Foster Application

Name

Address

City/State/Zip

Phone Number

Email Address

I am interested in fostering a.. I am interested in fostering a.. Dog Cat Either/Both

Are you over 18 years of age? Are you over 18 years of age? Yes No

Current Living Situation Current Living Situation Single Married Living with friends Living with parents

Are there children in your household? Are there children in your household? Yes No

Current Housing Situation Current Housing Situation Renting a house Own a house Renting an apartment

Do you have a yard? Do you have a yard? Yes No

Do you have any pets? Do you have any pets? Dogs Cats Other No

Are your current pets up-to-date on shots? Are your current pets up-to-date on shots? Yes No N/A

Are your current pets spayed/neutered? Are your current pets spayed/neutered? Yes No N/A

Size Preference Size Preference Small Medium Large No Preference

Where will the foster animal stay during the day?

Where will the foster animal sleep during the night?

Will the animal be left alone during the day? Will the animal be left alone during the day? Yes No

Personal Reference

Relationship

Reference Phone Number

Indemnity Agreement and Waiver Indemnity Agreement and Waiver WHEREAS, MCFA uses volunteers in many capacities including, but not limited to, assisting at the MCFA Thrift Store and interacting with animals at the animal shelter or elsewhereWHEREAS, the Volunteer agrees to perform their volunteer activities in a safe manner. Volunteer is aware of the risks, dangers, hazards associated with being a volunteer and warrants that she/he has no physical or health related problems that would preclude any activities with animals.NOW THEREFORE, in consideration of the premises, Volunteer hereby agrees to indemnify MCFA and its Officers, Director, and other volunteers against any claim or loss incurred by the Volunteer or anyone claiming by or through the Volunteer while performing their duties as a volunteer. He/she waives any right to any claim against MCFA for injury, disease, or any other matter that might be associated with their services.The volunteer certifies by signing below that they have read and fully understand this waiver and release form and have signed it voluntarily with full knowledge of its significance.

I have read and agree to the Indemnity Agreement and Waiver

Date