Petropolis Adoptions

PETROPOLIS ADOPTIONS FOSTER HOME APPLICATION L A N

O Your Name Date of Birth Occupation Hours/week S R E

P Spouse’s Name Date of Birth Occupation Hours/week

Names + Ages of All Other Household Residents (children, roommates, etc.)

Home Phone Cell Phone Work Phone E-mail Best Way to Reach You?

Street Address City State Zip Own/Rent

Landlord’s Name and Phone (If Renting) Type of Residence (House, Apartmt, Townhome, Etc.) Yard (Y/N) Fenced (Y/N) Height? Y R O T S I H

T E P Please list ALL current pets – for each, list name, species, breed, age, sex, and spay/neuter status

Please list ALL previously owned pets – for each, list name, species, breed, age, sex, spay/neuter status, and where they are now

Are current pets up-to-date on shots? Name of Vet Hospital where current pets are seen Phone Number (Y/N) S

E  Single Cat  Single Kitten  Litter of Kittens  Small Dog  Medium Dog  Large Dog  Single Puppy  Litter of puppies  Pregnant Dog  Pregnant Cat C N

E What type of animal(s) are you interested in fostering? (Check all that apply) R F

E  Cage/Crate Confined to Room  Loose in House Fenced Yard  Cage/Crate Confined to Room  Loose in House Fenced Yard R

P When you’re home, where will foster pet be kept? (Check any that may apply) When you are not home, where will foster pet be kept? (Check any that may apply) Are you willing to transport pet to our vet Are you willing to transport pet to our weekend adoption events in McHenry,  Yes  No clinics in McHenry, Maple Park, Libertyville,  Yes  No Vernon Hills, and elsewhere at least twice a month? or Vernon Hills as needed?

Please check below if you require a foster placement that is good with:  Dogs  Cats  Children  Other ______Anything else you wish to tell us about your foster preferences (breed preferences, age preferences, activity level, etc.)? G N I N I

A How do you plan to house-train (dogs) or litter-train (cats)? How do you plan to teach basic obedience such as leash-walking, ‘sit,’ etc. (dogs)? R

T  Yes  No

Are you able/willing to temporarily keep How will you address nipping, scratching, or other undesirable Are there any behaviors you absolutely cannot foster pet(s) separate from personally-owned behaviors (dogs and cats)? tolerate in a foster pet? pets to prevent the spread of illness?

Please include any additional pertinent information on the back of this form. Thank you! FOSTER HOME AGREEMENT

By signing this Foster Agreement, the Foster Home Applicant (hereinafter “Applicant”) agrees to the following rules and stipulations:

1. Applicant understands that placement of foster animals is at the discretion of the Petropolis Foster Coordinator, Board of Directors, and/or their designated representative, and recognizes that, while applicant has the right to refuse acceptance of any animal for any reason, any animal may be removed by Petropolis from a foster home for any reason at any time.

2. Applicant understands and agrees to care for the foster animal(s) in accordance with Petropolis guidelines by housing the animal inside Applicant’s own residence and providing a quality, commercial pet food, regular access to clean, fresh water, adequate exercise, and regular socialization; additionally

3. Applicant agrees to cooperate with Petropolis in the provision of adequate veterinary care, at Petropolis’ discretion and expense, in accordance with the Illinois Animal Welfare Act and the Illinois Humane Care for Animals Act.

4. Applicant agrees to house all foster animals separate from his/her personally owned animals and that he/she will maintain no more than four (4) foster animals in his/her home at any given time.

5. Applicant agrees to maintain sufficient records of any and all veterinary care, medications, treatments, etc. administered while in foster care and to furnish these records upon return of the animal to Petropolis.

6. Applicant agrees to cooperate with Petropolis regarding the showing of any foster animals to potential adopters, given reasonable advance notice and reasonable flexibility in terms of date and time.

7. Applicant understands that Petropolis and its agents, assignees, and/or designated representatives are not liable for any damage to Applicant’s property caused by the foster animal(s).

8. Applicant understands that Petropolis, its agents, assignees, and/or designated representatives are not liable for injury to or illness of Applicant’s personally owned animals caused by the foster animal(s), and is aware that Petropolis WILL NOT pay veterinary bills for such.

9. Applicant understands that Petropolis, its agents, assignees, and/or designated representatives are not liable for injury to applicant, his/her family, friends, and/or associates caused by the foster animal.

I have read and understand the above rules and stipulations and agree to abide by them for the duration of my appointment as a Petropolis Foster Home.

______APPLICANT SIGNATURE DATE