Foster Agreement

Foster Consent Contract with ALERT Society

Completion of this agreement does not obligate Fosters to provide Services during a disaster. The purpose of this agreement is intended to establish the willingness of a potential Foster to be contacted by ALERT Society volunteers to supply Services during a disaster to ALERT and to comply with ALERT's privacy guidelines regarding publication or access to media for photographs, names, identifying descriptions of people or animals that have been evacuated or are otherwise affected by a disaster. © 2017 Animal Lifeline Emergency Response Team Society

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* 1. Foster Contact Name

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* 2. Physical Address

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* 3. Mailing Address

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* 4. Contact Main Phone

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* 5. Email Address (main)

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* 6. Primary Contact in case of emergency:

Name

Title

Home Address

Home Phone

Cell Phone

Email Address

Other info:

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* 7. Alternate Contact in case of emergency:

Name

Title

Home Address

Home Phone

Cell Phone

Email Address

Other info:

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* 8. Alternate Contact 2 in case of emergency:

Name

Title

Home Address

Home Phone

Cell Phone

Email Address

Other info:

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* 9. I understand that this agreement does not entitle me to Remuneration or publicity as a result of providing services and that all goods and services provided by the foster will be considered a donation unless Remuneration is agreed to by both parties in writing prior to goods and/or services being provided.

I agree to above yes/no:

Name:

Date:

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* 10. The completion of this form does not guarantee that an animal will be placed with you as a foster. To foster an animal, the responsible party must be at least 19 years of age. This is not an adoption agreement. If an animal is placed with you, it is understood to be a temporary arrangement. ALERT appreciates your interest in fostering an animal that is brought in to Rescue or Temporarily being housed while the guardian is in transition. The Foster agrees to provide them with the proper daily care and lots of love. Should their be a situation where vet care is needed, the Foster will contact the ALERT emergency phone number to make arrangements without delay. By completing this form, I agree to these terms.

With conditions (please specify)

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* 11. Type of facilities (for boarding)

Fenced Yard

Kennel

Birdcage / Avery

Aquarium

Room

Cage

Pen

Paddock

Stall

Coop

Pasture

Other (please specify)

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* 12. Restrictions - for boarding/fostering

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* 13. I agree to a pre-inspection of my home/kennel/facility by ALERT volunteers.

Yes

With Conditions

Conditions:

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* 14. I agree to allow ALERT Volunteers access to my property while I am fostering.

Yes

No.

Yes, with Conditions

Conditions:

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* 1. Foster Contact Name

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* 2. Physical Address

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* 3. Mailing Address

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* 4. Contact Main Phone

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* 5. Email Address (main)

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* 6. Primary Contact in case of emergency:

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* 7. Alternate Contact in case of emergency:

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* 8. Alternate Contact 2 in case of emergency:

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* 11. Type of facilities (for boarding)

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* 12. Restrictions - for boarding/fostering

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* 13. I agree to a pre-inspection of my home/kennel/facility by ALERT volunteers.

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* 14. I agree to allow ALERT Volunteers access to my property while I am fostering.

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* 15. Signature & Date (type name if online)