United Maltese Rescue Foster Home Agreement
Name: _______________________________________________
Address: _____________________________________________
City: ___________________ State: ________ Zip: _____________
Phone: _____________________(home) Phone: _____________________(work)
Email Address: ____________________________
1. Have you fostered for a group before? If so please list group and experience.
2. How many members are there in your household? If there are children in the home, please list each child's sex and age.
3. Do all adults work full time? Y N If so, what hours.
4. Where will the dog(s) be kept when you are not home?
5. If you are ever away for a few days who takes care of your dogs?
6. Does anyone in your household have any known allergies to animals? Y N
7. What animals do you currently have? Size (lb): Age(s) Spayed/Neutered?
8. Do you have a long-standing relationship with a vet? Y N
9. Do you think your vet would consider giving a discount for treatment of a rescue dog? Y N
9. Please provide the name, address, and phone number of your veterinarian?
10. Do you live in a house, townhouse, apartment, duplex, condominium or other?
11. Do you rent or own?
12. If you rent or lease, are you permitted to have animals? Y N
(We will need a copy of your lease showing you are permitted to have animals or a written statement from your landlord/rental agent.)
13. Do you have a fenced in yard? Y N If there is no fence, how do you plan to control the foster dog and ensure its safety out of doors?
14. How many dogs do you feel you could foster at one time?
15. What aged dog is the oldest you will accept to foster?
16. Will you foster a dog that has been abused? Y N
17. Will you foster a dog that has medical problems? Y N
18. Will you foster a dog that needs help with housetraining? Y N
19. Will you foster a dog that is known to have a biting problem? Y N
20. Will you foster a dog who needs to be spayed or neutered and be willing to make the appointment, get the surgery done, and provide after-care? Y N
21. Do you understand that the foster dog may not be housebroken and if so you will need to provide training? Y N
21. Do you understand that you will be expected to keep the dog until placement? Y N
22. Do you understand that you may need to make vet appointments, transport the dog to and from appointments and provide any support necessary in the event of an illness/surgery? Y N
23. A Maltese needs to be groomed and/or brushed several times a week and has daily exercise requirements. Are you prepared to take on this responsibility? Y N
This agreement is made and entered into this _______ day of ________________ 2000, by and between United Maltese Rescue and the individual(s) named above, hereinafter "Foster." This agreement is valid for any future animals in Foster's care on behalf of United Maltese Rescue. Foster will provide compassionate and loving care for whatever dog is taken into the home for as long as necessary until the dog(s) has (have) been successfully placed in a permanent home. This care includes--but is not limited to--adequate food, water, shelter, and medication when required.
FOSTER CARE COMMITMENT
Foster will be patient and tolerant during the transition period (which can last from a few days to a few months). Foster is prepared to work with the dog(s) on basic training, such as housebreaking. Foster will keep the dog(s) primarily inside the home; the dog(s) will not be outside without proper adult supervision.
Foster will notify United Maltese Rescue if any medical treatment becomes necessary during the time caring for the dog(s) and will see that the dog(s) get necessary medical treatment as soon as they need it. Foster will not hesitate to provide necessary emergency care.
Foster will advise United Maltese Rescue of any medical expenses over and above the standard care (all routine vaccinations, spaying or neutering, heartworm test, worming).
Foster will not use prong collars or employ harsh training methods. Foster will never strike or choke the dog(s) in an attempt to discipline them.
Foster will never leave the dog(s) outside in a yard or elsewhere without adequate adult supervision. Foster will not allow strange people or animals - people or animals unknown to the dog(s) - to approach the dog(s) without being in full control of the dog(s) and the situation.
If Foster decides he/she would like to adopt the foster dog(s), Foster understands and accepts that the procedure for adoption will be the same for him/her as it would be for any other applicant, and Foster will be asked to sign the same contract that any adopter would.
Foster understands and accepts that prospective adopters may wish to visit the dog(s) before adopting them. Foster is willing to allow people to meet the dog(s) either at his/her home or at a mutually convenient place.
Foster understands and accepts that the dog(s) is (are) and shall remain the sole property of United Maltese Rescue.
Foster understands and accepts that United Maltese Rescue makes no representations or warranties concerning the health, temperament, behavior and/or previous ownership of the dog(s).
Foster agrees to indemnify and hold harmless United Maltese Rescue from any direct or consequential damages arising out of this foster care agreement. This includes any and all manner of actions and causes of actions, suits, debts, dues, accounts, bonds, covenants, agreements, judgments, claims, and demands whatsoever arising out of or relating to the adoption, placement, and /or possession of the dog(s).
_____________________________________________________ Foster Care Provider
__________________ Date
RETURN TO ONE OF THE FOLLOWING:
Lee Oden
6610 Pebble Court
Frederick, MD 21703Barbara Fine
105 S. Jefferson St.
Middletown, MD 21769Debbie Birtwistle
13127 Bradley Farm Drive
Oak Hill, VA 20171