Please fill out all the fields below completely. Once we have received your application we will review it and contact you. Please allow for 24-48 hours after your application has been submitted. All information is strictly confidential. FOSTER INFORMATIONName* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Alt Phone Email Alt Email Current Pet InformationDo you currently have pets in the household? Yes No If yes, please list their names, age, and species: Do any roommates currently have pet(s) in the household? Yes No If yes, please list their names, age, and species: We will also ask that the roommate send vet information and medical records on their animals. Do your current pets take monthly heartworm prevention? Yes No Do you have children living at home or regularly visitng that the pet would interact with? Yes No If yes, please list their ages: Would you be able to bring a pet to the clinic within 24 hours of a request of a potential owner to meet him/her? Yes No Are you most interested in a short term foster (2 week minimum) or for a longer term foster pet? Short Term (2 week minimum) Long Term Both Please check what type of pet you are interested in following (check all that apply): Puppy Kitten Mom and Nursing Kittens Mom and Nursing Puppies Healthy Adult Dog Healthy Adult Cat Dog/puppy with condition that requires special care Cat/kitten with condition that requires special care VETERINARIAN INFORMATIONPlease fill in the following information if you currently have a veterinarian. If you do not currently have one or you do not currently have pets please skip to the next section. Referral Veterinarian Clinic Name Clinic's Phone Number FOSTER HOME AGREEMENTCARE will provide the following for the pet(s) you are fostering: 1) Food / milk replacer / bottles: this is provided if you come to the clinic and pick up the food/milk replacer we provide. You are welcome to stop by anytime but it is best to let us know 1-2 days in advance so that we can be sure to have plenty in stock to give you. If you prefer to provide the food or milk replacer yourself, that is fine (it actually helps us to have more money in the fund to save more pets) but we cannot reimburse you. 2) Medical care: Medical care is provided as Dr Jordan deems needed. We will always provide pain control/relief from suffering and we will treat as many injuries or illnesses as we practically can. However, since CARE is not for profit and has limited funds, there are limits to the extent of medical care that can be provided. For instance, CARE does not have the funds to provide for care at a specialty facility. If a pet develops a condition requiring more medical care than CARE can provide, euthanasia may be done to prevent suffering, even if treatment of the condition is possible. If a foster owner wishes to proceed with medical care above and beyond what CARE can provide (for instance surgery at a referral facility), the foster owner should express that desire to Dr Jordan and a discussion can be had on a case by case basis. The foster owner is not allowed to seek medical care at a facility other than Crossroads Animal Hospital unless prior arrangements and permission has been given by Dr Jordan. If a foster owner did seek medical care elsewhere without obtaining permission first, then there is no reimbursement for money spent on the foster pet’s medical care. CAH is on call at all times for emergency care so simply call us at 864-972-9994 if there is a problem with a foster pet. 3) Routine wellness care: Basic vaccinations, heartworm, and flea prevention is provided by CARE. Basic vaccinations include DHPP and Rabies for dogs, and RCP and Rabies for cats. If a foster family’s lifestyle allows for exposure to other diseases, then we will consider on a case by case basis whether CARE will provide additional vaccines. For instance, if a foster family plans to allow the foster dog to swim in the lake, a leptospirosis vaccine may be needed. You are responsible, as a foster owner, to provide the following: 1) You will need to provide food dishes, water dishes, litterboxes, leashes, collars, and a place to keep the pet (ie crate, kennel, fenced in yard, indoors, etc depending on the pet). In some instances CARE may have some donated supplies to loan to you, but we cannot guarantee that we will have donated supplies of these types. 2) You will need to be able to bring the pet to the clinic for viewing by a potential adoptive owner within 24-48 hours of being informed that a potential owner would like to meet the pet. There is no reimbursement for money spent on gas to bring the pet to the clinic. 3) You must be allowed to have the type of pet you are fostering in your house/apartment. We will not allow fostering if you are not allowed to have pets or have not paid the required fees to have pets. 4) You must be willing to take the risk that the foster pet may damage your belongings or injury you or your other pets. We will disclose any known aggression towards people or pets but it is possible a pet could show aggression that we were unaware of. We unfortunately do not have funds in CARE to pay for treatment for another pet or person’s care if damage is done by a foster pet. We also cannot replace any items that the foster pet damages. Please closely supervise foster pets to minimize the chance that they will chew up something. We do not recommend foster pets be with other pets without supervision and we recommend foster pets be crated if left alone in the house. 5) Because we often have nowhere else for pets to go if you stop fostering, we ask that foster families commit to keeping the pet(s) for a specified amount of time. If an emergency arises that you can no longer keep the pet, please inform us immediately.For this pet, I will be able to keep him/her (check one): Until adopted Until quarantine period is over (usually 2 weeks) Until litter is weaned OR for the following number of weeks: ADDITIONAL INFORMATIONAll adoption fees are set by CARE / CAH and all fees go into the adoption program. No money is paid to the foster family for keeping the pets. The adoption fees are non-negotiable. If the foster family wishes to adopt the pet they are fostering, they will need to pay the whole adoption fee, regardless of money they may have spent caring for the pet. If the foster family finds a potential home for a foster pet, the potential new owners should contact CAH/CARE and fill out an adoption application. Only after they are approved and pay the adoption fee can the potential new owner adopt the pet. CARE/CAH is not responsible for any damage to items owned by the foster family. Please be aware that foster pets may not be housebroken and may try to chew items in their reach. The foster family should closely supervise to prevent any damage. If damage does occur, however, CARE/CAH cannot provide any reimbursement.INFORMATION FOR FOSTER HOMES TAKING PUPPIES/DOGS (ESPECIALLY THOSE WHO HAVE NOT YET FINISHED QUARANTINE) If a dog or puppy has come in as a stray or has come from the animal shelter, there is a good chance he or she has been exposed to parvovirus and / or bordetella (kennel cough). We vaccinate all the CARE dogs on intake for these viruses but the vaccine is not 100% protective, especially if the dog was already exposed. These are very common diseases in our area, so you need to know what to watch for. These puppies and dogs can spread parvo to your own dog(s) if your dog is a puppy less than 5 months old (pups need to be at least 18 weeks old and have had a whole series of vaccine with the last vaccine at 15 weeks old or older in order to be protected) or an unvaccinated adult dog. The disease can spread on your hands even if the dogs never come in contact. For this reason we don’t allow fostering of high risk pets (ie ones not yet finished with quarantine) if you have a puppy or unvaccinated adult dog in the household. These puppies and dogs can spread bordetella to your dogs if they are unvaccinated. This is a much less serious disease than parvovirsus and is similar to a "cold" in most dogs. We highly recommend you vaccinate all your personal pets for kennel cough if you plan to foster. Know what to look for: parvo causes vomiting, not eating, and diarrhea. If a pet is acting normally and having mild diarrhea, it’s probably just stress related and not a cause for major concern. Call and inform us but we will probably just advise you to watch and wait. If your foster dog vomits or won’t eat, however, this is an emergency as it could indicate parvo. Please call us immediately at 864-972-9994 for advice. Kennel cough causes a dry hacking cough. If you notice this, call us the next business day for advice. Call immediately if the dog/puppy stops eating or acts like he feels badly. Also call immediately with any other symptoms of illness: diarrhea, vomiting, weakness, failure to eat within 12 hours, straining to urinate, coughing, eye injury, or anything else that appears abnormal to you. We would always rather be informed early (even if we advise just watching and waiting) than to find out a foster pet has been sick for days. There is no charge to you for any medical care for CARE pets, so don’t hesitate to call us.Please check this box indicating that you understand the risk of infectious diseases, the precautions to take, and when to call us: I understand INFORMATION FOR FOSTER HOMES TAKING CATS/KITTENS (ESPECIALLY THOSE WHO HAVE NOT YET FINISHED QUARANTINE) If a cat or kitten has come in as a stray or has come from the animal shelter, there is a good chance he or she has been exposed to upper respiratory viruses. We vaccinate all the CARE cats on intake for these viruses but the vaccine is not 100% protective, especially if the cat was already exposed. These are very common diseases in our area, so you need to know what to watch for. These cats can spread respiratory disease to your own cat(s) if your cat is a kitten less than 5 months old (kittens need to be at least 18 weeks old and have had a whole series of vaccine with the last vaccine at 15 weeks old or older in order to be protected) or an unvaccinated adult cat. The disease can spread on your hands even if the cats never come in contact. For this reason we don’t allow fostering of high risk pets (ie ones not yet finished with quarantine) if you have a kitten or unvaccinated cat in the household. Know what to look for: respiratory infections cause lethargy (not being active), sneezing, eye discharge, coughing, and a snotty nose. If a pet is acting normally and having mild sneezing with no nasal discharge, it’s probably not a cause for major concern. Call and inform us and we may start medicine or we may advise you to watch and wait. If your foster cat has trouble breathing, a snotty nose, eye discharge, or does not feel well, please call us immediately at 864-972-9994 for advice. Also call immediately with any other symptoms of illness: diarrhea, vomiting, weakness, failure to eat within 12 hours, straining to urinate, or anything else that appears abnormal to you. We would always rather be informed early (even if we advise just watching and waiting) than to find out a foster pet has been sick for days. There is no charge to you for any medical care for CARE pets, so don’t hesitate to call us.Confirmation I understand By checking below you certify that you have read through this application and understand understand the requirements of fostering. Confirmation* I understand CommentsEmailThis field is for validation purposes and should be left unchanged.
