Foster

Application Date*
MM slash DD slash YYYY
This section provides us with a little information about you, your interest in the Bulldog breed and how we can contact you.
Applicant Name*
First Last
Main Phone*
Cell Phone
Residence Address*
Street Address Address Line 2 City State ZIP Code
Mailing Address
(if different from residence address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
How Many Years At Your Current Residence?
Please answer one of the following
- I own my residence
- I rent my residence
Nearest large city to you

We may need to coordinate travel arrangements, this helps us to plan accordingly.
Please list other residents that live with you
Please list by name, age and relationship anyone else residing full or part time in your home.
Personal References (please read the instructions below*)
*Instructions
1) Please list three people who know you well enough to attest to your ability to care for Bulldogs. I prefer that these not be people that are relatives or people whom already reside at your home. 2) Please include all contact information; phone, address and email and notify them that we will be calling. (no changes) 3) Be sure to contact your veterinarian’s office to give permission to release information to Vermont English Bulldog Rescue. 4) Incomplete applications (missing references, phone numbers, etc.) will not be processed.

Applicant Occupation
Applicant Employer Name
Applicant Work Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Is there a Co-Applicant?
- No
- Yes

Co-Applicant Name (if any)
First Last
Co-Applicant - Employer Name
Co-Applicant - Employer Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

In What Type Of Home Do You Reside?
If you are renting (please read the instructions below*)
*Instructions
Please list your Landlord's full name, phone, address and email (if available) and notify them that we will be calling.
Do you have Homeowners or Renters insurance that includes an exclusion for damages related to dogs?
- Yes
- No
- I am not sure
Please provide the name and contact information for insurance company or agent
Do children live in or visit your home?
- Yes
- No
Who will supervise the children with the foster dog?

I understand that should I decide to apply to adopt a foster dog/s in my care that I will be held to the same standard as anyone applying and an adoption fee will still apply.

I understand that VEBR will be fully financially responsible for any and all care of foster dog/s including but not limited to food, vet, supplements and any treats or toys/beds. Any needs or expenses must be approved prior to a purchase or reimbursement will not be possible. Foster dog/s will be on very strict diets designed for the breed and the foster parent is asked to not feed anything outside of what is provided.
I would like to foster
- Short Term Emergencies (under a week)
- Long Term
- Open Ended
I agree to give at least a week notice if I find this to be more than I can handle and VEBR will make arrangements to remove dog as quickly as possible.
I understand and agree with everything in this contract and have read it in its entirety and sign of my free will. Any breach of this contract will result in immediate surrender of the dog/s back to VEBR who is the legal owner.

DISCLAIMER: I AM FULLY AWARE THAT VEBR MAKES NO GUARANTEES WHATSOEVER AS TO THE HEALTH, TEMPERAMENT, MENTAL DISPOSITION AND TRAINING OF THE ANIMAL, all dogs are current on vaccines, as well as heartworm negative and on preventative. If he/she is under treatment for any health issues or on any medications, that is disclosed and documented at the time of placement.

RELEASE I HEREBY FULLY AND COMPLETELY RELEASE VEBR, ITS DIRECTORS, OFFICERS, AGENTS, SERVANTS AND EMPLOYEES FROM ANY CLAIM, CAUSE OF ACTION OR LIABILITY FOR ANY DEFECTS OR ILLNESSES THE ANIMAL MAY HAVE OR DEVELOP AND FROM ANY CLAIM, CAUSE OF ACTION OR LIABILITY FOR ANY INJURY OR DEATH TO PERSONS OR ANIMALS OR DAMAGE TO PROPERTY WHICH MAY BE CAUSED BY THE ANIMAL AND TO INDEMNIFY AND HOLD VEBR HARMLESS AGAINST ALL CLAIMS, INCLUDING, BUT NOT LIMITED TO, THOSE ASSERTED BY THIRD PERSONS, FOR ANY INJURY OR DEATH TO PERSONS OR ANIMALS OR DAMAGE TO PROPERTY CAUSED BY THE ANIMAL.

CLAIMS I will at no time assert any claim or demand against VEBR for any cost or expenses which may have been incurred in connection with this animal.
Electronic Signature*
(type your name as you would sign it)
Electronic Signature Agreement. By selecting the "Submit" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "Submit" you consent to be legally bound by this Agreement's terms and conditions.
Email*

This email address will be used to send you a confirmation that we have received your request.
Comments
This field is for validation purposes and should be left unchanged.

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