Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Daytime Phone

(###)

###

####

Evening Phone

(###)

###

####

Best Time to Call

Hour

Minute

Second

AM PM

Are you looking for a Foster or Foster-to-Adopt *

Foster

Foster-to-Adopt

Please describe your household:

Active

Noisy

Quiet

Average

Clinic Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Clinic Phone

(###)

###

####

By providing Urban Tails Animal Rescue with this information, you are allowing us to contact your vet. Please call your vet and ask them to authorize the release of information to Urban Tails Animal Rescue.

I AGREE

Desired sex

Spayed Female

Neutered Male

No preference

Willing to foster

Outgoing/hyper dog

Dog that needs regular medication

Dog that needs grooming

Shy dog

Dog that needs training

None of these

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Foster/ Foster-to-Adopt Agreement *

By sending this electronically, I acknowledge that I have completely read this document and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any URBAN TAILS ANIMAL RESCUE animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless URBAN TAILS ANIMAL RESCUE and its members from any claims, damages, costs, or actions incurred because of the care or actions of the foster dog. I accept full responsibility for the dog(s) actions at all times, and release URBAN TAILS ANIMAL RESCUE from any liabilities or damages that may be incurred because of fostering such dog(s). I agree to have URBAN TAILS ANIMAL RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my application. I agree that if I'm unable to foster the dog(s) anymore, that I will return the dog(s) to URBAN TAILS ANIMAL RESCUE and give URBAN TAILS ANIMAL RESCUE a 2-week period to find another suitable foster for the dog(s). By signing this, you are agreeing to continue fostering until a suitable new foster is found.

I AGREE

I DISAGREE