FOSTER

Foster Care Application

Canaan Animal Sanctuary will hereafter be referred to as "CAS" in this document.
I understand that CAS is very concerned with the security and safety of my foster animal and all the animals in its custody, as well as its ability to track all animals rescued. I understand CAS will not share this information for any reason not connected to the foster care program or applicable lawsuits or applicable court order.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Daytime Phone *

Evening Phone *

Cell Phone *

Email *

Prefered way to reach you? *

Best time of day to reach you? *

Drivers License Number? *

State of issuance? *

Name of employer(or business name if self employed) *

Full Address of employer? *

telephone number of employer *

your position *

Length of time with employer *

What type of home do you live in; single family, condo, apartment, etc? *

Do you Own or rent? *

If you own your home, does your homeowners association limit the number of pets or have breed restrictions? *

If renting, does your rental agreement permit pets? *

Landlords name and phone number? *

Length of time at residence? *

Do you have a fenced yard? If yes, type/height? *

Is there a gate with a locking mechanism? Describe *

How many companion animals at your home currently? *

Please list all animals residing in your home currently. Name, species, breed (if dog), gender, age. Where did you get the pet? Where does the pet stay during the day? Where does the pet stay at night?

Pet # 1 *

Pet #2 *

Pet #3 *

Lived in my home in the past 5 years, but no longer with me. What Happened to him/her? *

Are these animals spayed/neutered? *

Are these animals up to date on vaccines? *

Are these animals on heartworm /flea prevention? If so, what brand? *

Have these animals had elective surgery? Cat declawed/ Dog debarked. *

Name of your veterinarian/clinic? *

Clinic address and phone number? *

Do you agree to keep your foster animal as an indoor pet? *

where will the foster pet stay when you are home? *

Where will the foster pet stay when you are not home? *

Are you willing to let a representative from CAS visit your home by appointment? *

List all the people living in the house and/or who have regular contact with my animal(s) and their relationship to me. ( include family, friends, domestic employees, etc.)

Name and relationship *

name and relationship *

List two references- people who know me and my companion animals (non relatives), and who have been to my home or have known me for more than 2 years.

Name/ relationship/ phone number *

I understand that if I am approved for fostering, I will also need to carefully read the “Foster Care Agreement,” which is a separate document from this “Foster Care Application.” The Foster Care Agreement represents the legal contract between a foster caregiver and CAS. I understand that if I am approved to foster an animal, I must review the Foster Care Agreement before I can take my foster animal home. I further understand that I will be asked to agree to the terms of the Agreement and sign the agreement before I can take my foster animal home.I have read this application in its entirety, and agree that all statements contained in this document are made by me and are truthful.

Signature and date *

Submit

*Please allow up to 48 hours for a representative to contact you after submitting your application

WHY FOSTER?

Foster Care Application