Email Address (this is how we will contact you) *
Date of Birth *
First Name (s) *
Last Name (s) *
Street Address *
City *
State *
Zip Code *
Home Phone *
Cell Phone *
Work Phone
Best time to call: *
Morning
Noon
Afternoon
Evening
Best number to reach you at: *
Home
Cell
Work
How did you hear about NELR? *
Google
Facebook
Friend
Newspaper
Adopted from NELR
Other
How many adults reside in your home? *
Do you have children that live in your home, or visit? If so, what are their ages? If none, type N/A. *
Has everyone in your home agreed to fostering *
No Yes
I am willing to foster the following (please check all that apply) *
Adult Dog
Puppy
Male Dogs
Female Dogs
Female with Puppies
Multiple Dogs
Shy Dog/Puppy
Sick Dog/Puppy
Special Needs Dog/Puppy/Geriatric
Dog/Puppy with Behavioral Problems
Please check the areas you are able to work with or have experience with. *
Crate Training
Chewing
Pulling on leash
Anxiety
House Training
Digging
Leash Aggression
Food Driven
Do you, or have you ever, owned a pet? *
No Yes
Please list all pets currently in your home - Name, Breed, Age, Gender, Spay/Neuter *
Are your pets in your home indoor, outdoor, or both? *
Indoor
Outdoor
Both
Are all pets, including cats, currently in your home, Up To Date on all vaccinations? Including Rabies, Distemper, Parvo, Bordetella (Kennel Cough) *
Yes
No
Not Applicable
Please provide your current Vet contact information - if none, type N/A *
Are your current pets on Heartworm prevention? *
Yes
No
Not Applicable
Are all your current pets on flea/tick prevention? *
Yes
No
Not Applicable
Who will care for, train, and exercise your foster dog? *
Does anyone in your household have allergies (dog related)? *
No Yes
Do you have experience with the Labrador Retriever Breed? If you have not owned or fostered a Lab in the past, have you researched the breed? *
No Yes
Do you have experience introducing a new dog into your home, with your current pets? *
No Yes
Please provide three personal references with email and telephone info. *
Do you own or rent your home? *
Own
Rent
If you rent, please provide your landlord's name and number. If not, type N/A
Is your yard fenced? If so, please describe the fence. (type,height, gaps/no gaps) *
If need be, do you have any area in your home to isolate the foster dog from your pets? Please explain. *
How will you exercise your foster dog? *
How many hours will your foster dog be alone? *
0-1
1-2
2-3
3-4
4-5
5-6
6-7
7-8
8+
Have you ever fostered before? If so, which organization. *
Will you allow a NELR representative come to your home for a home visit? *
No Yes
Do you agree to abide by all animal control laws with regards to your foster dog? *
No Yes
Do you agree to crate your foster dog anytime it is without appropriate supervision? *
No Yes
Have you ever sold, given away, or surrendered a pet to a shelter? If yes, please explain why. *
Why do you want to become a foster parent? *
Foster Contract:
I attest that the information provided on this application is true and accurate to the best of my knowledge. I understand that completion and submission of this application does not guarantee that I will foster a dog from NE Lab Rescue.
I hereby permit New England Lab Rescue to contact my Veterinarian(s) and Landlord, if applicable.I understand that there is always an adjustment period for any foster dog coming into my home. The average time a dog spends in a foster home is two (2) to five (5) weeks.
I understand that NELR cannot be held responsible for the actions, behaviors and/or medical condition of all of the dogs in its rescue. I agree to assume the risks implicit in working with dogs who may have been abandoned, beaten, or otherwise mistreated or abused, or who may suffer from an illness, condition or disease. Although NELR evaluates dogs prior to accepting them into its rescue, they cannot guarantee the temperament of any of the dogs since most of their histories are unknown.
I understand my foster must be kept on a leash AT ALL TIMES when in an unfenced or unenclosed area - even when hiking, or just walking from my house to the car. All rescues are prone to being escape artists, especially in a new environment or when left alone. They may bolt out of an open front door. I will be aware, be careful, and always have a tight grasp on my foster dog's leash.
I understand that NELR reserves the right to check on the welfare of this dog on my premises, and to reclaim both possession and ownership. By submitting this application, you agree and understand that the dog is the property of New England Lab Rescue, and NELR reserves the right to reclaim the dog at any time and for any reason. In the event that I do not comply with the foster guidelines and NE Lab Rescue reclaims any foster dog from me, I waive claim to trespasser.
I understand that NELR must approve all adoption applications, so I will not promise anyone that they can adopt my foster. I also agree that if, at any time in the future, I cannot continue on in the foster program for ANY reason, I will not give away, sell or euthanize the dog. I will contact the rescue coordinator for arrangements to be made to move the dog(s) into other foster homes with NELR .
I understand that NELR will be responsible for any medical expenses that may occur while the dog is in my foster care. If a veterinary visit is necessary, I must contact my foster coordinator and keep a copy of all receipts for reimbursement. I will need to complete a foster expense report and submit it with the original detailed receipt for reimbursement.
I agree to provide an appropriate crate for my foster dog, and to provide the dog with a good quality food in amounts appropriate for his/her age and size (2xs a day for adults, and 3xs a day for puppies.)
I agree to fully and completely release NELR, its officers, volunteers, agents, employees,
contractors and representatives, from any liability of any kind whatsoever arising from
any health or temperament issues the Dog may have or may develop, and/or from any
and all claims relating to my fostering of the Dog.
I agree to indemnify and hold harmless NELR, its officers, volunteers, agents, employees,
contractors and representatives from any and all losses, fines, claims or damages,
including reasonable attorneys’ fees, arising out of or relating to my fostering the Dog, including any claims for injury or damage to persons or
property caused by the Dog.
NELR Dog Adopters, NELR Dog Fosters their successors, assigns and attorneys remise, release and forever discharge NE Lab Rescue, Inc., their successors, assigns, heirs, administrators and attorneys of and from any and all actions, claims liabilities and demands for money damages, costs, expenses, compensation, consequential damages, attorney's fees and costs of suit, and any and all claims and liabilities whatsoever, both in law and in equity, from the beginning of the World to this date, and ever after including but not limited to all claims that more particularly may be sourced to the possession of an animal provided by NE Lab Rescue to ______________________.
New England Lab Rescue, Inc Dog Owners and Dog Fosters named here:_____________________________________________________________________ agrees never to institute or cause to be instituted any suit or other form of action or proceeding of any kind or nature whatsoever against NE Lab Rescue based upon any claims, demands, indebtedness, agreements, promises, causes of action, obligations, damages or liabilities of any kind or nature whatsoever that it has ever had, has claimed to have, now has or may hereafter have or claim to have, if any, against NE Lab Rescue by reason or any matter, excuse, thing, document, agreement, instrument, act or omission of the parties, arising out of the subject of this Release.
The parties understand that the transfer of consideration is not to be construed as an admission of liability on the part of the persons, firms and corporations hereby released.
This release contains the ENTIRE AGREEMENT between the parties hereto, and the terms of this release are contractual.
WE HAVE CAREFULLY READ THE FOREGOING RELEASE and know the contents thereof, and we sign the same as our own free act and deed and the free act and deed of the corporations so-named with authority to bind said corporations.
EXECUTED AS A SEALED INSTRUMENT THIS ______ DAY OF ________
20___.
Please type in your name and the date as your electronic signature, attesting to the fact that you have read the statements above, understand them and agree to abide by them. *
*
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