Your Name *

First Name

Last Name

Male

Female

Your Phone Number *

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Your Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Current Veterinarian Phone Number *

(###)

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Emergency Contact #1 *

Friend/Relative/Neighbor

First Name

Last Name

Phone *

(###)

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As the Foster, I agree to the following provisions: I agree to NEVER chain or tether the animal outdoors unattended for ANY LENGTH OF TIME. *

I agree

I agree to NEVER for any reason leave the foster animal unattended with a child of any age, no matter the circumstances, even if said animal is great with kids. The foster animal will never be left alone for any amount of time with a child under the age of 14. *

I Agree

I agree to have the foster animal on leash and under my control when it is not on the confines of my property. *

I Agree

The animal is NEVER to be left outdoors unattended for ANY LENGTH OF TIME, regardless of whether the animal is in the fenced area or not. *

I Agree

I agree that if for any reason I cannot continue to care for this foster animal, I will notify the owner of this situation and allow the owner 48 hours to retrieve and find another placement for said animal. *

I Agree

I agree to notify the owner IMMEDIATELY in the event the animal becomes ILL or shows signs of sickness, injury or distress. *

I Agree

I agree to NEVER strike, abuse or neglect the foster animal and I authorize the rescue at their discretion, to determine whether or not the animal has been abused or neglected. *

I Agree

I agree to notify the owner immediately of any changes to address or phone number. *

I Agree

I agree to notify the owner immediately if foster animal gets loose, becomes at large or is otherwise lost. *

I Agree

I agree to allow the owner visitation to my home and all rooms to ensure that the terms of this foster agreement are being observed with 24 hrs. notice. *

I Agree

I understand that any failure to perform the foregoing agreement will constitute a breach of contract. In the event of any such breach of contract, I understand that the owner will immediately reclaim possession of the foster animal. *

I Agree

Should this animal ever enter an animal shelter or rescue group the owner is the only person with legal authority to retrieve and immediately regain custody, control of foster animal. *

I Agree

I agree to notify the owner and get permission if taking the foster animal out of the county for travel. *

I Agree

I agree to notify the owner when in need of supplies (food, medication, flea and heartworm treatments, etc.,) and allow 72 hours for the supplies to be delivered *

I Agree

This contract is for FOSTER only, and foster listed above understands that they have NO LEGAL RIGHTS to this animal. The Foster understands that this animal is the SOLE property of RILEY’S RESCUE OF BREVARD INC. The Foster is to provide temporary and safe housing for the foster animal. All food, vetting and other needs will be met by the rescue. *

I understand