all adults
*
How many Children under 18 live in the home?
0
1
2
3
4
5
6
Ages of children in home
Do you own the home/apt/condo you live in?
IF you do not own your home, please provide name and contact number of landlord
Please describe the fencing of your home
*
How many dogs do you have?
*
0
1
2
3
4
5
6
How many cats do you have?
*
0
1
2
3
4
5
6
Please provide ages, names and breeds of all animals you currently have.
*
Vet name and phone number
Are all your animals up to date on: (check all that apply)
If not up to date, please explain why?
Have you ever fostered before?
*
If you have fostered, for what organization(s)
Drivers License #
*
Any behavioral issues with your current pets? If so please describe
*
Do you have any other animals not already listed? Please list type and age
Would you allow us to conduct a home visit?
*
No
Yes
Can you foster:
*
How many hours are you away from the home per day?
*
Do you need to borrow a crate?
*
No
Yes
Do you have the means to transport your foster to the vet and adoption events?
*
No
Yes
Is anyone in your home allergic to animals?
*
Yes
No
Where do you plan to keep the foster?
*
I affirm that all of my choices in this questionnaire are truthful and accurate to the best of my knowledge, and I allow a representative from EAR to contact my vet to verify all information
*
No
Yes
I hereby agree to accept a position as volunteer with Epic Animal Rescue and in doing so, I agree to comply with all the rules and regulations. I understand that failure to do so will result in my immediate termination. I agree to do my best to represent EAR t the public in a professional manner. I acknowledge that my services are provided on a volunteer basis, and no compensation of any kind is expected. I understand that all services will be performed at my own risk. I understand that working with animals involves certain risks, and I relate and hold harmless Epic Animal rescue as well as the board members of any and all claims and demands of any cause in connection with any damages or injuries with may be incurred or sustained by me in any way connected with my services for Epic Animal Rescue. I personally assume all risks and assume full responsibility for any bodily injury, death, property damage or any other loss to volunteer, his or her family and/or assigns due to negligence of Epic Animal Rescue or otherwise. I understand that any images taken of me may be used for marketing and public relations. I understand that Epic Animal Rescue does not carry workers compensation insurance on it's volunteers.
*
Do Not Agree
Agree
