First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

I understand that I have the right to surrender this animal(s) back to NASRN if circumstances develop where I am unable to give it the best possible care. However, I understand that NASRN does not have a shelter or boarding facility and must be allowed the time and flexibility to find another foster.

I understand that I will be responsible for the daily care and feeding of the animal(s) that I foster. Should the foster animal(s) become ill, I will contact NASRN to get medical attention for it. NASRN will not be responsible for veterinary charges incurred without prior approval.

I understand and agree that I will be responsible for any and all vet care that becomes necessary due to my negligence.

I agree that I will always keep my foster dog on a secure leash anytime we are outside of my fenced yard. I agree that I will not take my foster dog on off leash walks or hikes and that I will not take him/her to public dog parks.

I agree that I am fostering this animal for NASRN, and that I do not have any right of ownership over my foster animal. I further agree that NASRN’s rights in and to my foster animal are superior to mine. I also agree to provide the Authorized NASRN Representative, or his/her designate, access to my home and property to check on my foster animal, at any time that I am in possession of my foster animal.

I understand that because the provisions of this agreement are legally binding, any violation of this agreement could result in legal liabilities for myself and NASRN. I will not transfer possession or custody of my foster animal to any other person at any time. I agree to contact the Authorized NASRN Representative with any and all questions or concerns about my foster animal or the fostering program, as well as with updated contact information. I also agree to contact the Authorized NASRN Representative with quarterly reports on the health status of my foster animal.

I understand that it is my responsibility to provide temporary, responsible pet care for this animal when I go on vacation. I understand that this must be approved by NASRN prior to my departure. I also understand that I must provide NASRN with name, location and contact information of where the foster dog will be in my absence. I understand that NASRN reserves the right to make other arrangements for a care provider for the dog in your absence.

I agree that all NASRN animals will have ID on at all times.

I understand that when the animal(s) is ready to be available for adoption, I will surrender it back to NASRN for placement. Any and all placements will be decided by NASRN counselors through the Adoption Committee.

I understand that should I wish to adopt my foster animal, that my application will be reviewed by the adoption committee before a decision is made. I understand that I will be required to pay an adoption fee should I wish to adopt my foster dog.

I understand that other animals in my household could be exposed to medical or behavioral conditions that have not been recognized in the foster animal placed with me by NASRN, and NASRN is not liable for any disease or injury of my own companion animals, livestock or other exposed animal.

I agree not to attempt to hold NASRN responsible for any damages which the animal may do to any person or property. I specifically release NASRN of any responsibility pertaining to any damage to property or personal injury or any occurrence relating to the dog and shall hold NASRN harmless regarding any damage or injury(ies) of any nature whatsoever, and agree to notify NASRN immediately of any damages and/or injury(ies).

I recognize this is a legal, binding agreement and, using my electronic signature, have signed this agreement freely and voluntarily.

I verify that this is my electronic signature and I am providing my current address, phone number and email address.*