Foster Application

HARBORS ASSOCATION OF VOLUNTEERS FOR ANIMALS (HAVA)
APPLICATION & AGREEMENT FOR FOSTER CARE PROVIDER

ANIMAL SELECTION FOR FOSTER CARE IS AT THE SOLE DISCRETION OF THE HAVA BOARD

About You

First Name: Last Name:

Are you over 18?

Phone number:

E-mail:

Mailing Address:

City: State: Zip Code:

Have you attended a HAVA Volunteer Orientation? Yes No

This is not required; however you will be required to attend a Foster Orientation.

Please list up to three personal references that can tell us how wonderful your home would be for a pet, and a way to contact them.

About your home

Household setting Do you live in a: Do you own or rent? What is your home's activity level?

Have you obtained approval from the landlord to have a pet? Yes No

Please provide your landlord's contact information:

Do you have any other pets at home?

Tell us about your pets (how many, include names, breed, age, gender, and any other relevant information)

Have your pet(s) been spayed and/or neutered? Yes No

Are they current on vaccinations? Yes No

Please check any diseases your household pets may have or had: Parvo Distemper Feline Leukemia FIV Other

What other disease?

Please provide details & dates:

Please list all people living your household. (Include Name, Relationship, Gender, and Age)

Does anyone in your household have allergies to animals?

Are all members of your family agreeable to fostering a pet?

Your new foster pet

Which do you prefer to care for? Cat Dog

Do you have a gender preference of your new pet(s)? Male Female No Preference

I'm interested in: (select all that apply) Adult Cats Kittens Nursing Cat Moms with Kittens Bottle Fed Babies

Where will your foster cat stay during the day?

Where will your foster cat sleep at night?

I'm interested in: (select all that apply) Adult Dogs Puppies Nursing Dog Moms with Puppies Bottle Fed Babies

Where will your foster dog stay during the day?

How many hours in a day would your foster dog be left alone?

Where will your foster dog sleep at night?

Do you have a fenced yard?

Please give details on height, material, # of gates, are gates locked or lockable?

We cannot guarantee a foster dog to be housebroken, are you equipped to train with love and patience? Yes No

Have you had any experience with an emotionally or physically neglected or abused dog? Yes No

Please provide details:

Are you familiar with the two-week shutdown method of introducing new dogs? Yes No

What are your plans to exercise your dog? Please list any parks near by or trails, how many walks a day, approximate length, activities such as agility

Anything else you think we should know that wasn't covered above?

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

How did you hear about us? We would like to know who to thank!

Acknowledgements

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

I agree to provide foster care in strict compliance with the policies and procedures of HAVA. This includes but is not limited to:

Providing adequate food, water, shelter, safe containment and humane treatment for the animal(s) at all times.
Monitoring the animal(s) and providing proper care & socialization to increase their possibility for adoption.
Calling the Foster Care Coordinator or Shelter Manager and/or the HAVA Line (360) 942-4716 within 24 hours of any major change in the fostered animals health or animal being lost.
Agree to represent yourself professionally.
Agree to transport the fostered animals to and from the veterinarian for care as needed.
Agree to not transfer any animal I am fostering to another Foster Care Provider without specific consent from the Foster Care Coordinator or the Shelter Manager.

Acknowledge each of the following statements AFTER you have read it.

HAVA 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 HAVA and This Foster Care Agreement transfers no ownership rights.

I understand all foster animals must be scheduled for sterilization. Appointments for sterilization will be set up through the Foster Care Coordinator or Shelter Manager.

I understand if any foster animal under my care dies, the Foster Care Coordinator or Shelter Manager is notified immediately or verification of death signed by a licensed veterinarian must be provided.

I will respect HAVA’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 HAVA.

I will agree to vaccinate my own animals 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 are free of parasites. • Felines are immunized against Feline Panleukopenia, Rhinotracheitis, Calicivirus (3-in-1 booster), Feline Leukemia and Rabies and are free of parasites

I understand I will be provided with food and litter (cats/kittens) at no expense to me. All foster animal veterinary care will also be covered by HAVA.

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 HAVA. Discussion with HAVA’s consulting veterinaries 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 distemper), they will not be allowed to foster the species of animal affected by the disease for at least 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 the conditions of this foster care agreement may result in immediate termination of this agreement. In that case HAVA shall take immediate possession of the fostered animal(s).

Indemnity

I agree to release, discharge, indemnify and hold harmless HAVA, 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 HAVA, 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 HAVA to use any photographs taken of me for use of public relations efforts. HAVA will use reasonable efforts to notify me but such notification is not a condition of its release for public relation purposes.

I understand that I may refuse to be photographed and that such refusal shall not change my status as a HAVA Foster Care Provider.

Signature

By signing this application electronically I certify the following:

- I have received, read, and understand the Foster Care Guidelines provided during orientation by HAVA.
- All the information I have provided in this application is accurate and truthful.

Foster Care Provider

Thank you for taking the time to complete the application. We have received your application and will be in touch with you soon!

HARBORS ASSOCATION OF VOLUNTEERS FOR ANIMALS (HAVA)
APPLICATION & AGREEMENT FOR FOSTER CARE PROVIDER

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HARBORS ASSOCATION OF VOLUNTEERS FOR ANIMALS (HAVA)APPLICATION & AGREEMENT FOR FOSTER CARE PROVIDER

Donate

Resources

Jetty Cats

Contact Us

HARBORS ASSOCATION OF VOLUNTEERS FOR ANIMALS (HAVA)
APPLICATION & AGREEMENT FOR FOSTER CARE PROVIDER