Big Hearts For Big Breeds

Basic Information

First Name *

Last Name *

Phone Number *

Email Address *

Home Address *

City *

State *

Zip Code *

What date are you available to begin fostering?

Why do you want to foster with Big Hearts for Big Breeds Rescue?

Experience

Have you ever fostered with another rescue or shelter?

Yes

No

Have you attended any animal training classes?

Yes

No

Are you willing to attend a training class?

Yes

No

Are you willing to foster a dog with special needs?

Yes

No

Are you willing to foster a senior dog?

Yes

No

Are you willing to work with a dog with behavioral issues?*

Yes

No

Other

*(Examples of behavioral issues include housebreaking, separation anxiety, fear issues, resource guarding, etc. In most of these situations, we will provide our fosters with support and guidance from trainers on how best to manage the needs of these situations.)

Household Information

Adults (18+) in Your Household

Children in Your Household

Current Pets in Household

Your Current Pets

Environment & Care

What type of residence is your home?

Do you rent or own?

Own

Rent

Do you have an HOA restriction on dogs?

Yes

No

We may require a letter stating they allow large breed dogs

Do you have more than one story or stairs in your home?

Yes

No

Where will the dogs primarily be kept?

Do you have a fenced yard?

Yes

No

Will someone be home during the day?

Yes

No

Hours per day the dog will be alone?

Where will the dogs be kept when no one is home?

Will the dogs have access to the yard while you are away?

Yes

No

Do you have a pool?

Yes

No

References

Please provide at least two personal references (not related to you and not living in your household):

Personal References

Reference 1

Name *

Phone Number *

Email *

State *

Relationship *

How long have you known this person? *

Reference 2

Name *

Phone Number *

Email *

State *

Relationship *

How long have you known this person? *

Veterinarian Information

Please provide your veterinarian's contact information:

Veterinarian Name

Clinic Name

Phone Number

Email

Liability Release and Waivers

PLEASE NOTE: Your application cannot be processed without acceptance of this waiver.

I/we have voluntarily contacted Big Hearts for Big Breeds Rescue and have expressed an interest in fostering a dog in the care and custody of Big Hearts for Big Breeds Rescue. In consideration of Big Hearts for Big Breeds Rescue's agreement to allow me to view and/or interact with such dogs, I hereby, for myself, my heirs and my personal representatives, represent and warrant as follows:

1. I am fully aware of the risks that dogs pose and have elected to view and/or interact with one or more dogs in the care of Big Hearts for Big Breeds Rescue voluntarily. I knowingly assume all risks that exposure to dogs may pose, including but not limited to, serious bodily injury and/or death.

2. I hereby waive, release, discharge, hold harmless, and promise to indemnify and not to bring suit Big Hearts for Big Breeds Rescue, its directors, officers, volunteers, staff, and all other agents, and attorneys for any of the referenced parties, and any other parties acting for, or on behalf of any of the referenced parties, from any and all rights and claims which I have or which may hereafter accrue to me and from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my exposure to such dogs.

3. By signing up, you are creating a Big Rescue account, and you agree to Big Hearts For Big Breed's Account Terms and Conditions.

REQUIRED FIELD* I accept this waiver and release Big Hearts for Big Breeds Rescue from all liability.

By submitting this form, I hereby authorize the Doctor of Veterinary Medicine, named above, to disclose and/or release to Big Hearts for Big Breeds Rescue, its agents, successors or assigns, either verbally or in writing, complete information concerning his or her medical findings, treatments and records about any animals for which I have sought care and/or treatment from the so named Doctor of Veterinary Medicine.

(***Please contact your vet to let them know we will be calling. They may require your permission before speaking with us.***)

REQUIRED FIELD* I certify that the above information is true and correct.

Liability And Medical Release Signature *

Please sign above for liability and medical release

Please ensure all required fields are completed and both waivers are signed before submitting.