Critical Care for Animal Angels Foster Caregiver Application

Pet Owning Experience

What kind of animals have
you owned in the past and
for how long?





What kinds of animals are
currently living in your
home? Please list:
Species, Breed, Gender,
Neutered/Spayed,
Temperament





Are they tolerant of other
animals? If not, please
explain.




Do you have a separate
area or room in your
house where you can
contain an animal(s) while
it is in foster care with
you?




Please describe any
experience you have had
with animal training,
obedience training,
medical care, or births.





Your Family
Is everyone in your family comfortable with the
idea of providing foster care?



Do you rent or own your home?



Is anyone in your household allergic to animals?


Are there children in your home? If so, what are
their ages?



Do your children have any experience with
animals and what kind of contact will they have
with a foster animal?





How many adults are currently living in your
household?





What are the daily work schedules of all adults in
your household?






While you are at work, will members of your
household be interacting with a foster dog? If so,
what are their ages?





General Questions

Are you willing to take animals back and forth to
our approved vets in your own vehicle?



Do you mind picking animals up at our approved
vets and taking them to adoption events when
they are ready for adoption?



Different animals need to be in foster care for
different lengths of time. What do you feel would
be the longest you would be willing to keep an
animal in your house?





We ask that you leave it up to us to place the
animals into the appropriate homes. We have an
extensive screening process, which ensures just
the right match. Realizing that this is a temporary
arrangement, are you certain that you will be
able to remain emotionally separated and able to
part with the foster animals when the time
comes?







Are you prepared to deal with an animal that
might become ill and ultimately die?




What kind of animals are you willing to foster?
Pregnant moms
Litters of puppies
Dog/Puppy/Cat/Kitten
Animal needing medical attention/bottle
feeding

Reference #1 (Non-Family Member)
Name:
Email:
Relationship:
Phone:
Reference #2 (Non-Family Member)
Name:
Email:
Relationship:
Phone:

Landlord Information (If applicable)
Name:
Address:
Phone:

Veterinarian Information
Name:
Address:
Phone:

X
Foster Applicant #1
X
Date

X
Foster Applicant #2
X
Date

Critical Care for Animal Angels Temporary Care Release Form

I, the undersigned, being the responsible spokesperson for my household:
Agree to the foster responsibilities including providing fresh water, food, and shelter.

Agree that no one in my household has ever been charged or convicted of any state or local
animal cruelty or neglect violations.

Agree that no foster dog shall be tied up with rope, chained, put on a run or confined in an
inadequate pen facility or kept primarily outside.

Agree to keep your foster dog (s) on a leash or enclosed (within a fence adequate for the animal
or in a home) at all times. Foster cats must be kept indoors at all times (only allowed outside
secured in a carrier).

Release CCAA from all liability of any kind, except for the pre-authorized veterinary expenditures
while fostering animals.

Agree that if I decide to adopt the animal I will seek approval by my CCAA contact and agree to
pay the full adoption fee.

Agree that I will not transfer possession or custody of my foster animal to any other person at
any time, except for temporary, short-term possession for the purpose of vet care, grooming,
etc.

Agree that I will not transfer or adopt out any foster pet without an adoption application
approved by CCAA, a signed contract, and receipt of check, cash or proof of PayPal payment.

Agree that all primary enclosures where animals are housed will be kept cleaned and free of
feces and other contaminated matter.

Agree that both personal and foster animals exhibiting a vicious disposition must be housed
individually. Animals suspected of having a communicable or infectious disease must be
separated from other animals.

Agree I will not bring stray or abandoned animals into my household without explicit approval
from my CCAA contact, and will notify my contact if I am fostering dogs for another
organization.

Agree that I will report to my CCAA contact should my foster pet exhibit any aggressive
behavior, and especially a dog bite incident.

Agree that CCAA has the right to conduct a home inspection with notice and may remove the
animal to another foster home if they feel it is in the best interest of the animal or foster.

I agree that I am fostering this animal for CCAA, and that I do not have any right of ownership
over my foster animal. CCAAs rights in and to my foster animal are superior to mine. I also
agree to provide CCAA access to my home and property to check on my foster animal, at any
time that I am in possession of my foster animal. Initial: Initial Here

I agree to immediately return any foster animal in my care to CCAA, at their request at any time
and for any reason. If CCAA is forced to undertake any action to enforce this provision of the
agreement, I agree to indemnify CCAA for all court costs and attorneys fees connected with
such an action. Initial: Initial Here

If I am planning to move at any time during the period covered by this agreement, I agree to
contact the CCAA prior to my move, with new contact information. I understand that CCAA has
the right to request return of my foster animal based on such a change of residence, and agree
that I will surrender my foster animal to CCAA immediately upon request.
Initial: Initial Here

Agree that I will seek veterinary care and/or consult with a CCAA contact when any animal
shows signs of illness.

Agree that I will obtain monthly heartworm preventatives by picking them up at adoption
events.

Agree that I am responsible for purchasing food and other basic supplies for my foster animals,
except for donated food that may be provided by CCAA.

Agree that I will support CCAAs effort to find suitable homes for my animals, including:
o Transporting my foster dogs to adoption events at least twice per month, except for
those cases (such as young puppies, dogs with behavioral problems, and ill dogs) that
would preclude the dogs from appearing at public events.
o Making arrangements to show my foster pets to prospective adopters outside pet
adoption events and performing adoptive home checks.

I agree that if I fail or refuse to comply with any provision of this agreement, CCAA has the right
to terminate this agreement and also has the right to the immediate surrender and return of my
foster animal and any other animals for whom I am providing foster care for CCAA. I further
consent to provide CCAA with access to my premises if necessary to facilitate the return.
Initial: Initial Here
Agree that I will keep a copy of this agreement available for inspection by the Department of
Agriculture.

Agree that I have read this Agreement in its entirety, and I agree that all statements and stated
agreements contained in this document are made by me, and are truthful, under penalty of
perjury under the laws of the State of Georgia.


Name: Enter Full Name Address: Enter Full Street Address
Phone #1: Enter Phone Number Enter City, State, and Zip Code
Phone #2: Enter Phone Number
Email: Enter Email Address

X
Foster Applicant Signature
X
Date

X
CCAA Representative Signature
X
Date