Step 1 of 2 50% Thank you for your interest in fostering with Last Chance at Life. A Foster Home is a temporary home for a dog until our organization finds a permanent home. Please fill out the application below and one of our foster coordinators will reach out to you with more information about our foster program. Your Contact InformationName* First Last Email* Phone*How did you hear about Last Chance at Life? Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Employer Name Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code More About YouWhat are your foster dog preferences?* XS (under 20 lbs) S (20-40 lbs) M (40-60 lbs) L (60+ lbs) Puppies Young Adults Adults Seniors Pregnant Mom Mom with Puppies Medical Crisis/Short-term Please select all that apply.Please indicate all of the following that live with you in your home.* Dogs Cats Birds Kids 0-12 Kids 13+ Other Animals None of the Above Please select all that apply.Why do you want to foster?*Have you ever owned or fostered an animal before? Please describe: which type, how long, if you still own or how long you fostered.*Do you own or rent your home?* Own Rent NOTE: LAND LORD APPROVAL IN WRITING WILL BE REQUIREDAre there other people living in the home? If so, have they consented to having a new animal in the home?*Do you or anyone in the household have pet allergies?* Yes No Do you have a yard?* Yes No Is your yard fenced in?* Yes No Do you have screens on your windows?* Yes No Have you ever had to give up a pet? If so, please tell us why and where the pet went.*Are there children living at home? If so, please tell us how many and what ages.*Are there other pets living in the home? If so, please list each animal's name, species, breed, sex and age.*Are these pets spayed or neutered? If no, why not?*Where will you keep the animals while you are away? (Work, vacation)*Do you have an area to quarantine the pet from other animals if necessary?*Are you aware that we often have animals in need of medical attention who may require extra patience, medication, etc.? Are you prepared to do what is necessary to care for the animal's needs under a veterinarian's supervision?* Yes No Please note: All health care of fostered animals will be provided by Last Chance at Life Animal Rescue and Mission Animal and Bird Hospital. Please contact us for approval for care and any health issues and/or concernsDo you feel capable of handling and helping to mitigate behavioral problems like "marking in the house," separation anxiety or fearfulness with or without a veterinarian or behaviorist's assistance?* Yes No Can you describe any obedience training experience, or past personal experience with behavioral or medical issues?*Please provide us with your veterinarian's name and contact information for a reference.*Please provide three personal references with telephone numbers. Only one of the three may be a family member or relative.*NamePhone Number Click on the "+" icon to add additional namesAre you willing to make an attempt to work through unexpected hardships with your foster pet within reason, i.e., housetraining, separation anxiety, moderate unruliness, fear and acclimation to other pets, etc.?* Yes No Do you agree to contact Last Chance at Life Animal Rescue and only Last Chance at Life Animal Rescue in the event that an animal must be removed from your home?* Yes No I agree and understand that should I choose to adopt this animal, I am responsible for the adoption fee in full, as outlined on the adoption application, unless otherwise stated and agreed to by a Last Chance at Life Animal Rescue official.* Yes No Foster Contract and AffirmationI am applying to foster the following animal:Name of Pet* Species* Breed* Age* In the case of fostering, the person(s) agreeing to foster an animal (the foster family) will follow all relevant procedures and guidelines regarding the animal as stated in the Last Chance at Life Animal Rescue Animal Rescue Foster Contract. If the animal cannot be kept by the foster family, the foster family shall notify a Last Chance at Life Animal Rescue Coordinator immediately. The animal shall not be sold, abandoned, relinquished to a pound or shelter or to a Rescue group other than Last Chance at Life Animal Rescue, transferred, or given to any individual, or to any retail or wholesale establishment. We appreciate your desire to help our Rescue by fostering one of our adoptable pets, but in order to ensure the safety of your foster we ask that you review and sign the following terms and conditions. If for any reason you have to return the foster animal, you must return him/her to a Last Chance at Life Animal Rescue representative. If it is past 7PM on a weekday or 4PM on a weekend you must keep your foster until the next day when a representative is available. We cannot always guarantee transport! We also ask for a 2 week window for long term fosters unless in the case of an emergency or prior agreed upon ending date Last Chance at Life Animal Rescue must approve all adoptions; you are not to give your foster to anyone without the approval of a Last Chance at Life Animal Rescue representative. Fosters are to be kept ON LEASH AT ALL TIMES!! There are no exceptions. If this is the first time fostering for Last Chance at Life Animal Rescue, I will attend 2-3 training classes with the foster dog. 5. If you must take your foster to the veterinarian, we ask that you take them to: Mission Animal and Bird Hospital 655 Benet Rd Oceanside, CA 92058 In signing this foster agreement with Last Chance at Life Animal Rescue, I declare that I am aware that: animals are different from human beings in their responses to human actions; the actions of animals are often unpredictable; children and animals must be closely supervised when interacting; an animal’s behavior may change after it leaves the shelter and accustoms itself to its new environment. I am aware that the educated opinions of the rescue volunteers do not constitute a claim or guarantee as to the temperament, health or mental disposition of any animal available for foster or adoption. I hereby accept possession, legal guardianship and responsibility for the animal I am fostering and discharge Last Chance at Life Animal Rescue forever from liability for any injury or damage to any person or property caused in the future by said animal, and from any causes of action, claims, suits, or demands whatsoever that may arise as a result of such injury or damages. All of the information I have provided is true and complete to the best of my knowledge. Should a pet be placed with me it will reside in my home as a pet. I agree to provide the pet with adequate food, water, shelter, affection and assisting in adoption. Last Chance at Life Animal Rescue holds the right to terminate any foster relationship for any reason at any time granting Last Chance at Life Animal Rescue immediate ownership and return of any and all foster animals. I agree to the above terms* Agree Disagree I am over 18 years of age* Yes No Signature Reset signature Signature locked. Reset to sign again
