HART of Cincinnati, Inc. Foster Application
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Your Name:
Street Address:
City, State, Zip:
Phone Number (day):	eg:(513)123-4567
Phone Number (evening or cell):	eg:(513)123-4567
Email Address:
Type(s) of animals you are interested in fostering (dogs, puppies, cats, kittens):
Have you fostered animals before?:	Yes          No
If not, what experience have you had with animals that would be helpful in fostering?:
Do you have any experience training and working with dogs with behavioral issues?:	Yes          No
If yes, please describe:
Do you live in a:	House          Apartment          Condo          Other
Do you:	Own          Rent
If you rent:
Have you contacted your landlord to make sure pet's are allowed?:	Yes          No
Is there an increase on your rent for housing an animal in your apartment?:	Yes          No
Is there a weight limit for animals living in your apartment?:	Yes          No
Do you have a fenced yard?:	Yes          No
If yes, what height is it?:
Number of people in the household?:
Number of children in the household?:
Ages of Children?:
Does anyone in you household have an allergies?:	Yes          No
Where do you plan to keep your foster animal?:
How many hours per day will the animal be without adult care?:
What will you do to find your foster animal if it becomes lost?:
What pets have you had in the past if any?:
Where are they now?:
Do you have any pets in your household now?:	Yes          No
If yes, type and quantity:
What are their ages:
Are they spayed or neutered?:
Are Their vaccanations current?:
Bordatella is a vaccination available to protect dogs from kennel cough. Kennel cough is common among strays and dogs rescued from shelters. Are you dog(s) current on their Bordatella vaccine?:	Yes          No          N/A
Vet's Name:
Vet's Phone Number:
Are they currently licensed?:
If dog(s) what breed(s) are they?:
If cat(s), are they kept indoors, outdoors, or both ?:
Fecal matter of the foster animal should be picked up/thrown away immediately to avoid an potential worm exposure to other animals and small children in the yard. Do you agree to do so?:	Yes          No
Can you accept the fact that some animals will not survive or may have to be euthanized and that this decision is up to HART?:	Yes          No
Do you understand that anyone interested in adopting your foster animals (including yourself) must go through the standard adoption process, and approval of candidates and placement of animals is up to HART (Of course, we welcome your referrals)?:	Yes          No
I have answered the questions above truthfully and completely. I understand that although HART takes reasonable care to screen animals for foster care placement, it makes no guarantee relating to the animals health, behavior, or actions. I understand that I receive foster care animals at my own risk and can reject or return any animals for which HART has asked me to provide care. I indemnify and hold HART and the volunteers and board members of HART free and harmless from all liability arising out of any and all claims, demands, losses, damages, action, judgement of every kind and description which may occur to or be suffered by me, members of my household, or any third parties by reason of activities arising out of this agreement: