Animal Companion Rescue Foundation

Foster Volunteer Application

Name:
Address:
City:	State:	ZIP:
Home phone:	Work phone:	Cell phone:
E-mail:

Employer Name:
How long have you lived at the above address?

Select one for your current housing: House Apartment Mobile Home Townhouse Condo
Do you own or rent your current residence? Own Rent
If renting, does your lease allow pets? Yes No

Animal you are interested in fostering: Cats Kittens Dogs Puppies
For what length of time can you foster an animal?

Number of adults in your household:
Number of children in your household:
Ages of children:

Please list any pets that currently live in your household:

Gender	Spayed or Neutered	Gets along with dogs/cats
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N
M F	Y N	Y N

Has a dog died on your premises in the last three months from distemper, parvo, or unknown causes? Yes No
Where do your current pets live? Indoors Outdoors Indoors/Outdoors
Are your current pets up-to-date on all of their vaccinations? Yes No

Vet or veterinary clinic name:
Vet or veterinary clinic phone number.
Would you object to an ACRF representative conducting a home visit? Yes No

Any additional information about your formal or informal training/experience working with animals:

Personal Reference

Name:
Address:
City:	State:	ZIP:
Phone:

Please note: ACRF is an independent non-profit organization. We will in no way be held responsible for any adult, minor child, and/or their property during the viewing process. In submitting this form, you attest that you agree to release ACRF and its representatives from all liability for any injury or damage that may be caused by the dog to any person or property in your party while in the adoption area.

Animal Companion Rescue Foundation (ACRF) reserves the right to refuse any adoption for any reason.

This application is property of ACRF.

By checking this box, you affirm that all information entered here is true to the best of your knowledge:

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