Name:
Street Address:
City/State/Zip:
Home Phone:
Cell phone:
Work Phone:
Best time & number to call:
E-mail address:

Are there children in your home? 

If so, how many? 
please list ages/sex:
 

How many adults? 
Do you currently own dogs? 
If so, please list breed/age/sex/if altered or not:
 

What other types of animals do you currently own? 
 

Have you owned dogs in the past? 
 

Please explain your experiences and activities with dogs: (such as crate training, obedience training, behavior modification, 
herding, agility, pet therapy, whelping a litter, etc)
 
 

How many and what sex of dogs will you foster at one time?

Length of time you are willing to foster:

Types of confinement you can provide:
Fenced yard (specify height and type):

Crates (size & type):

Amount of time per day and when dog will be crated:

Kennel run (size and type):

Amount of time per day and when dog will be kenneled:

What circumstances would force you to return a foster dog in your care?
 

REFERENCES
Please provide at least two references that have personal knowledge of your care and experience working with dogs, and the name and address of your current veterinarian.
Veterinarian Reference:
Name 

Address 

City/State/Zip 

Phone 

Personal References:
Name 

Address 

City/State/Zip 

Phone number 

Credentials, if any (such as rescue volunteer or breeder)
 
 

Name 

Address 

City/State/Zip 

Phone number 

Credentials, if any (such as rescue volunteer or breeder)
 
 

Would you be willing to let one of our representatives visit your home by appointment? 

If not, why?

Any additional comments?
 
 
 

All of the above information I have given is true and complete. I agree to follow all the Rules and Procedures of Aussie Rescue SoCal, Inc.  I understand that it is my decision whether or not to foster any particular dog. I will not hold Aussie Rescue SoCal, Inc. responsible for any damage, injury, or harm caused directly or indirectly to any person or property by any dog I may decide to foster or volunteer my time to help.
In consideration of Aussie Rescue SoCal, Inc. acceptance of my services as a Foster Home, I agree that I, my assignees, heirs, distributees, guardians, and legal representatives forever release and shall not make a claim against, sue, or attach the property of Aussie Rescue SoCal, Inc., its officers, directors, volunteers, committee members, members, employees, agents, heirs, successors and assigns for any actions, causes of actions, suits, liabilities, claims, demands, damages or causes of any kind or nature whatsoever, whether presently existing or arising in the future, whether known or unknown, which arise out of or are based upon any fact, matter, claim or thing involving my services as a volunteer. I agree to indemnify and defend the Corporation, its officers, directors, volunteers, committee members, members, employees, agents, heirs, successors and assigns against and save them harmless from any and all demands, claims, causes of action, or judgments, and any and all expenses (including, without limitation, attorneys fees) incurred in investigating or resisting the same, for injury to person, loss of life, or damage to property occurring during the term of my services as a Rescue Volunteer,Foster Home, or Special Volunteer, and until all applicable statutes of limitation expire, arising out of any act, omission, or neglect of the Corporation, its officers, directors, volunteers, committee members, members, employees, agents, heirs, successors and assigns.
By submitting this application, I declare that all of the above information I have given is true and complete.
 

Signed:______________________________________________________Date:________________________