Foster Application - Rocky Mountain Yorkie Rescue

Rocky Mountain Yorkie Rescue

Are You Ready and Willing to Foster?

Organizations such as ours cannot exist without loving, responsible, foster homes. We need you to be part of our effort to help all Yorkies in need. All Foster volunteer applications will be reviewed and you will be notified that it has been received.

I agree to give Rocky Mountain Yorkie Rescue permission to use my information below throughout the process of considering acceptance as a foster for the organization. *

My info can be kept as needed or until I request to be removed from consideration.

Name *

Age *

Email *

Street Address *

City, State and Zip code *

Home, Work and Cell Phone numbers: *

Please include them and indicate (h) (w) or (c) by the appropriate number listed

Best time to reach me *

Occupation (If none, type in "none") *

Spouse info (Name, age, and occupation of spouse) *

(If no spouse, type in "none"):

Ages of anyone else residing in the home including ages of your children at home or visiting on a regular basis *

(If none, type in "none")

Have you worked with any other rescue organizations in the past? If so, name of organization(s): *

Veterinarian name and phone #: *

Is everyone in your home agreeable to fostering a Yorkshire Terrier? If not, who and why: *

Please check the term(s) that best describes your current living situation: *

If renting, landlord's name and phone #: *

Do you have a fenced-in backyard? *

How many hours per day will the Yorkie be left alone? *

What will be the dog's living situation? (Examples-run of house, or a restricted area) *

Yorkies are house pets and we do not allow them to be kept outside. Are you in agreement with this? *

Have you ever fostered any animal before? If yes, what's the name of the agency and phone #:

Please specify if you prefer certain age range: *

Will you provide transportation of dog for veterinary, adoption, and etc. purposes? *

Do you have other pets? Please list breed, age and sex: *

(If no, type in "none")

Are all other pets current of all vaccinations and are spayed/neutered? If no, please explain: *

Approximate date of last Veterinarian visit for each pet: *

(If none, type in "none")

Do you understand that often times the complete history and temperament of a rescue dog may not be known? *

Are you willing to work with us to correct any possible behavior problems? *

By checking this box, I hereby certify: that the information above is truthful and correct. *

I hereby certify: that the information above is truthful and correct.

Read the following carefully.

I declare that the information I have provided in this application is complete and correct. I further declare that I am financially and physically able to care for a rescue foster dog, specifically, a Yorkshire Terrier. I understand that proper food and veterinarian care may be costly, and I am able and willing to meet the needs of the foster dog. I understand that RMYR will reimburse me for pre-approved expenses after submitting a copy of the bill with the foster dog's name and ID.

RMYR will also reimburse me for any pre-approved medical expenses and impound fees related to the foster dog. Pre-approval will come from a Board Member. I understand that any food, toys, and travel expenses associated with the foster dog are a donation and will not be reimbursed. I understand the requirement and grant permission for Home Checks at random both prior to and during fostering. I submit that if a Home Check reveals falsification or misrepresentation of any facts on my part, the Facilitator or representative reserves the right to either refuse fostering, to nullify any agreement between us and reclaim said Yorkshire Terrier from my premises, without reimbursement of the fostering expenses.

I stipulate that I am applying herein to become a volunteer for Rocky Mountain Yorkie Rescue and I will provide automotive, homeowners and health insurance, and hold Rocky Mountain Yorkie Rescue or its representatives, its officers, members, volunteers, associates, or other foster care providers harmless for any liabilities, whether damages are physical, emotional, or property, that are a direct or indirect result of activities associated with placement, transport, grooming, training, or evaluating of any Yorkshire Terrier or other dog in any way associated with Rocky Mountain Yorkie Rescue, including any and all activities I perform as a volunteer for Rocky Mountain Yorkie Rescue. I further understand that I will be contacted regarding my acceptance.

Applicant's signature: *

Digital form in this case is equal to handwritten signature for the purposes of this form.

Date this application was sent in: *