POLICY AND APPLICATION FORM FOR FOSTER CARE PROVIDERS

All FFA temporary (foster) homes must be prescreened by the FFA Executive Director. Approval or denial shall be at the discretion of the Executive Director. No home shall be approved which does not have adequate facilities to keep animals or where the presence of the animal(s) would be in conflict with local ordinances. The Executive Director shall make all arrangements for the food, supplies and medical care of animals in foster care. The foster care providers are not authorized to charge expenses to FFA. No animal shall be accepted into foster care without prior approval by the Executive Director.

Foster Parent Information

(Please Print)

Name: ______________________________________ Telephone: Home _____________ Work_____________

Address: _____________________________________________________________________________

Email Address:________________________________________________________________________

I have read the above policy and am applying to be a FFA foster care provider. I agree that I will transport the animal to FFA Adoption Center for any and all required medical treatment, to be introduced to prospective adoptive parents, and for any PetsMart Adoption trips as deemed appropriate by the FFA staff. I also agree that the FFA Executive Director can visit any foster animal(s) placed in my care and can remove them when permanent adoptive homes are found or as is otherwise believed to be in their best interest. I further agree that once an animal is spayed or neutered, it may be returned to and remain at the FFA Adoption Center if recommended by the staff.

I understand that FFA makes no claim or responsibility as to the temperament, health or mental disposition/personality of any foster animal. I hereby release FFA of any liabilities related to the foster care of this/these animal(s).

Foster Care Provider Signature: ______________________________________ Date: _______________

Approved: _____ Denied: _____ by FFA Executive Director

FFA Executive Director Signature: ________________________________ Date: _______________

FOSTER ANIMAL INFORMATION

Feline: _____ Canine: _____ Name: ____________________________Age: _________________

Breed: ____________________________________

See attached schedule of preventative/medical treatments

Foster Care Applicant Questionnaire

The primary goal for providing foster care is to prepare this animal for a forever home. By providing a nurturing home environment and teaching good manners you can help this dog/cat become more adoptable and prepare them for their new life with their adoptive family. It is wonderful and rewarding service that benefits both you and the animal that you take into your home on a temporary basis.

1. What type of animal would you like to foster? Dog Puppy Cat Kitten

Size: Small Medium Large

2. Any specific requirements (e.g. house trained, crate trained, etc)? __________________________

_______________________________________________________________________________

3. Have you fostered or adopted an animal from FFA before? No Yes

If yes, who & when?

4. Do you have pets at home? No Yes If yes, please complete the information below:

Type of Pet (e.g. dog, cat, bird) Spayed/neutered? Age Vaccinations (Bordetella, Distemper

Parvo) Circle if up to date

_________________________ Yes No _____ Bordetella. Distemper Parvo

5. Do you have any children in your home? No Yes How many?____ Ages___________

Other adults? No Yes How many?____ Ages___________

Any allergy suffers? No Yes Describe_______________________

6. Where will your foster animal spend its time when he/she is alone? ________________

7. Where will your foster animal spend its time when you are sleeping?________________

8. Where will your foster animal spend its time when you are home?___________________

________________________________________________________________________

9. How will you provide exercise for your foster animal? ____________________________

_________________________________________________________________________

10. How will you encourage good manners and skills needed for life in a home for your foster

animal? __________________________________________________________________

_________________________________________________________________________

Medical Treatment Record

Name of Animal:____________________________________________

Breed:_____________________________________________________

Date of Birth: _______________________________________________

Vaccinations

Vaccination	Date Scheduled	Date Completed	Completed by

Spay/Neuter

Date and Time Scheduled: _______________________________________________________________

Deliver to Adoption Center on______________________________ at ___________________________

Pick up from Adoption Center on____________________________ at___________________________

Post Operative Instructions:

Special Care Instructions:

Additional Medical Treatments:

If you have any questions regarding this animal's health or behaviors please contact