First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

Alt Email

Date Of Birth

Your Age?

Comments/notes

Preferred foster
Choose an animal: D.O.G.(DeeOhhGee) Dudley Hazel Hugo kingston Millie Mae Oreo Oscar Rainy Rocky Roxy Royce Sasha Zarah

Spouses Full Name

Spouses Date Of Birth

what is your current Occupation?

What is your spouses Occupation?

How many children and what are their ages?*

Do you own or rent your home*
Choose one: Rent Own

How long have you lived at your current address*

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence*
Choose one: Privacy Chain Link Invisible

What is the height of the fence*

How much time will the animal spend alone during the day*

Where will the animal be kept when you are not home*

Where will the animal sleep*

Have you ever fostered an animal before? What type? For whom? May we contact them for reference?

What are you willing to provide for a foster animal? IE. Food, shelter, training, medical care or other? *

Are you willing to foster until Forever Home is found? *
Choose one: Yes No

Please indicate your preferences if any?*
Choose one: Male Female

Age range
Choose one: 0-12mo 12mo to 2yr 2yr to 5 yr 5yr and older any

If no, Please indicate the maximum time frame in which you can foster:*

Can you provide transportation to and from the vet appointments, adoption sites, training, etc? *
Choose one: Yes No

Are you willing to have potential adopters visit fostered animals in your home?

Please List current pets, please include name, breed, gender, age, vaccinated (Y.N), Spayed/Neutered, Date, current Vet and where you got each one:

Please list Previous Pets owned in the last 5 years. Please include Names, Breed, Spayed/neutered, how long owned and where are they now?

What is your Veterinarian (Please include name, address and phone number for reference)

We will attempt to provide you with an honest evaluation of temperament on any animal we have to place. Do you realize that often times complete history of an animal may not be known and you may encounter some behavior problems?*

Are you willing to work with us on these problems?*

Are you willing to work with us on these problems?*

I/We understand that should the information given on this application be found false, my/our application can be refused or said animal returned to Saved By Grace Animal Rescue.

I/We give my/our permission for veterinarians, landlords, parish clerks & tax assessors given on this application to release any information requested for processing of this application to a Saved By Grace Animal Rescue Representative.

I/We understand that completing this form does not guarantee a foster animal will be placed with me/us.

I/We understand that only approved veterinary bills will be reimbursed. All other expenses are at my/our expense. The animal must wear a collar, Rabies tag, Name Tag and any required license.

I/We understand that the animal shall NOT be permitted to run loose. The animal must be in a fenced-in-yard or on a leash when outside. Cats must be kept in the house. NO EXCEPTIONS

I/We understand the animal shall be provided fresh and clean food and water daily in sufficient quantities to maintain proper health.

I/We understand that the animal must have proper veterinarian care for any illness or accident as well as for general maintenance.

I/We understand the animal (cats are excluded) must be given heartworm preventative on a monthly basis.

I/We understand the animal must be altered (spay/neuter) within 5-8 months of age. Saved By Grace Animal Rescue will pay for this procedure. All animals old enough will already be spayed or neutered.

I/We understand the animal cannot be used for any kind of research for any reasons. The animal cannot be used for guard purposes or given guard dog training. The animal cannot be used for hunting. The animal cannot be used for fighting. The animal cannot be used for food or eaten. The animal cannot be sold for any purposes.

I/We understand that in the event that the animal gets lost or escapes from the person with custody, that person shall immediately take steps to recover the animal including placing ads in all local newspapers, Facebook lost and found pages, physically going to Animal Control to look for the animal, calling all local veterinarian offices to ask them to look out for this animal, and informing Saved By Grace Animal Rescue at 318-617-5213 or 318-773-8588.

I/We understand that in the event that the person receiving this animal is unable to or no longer wishes to keep and care for the animal, the animal MUST be returned to the person this animal was received from and is the other party to this contract. 48 HOURS NOTICE IS REQUIRED!

I/We understand that to receive an animal, I/We are required to permit a pre-custody inspection of the home where the animal shall. The person receiving the animal shall notify the person this animal was received from and is the other party to this contract, of any change to the address of the pet.

I/We understand that the care of this animal requires a major commitment of caring, loving and responsibility for this pet. The person who has custody of the pet is solely responsible for any and all property and physical damages done to any person or property.

I/We understand that if any part of this contract is broken, the person this animal was received from and is the other party to this contract; reserves the right to take possession of the animal for its safety and/or health.

By clicking on submit, you agree to allow the person the animal was received from to enter your property for the purpose of removing the received animal if any part of this contract is broken and/or the animal is being neglected or abused.

***This is a legal and binding agreement between the signer and Saved by Grace Animal Rescue***

I certify that the information entered on this applicant is true. Enter your name and date*

I acknowledge that this Release and Waiver of Liability (referred to as “Release”) is intended to make me aware that there are potential risks inherently associated with volunteering for SAVED BY GRACE ANIMAL RESCUE, a 501(c)3 nonprofit organization (hereinafter referred to as “SBGAR”). I also acknowledge that this Release is intended to release SBGAR from any and all liability associated with these inherent risks. I desire to provide voluntary services for SBGAR, and I understand that SBGAR will not provide any benefits that may be traditionally associated with employment to me for these voluntary services. In consideration of being permitted to volunteer for SBGAR, I, the undersigned, hereby acknowledge and agree to the following (Initial below): *

1. Waiver: I do hereby agree to release, indemnify and forever discharge and hold harmless SBGAR, all of its directors, officers, employees, and agents, as well as its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to SBGAR.  I understand and acknowledge that this Release discharges SBGAR from any liability or claim that I may have against SBGAR with respect to bodily injury, personal injury, illness, death or property damage that may occur while I am providing services to SBGAR or as a result of the services that I provide to SBGAR.
2. Insurance: Further I understand and agree that SBGAR does not assume any responsibility for or obligation to provide me with financial or other assistance, including but not limited to medical, health, or disability benefits or insurance of any nature in the event of my injury, illness, death or damage to my property.   I expressly waive any such claim for compensation or liability on the part of SBGAR beyond what may be offered freely by SBGAR in the event of such injury or medical expenses incurred by me.
3. Medical: I hereby release and forever discharge SBGAR from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency during my tenure as a volunteer with SBGAR.  I understand that I am responsible for my own insurance coverage in the event of injury, illness, or even death as a result of my services to SBGAR.
4. Assumption of the Risk: I understand that the services I provide to SBGAR may include inherently dangerous activities that may be hazardous to my health.  These activities may include, but are not limited to, lifting and/or cleaning kennels, exercising dogs, bathing and/or assisting with general basic care of animals, transporting animals in my vehicle and/or fostering animals in my home for an indefinite period of time.   As a volunteer, I hereby expressly assume the risk of injury, which may include but is not limited to, being bit or otherwise seriously injured by an animal, the risk of illness and/or even the risk of death from these activities.  I do hereby release, indemnify and forever discharge and hold harmless SBGAR, all of its directors, officers, employees, and agents, as well as its successors and assigns, from any and all liability for injury, illness, death or property damage that may occur while I am providing services to SBGAR or as a result of the services that I provide to SBGAR.
5. Photographs/Media: I grant and convey to SBGAR all right, title and interests in any and all photographs, images, video or audio recordings of me or my likeness or voice made by SBGAR in connection with my providing volunteer services to SBGAR.

I understand and expressly agree that this Release is an agreement that shall be binding upon my heirs, administrators, executors, and assigns.   I understand and expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Louisiana and that this Release shall be governed by and interpreted in accordance with the laws of the State of Louisiana.  I also understand and expressly agree that in the event any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of the Release shall not be affected. 

By my electronic signature below, I acknowledge that I have read and understand all of the terms of this Release and that I understand that I am giving up substantial rights, including the right to sue.  By my signature below, I also express my understanding and intent to enter into this Release, freely, willingly and voluntarily and that I have attained the age of majority as set forth by the State of Louisiana. 

Enter Volunteer Full name and Date, enter Guardian full name and Date (if applicable) *