'Foster to Adopt' Agreement Step 1 of 3 33% Date MM slash DD slash YYYY Name First Last Address Street Address 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 Phone HomeCellWorkEmail Applicant Age Driver’s License # What animal do you want to foster to adopt? Dog Cat Name of the animal Have you considered that serving as a foster caregiver carries with it certain time requirements and responsibilities? Yes No Are you employed? Yes No Hours per week How many hours will the pet be left alone? Are any household members allergic to animals? Yes No Number of children and their ages:Do you: Own Rent Type: House Apartment Condo If you rent we must see a copy of the lease that states you can have pets.Do you have pets? Yes No How many? What Kind? Are your dogs cat/dog friendly? Yes No Are your pets current on all their vaccines? Yes No Who is your Vet? Name PhoneFoster cats must be kept indoors. Foster dogs may be loose outside in a fenced in area or walked on a leash. Dogs MAY NOT be left outdoors all day or overnight, they are to remain in the house except for playtime, walk time & potty time. Please list at least two people who can verify your experience with animals. Name Address PhoneName Address PhonePlease read & check each of the following lines, indicating that you agree to abide by the terms below: I understand that the animal I am fostering has not been sterilized and same will be provided by Save A Pet Florida at a future specified date. I understand that the ownership of my foster animal remains with Save A Pet Florida until the animal has been sterilized, the adoption fee has been paid to Save A Pet, and the adoption contract has been executed by both parties. I agree to adhere to any veterinary appointments made for the foster animal and will return the animal to a Save A Pet representative on or before the specified date of the appointment. I agree to provide proper care and nourishment of the animal and will notify Save A Pet if my foster animal becomes hurt, sick or missing. I will administer medicines to sick animals as directed by Save A Pet and or their veterinarian. I understand that any animal has the potential to bite, injure or even cause death to another animal or human being. I will make every effort to be a responsible foster parent and will not hold Save A Pet Florida accountable for any action by the foster pet while under my care. Enter a deposit amount of $ that has been paid to Save A Pet.Consent I agree to pay the remaining fee at the time of adoption.Save a Pet Representative Method of payment Cash Check I certify that all statements and answers on this application are true: Type NameDate MM slash DD slash YYYY Consent I agree by checking this box and typing my signature, I consent that all the information provided is true.