Foster Application

ONLINE FOSTER APPLICATION/AGREEMENT

Please note, the Foster Program is not intended for fostering-to-adopt. Thank you for taking the time to fill out this application. Please answer the questions in this application with your ultimate goal in mind: fostering a rescued Golden. Required answers are marked with an asterisk (*). One of our representatives will be contacting you shortly after we receive your application.

If you want to save your form entries and continue later, click on the “Save and Continue Later” button at the bottom of any page. When the "Save your progress" pop-up window appears, go to the bottom of the window and click on the small blue text “Skip Create an Account”. The next pop-up window has a box to enter your email address. Click on “Send link” to receive an email from JotForm containing a browser link to the saved draft of your form. After you have completed the form, click on the “Submit” button on the last page.
FOSTER APPLICATION/AGREEMENT

Please note, the Foster Program is not intended for fostering-to-adopt. Thank you for taking the time to fill out this application. Please answer the questions in this application with your ultimate goal in mind: fostering a rescued Golden. Required answers are marked with an asterisk (*). If a question does not apply to you, please write N/A in the response area. Please fill out this form completely and clearly. Please include area codes with all phone numbers, and please include your E‑mail address, if at all possible. One of our representatives will be contacting you shortly after we receive your application.

Mail your completed Foster Home Application to:

Fostering Application
Golden Bond Rescue
PO Box 25391
Portland, OR 97298

NOTE: Postage is a minimum $1.30 to $1.50 to mail this application. Please be sure you have the correct postage. The Post Office will return envelopes requiring additional postage, holding up your application. We do not accept applications sent by email or FAX.
Golden Bond Rescue cares deeply for the dogs they bring into their care. In many cases, these dogs have experienced very difficult lives up to this point, perhaps even enduring neglect and/or abuse. Once they are in our care, we want our dogs to be well-cared for and kept safe. Golden Bond Rescue does not make its dogs available for adoption until they have received all of their vaccinations, have been neutered or spayed, and have certain medical treatments completed. There will likely be times when the fosters will be required to take their foster dogs to a Golden Bond-approved veterinarian. Fostering is very rewarding but it will require a level of commitment from you.

BASIC CONTACT INFORMATION
Reply-To:
Your Name: *

First Name Last Name
Age: *
Second Applicant's Name:

First Name Last Name
Age:
Relationship:

Spouse Partner Roommate
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone: *
Cell Phone:
Work Phone:
E-mail address:
Fax Number:
Best way to reach you?

Home Phone Cell Phone Work Phone E-mail
Your occupation: *
Second applicant's occupation:
Why do you want to foster? *
Best time to contact you:

CARING FOR YOUR FOSTER DOG
Who will be the primary caretaker of the foster dog? *
How long will the foster dog be left alone each day? *
Where will the foster dog be when you are home? *
Where will the foster dog stay while you are gone? *
Where will the foster dog sleep at night? *
How will you exercise the foster dog?
Note: GBR foster dogs are not allowed to go to dog parks
Are you agreeable to crate-training?

YES NO MAYBE
If NO, why not?
Do you have a crate large enough for a golden?

YES NO
Do you have a flat collar ready for the dog that GBR and personal ID tags can be attached to?

YES NO
GBR uses participating vets who give us a discount (names will be provided). Are you willing to use one of these vets near you or would you be willing to ask your own vet about being a participating GBR vet and giving us a 20% discount?

YES NO

FOSTER HOME AGREEMENT

I/We, the undersigned, in consideration for receiving temporary custody and providing temporary foster care for any golden retriever dog provided to me/us by Golden Bond Rescue, an Oregon nonprofit corporation, hereby promise and agree as follows:

1. To seek permission/guidance for all veterinary care (other than life-and-death emergency situations) with the Intake Manager before any medical treatment is administered by a veterinarian.

2. To alert the Golden Bond Rescue Adoption Director to all aspects of the dog’s personality, activity level, general health, etc. This information provides the Adoption Team the information necessary to match the dog with the right adoptive home.

3. Upon reasonable notice, to make the dog available to potential adopters and to answer all questions about the dog’s behavior and health, honestly, to the best of my/our knowledge.

4. In the event I/we should desire to adopt any golden retriever dog placed in our temporary foster care and custody, we further promise and agree as follows:

a. To immediately contact the Intake Manager and Adoption Director and inform them of this request, ideally within the first three (3) weeks of the foster dog’s stay, but always before any other potential adopters are referred to, and actually see, the foster dog.

b. To complete an adoption contract and pay to Golden Bond Rescue an adoption fee equal to the current “donation” adoption fee usually paid by the general public. Such an executed contract and fee will be delivered/paid within three (3) business days of actual verbal adoption approval by Golden Bond Rescue.

c. To acknowledge that such an adoption is “AS IS,” with no warranties expressed or implied, regarding the physical or mental condition of the subject dog.

5. Finally, if I/we breach/break any terms of this agreement, or are directed by Golden Bond Rescue, to return the subject to it, even if we have not breached or broken this agreement, I/we agree to immediately release/return the subject dog to Golden Bond Rescue, upon demand.

Pursuant to the terms of this agreement, I/we further agree and understand that legal ownership/title to the subject dog remains with Golden Bond Rescue and not with me/us.

Should it be necessary, I/we hereby allow any authorized agent of Golden Bond Rescue to reclaim the subject dog from me/us without further notice. Entry upon my/our premises to reclaim the subject dog for cause is expressly authorized and shall not be considered legal trespass.

Should litigation be required to enforce the physical return of the subject dog, I/we also agree to pay any legal costs and reasonable attorney fees, including those of any appeal, pursuant to ORS 20.096.
Date *

Month Day Year
Foster Home Provider (Sign your name in the box below by holding down the left "mouse" button while drawing your signature.) *
Foster Home Provider (Print Name) *
Foster Home Provider (Signature using mouse)
Foster Home Provider (Print Name)

LIABILITY WAIVER

I/we represent that I/we have experience caring for and interacting with dogs to the extent represented in the attached Foster Home or Volunteer Application. I/we further understand some dogs entering Golden Bond Rescue may have unknown or abusive backgrounds. Surrendering owners or even shelters may also lie to Golden Bond Rescue about their own dog’s traits or temperament. I/we therefore understand Golden Bond Rescue can make no representations to us about the traits or temperament of a Golden Bond Rescue dog with which we interact or foster. As such, I/we hereby hold Golden Bond Rescue, as well as its volunteers, directors and officers harmless for any personal injury or property damage any Golden Bond Rescue dog may cause with which we interact or foster. This includes us, and our family members and other family companion animals. I/we also agree to fully indemnify Golden Bond Rescue for any third-party liability for any Golden Bond Rescue dog while in my/our care, control and custody.
Date *

Month Day Year
Foster Home Provider (Signature using mouse) *
Foster Home Provider (Print Name) *
Foster Home Provider (Signature using mouse)
Foster Home Provider (Print Name)
Should be Empty:

	Child 1	Child 2	Child 3	Child 4
Name
Boy or Girl
Age
Dog experience (Y/N)
Resident/Visiting (R/V)

	Pet 1	Pet 2	Pet 3	Pet 4
Pet's Name
Animal Type (dog, cat, etc.)
Breed
Gender (M/F)
Age
Spayed/Neutered (S/N)
Resident/Visiting (R/V)

	Number	Carpet, Wood, or Tile
From street to front door
From main floor to second floor
From main floor to basement
From main floor to yard

	Dog 1	Dog 2	Dog 3	Dog 4
Breed
Age
Years owned

	Dog 1	Dog 2	Dog 3	Dog 4
Breed
Dog's age when acquired
Years owned

ONLINE FOSTER APPLICATION/AGREEMENT

FOSTER APPLICATION/AGREEMENT

BASIC CONTACT INFORMATION

ABOUT YOUR HOUSEHOLD

ABOUT YOUR HOME

YOUR EXPERIENCE WITH PETS

Your Veterinarian

CARING FOR YOUR FOSTER DOG

MATCHING YOU WITH A FOSTER DOG

FOSTER HOME AGREEMENT

LIABILITY WAIVER

	Experienced with issue	Willing to foster with issue
Bathing
Grooming
Housebreaking
Crate Training
Leash Pulling
Jumping
Stealing food off counters
Chewing
Mouthing
Barking
Digging
Guarding food/toys
Shyness/Fearfulness
Dog-dog aggression
Separation Anxiety
Noise Anxiety
Submissive Urination
Ear Infections
Allergies
Hot Spots
Hypothyroidism
Seizures
Dispensing Pills
Surgery Recovery
Hip Displasia
Arthritis
Blindness
Deafness
Hospice Care