A Foster Home is a temporary home for an animal until our organization finds, through adoption, a permanent home for the animal. A Fospice Home is a permanent home where an animal with a life-ending illness will reside for the remainder of its life.

Today's Date

Driver's license/ID #:

State issued:

Are you employed: Yes No

Emergency contact name:

Emergency contact number:

Are you 18 years old or older: Yes No

Do you live in a: House Apartment Condo/Townhome Other

Do you own or rent: Own Rent Other

Does your landlord allow animals: Yes No

If applicable

If necessary, can we contact your landlord: Yes No

If applicable

Do you have a fenced yard: Yes No

Height of fence: Under 5' Over 5'

If applicable

Do all adults living in the home know you plan to be a foster caregiver: Yes No No other adults in home

How many children (under 18) live in your home:

Ages of children living in the home:

If applicable

How many hours a day will your foster Pet spend alone: Less than 4 Between 4 - 8 Between 8 - 10 More than 10

Do any dogs or cats currently live with you: Yes No

Do your current household animals get along with other dogs and cats: Dogs - Yes Cats - Yes Dogs - No Cats - No I don't know

If applicable

Tell us about the animals currently living with you:

Provide species, age, and name (if applicable)

If needed, will you be able to confine your foster Pet separately from other household animals: Yes No

If applicable

Do you have a veterinarian: Yes No

Name of veterinarian's clinic/office:

By providing this information you are agreeing to allow us to contact your veterinarian

I am willing to foster: Large Dog (over 30 lbs) Medical or Fospice Dog Small Dog (under 30lbs) Senior (over 7 years)

Check all that apply

I am willing to work with: Shy/timid/unsocialized Nonreactive/shutdown/depressed Resource guarding Fearful/scared Hyper/overstimulated Medical Issues

Check all that apply

List any limitations we should know about:

If applicable

How long do you plan on fostering? Short-term (less than 3 months) Long-term (3 months to a year) Fospice (could exceed a year)

Have you previously been a foster caregiver? Yes No

We occasionally communicate with you via email. Do you authorize FAR Side Journey and Animal Cause Media to add you to our mailing lists: Yes No

You can opt out at any time

The animals available for foster are from municipal shelters. They are examined when they exit the shelter and if necessary again by FAR Side Journey’s veterinarian prior to being made available for fostering. Even with these precautions, there is always a chance that an animal is incubating a disease or has behavioral problems. Any signs of illness, disease or behavioral problems must be reported to FAR Side Journey Inc, by the foster caregiver immediately. FAR Side Journey cannot guarantee the health or disposition of any foster Pet. Do you agree to these terms:* Yes, I agree to the terms.

FOSTER CAREGIVER TERMS & CONDITIONS (CONTRACT): This Foster Caregiver Agreement (hereinafter “Agreement”) is made by and between FAR Side Journey Inc. (hereinafter “FAR Side Journey”) and Foster Caregiver (hereinafter “Caregiver”). This Agreement is valid for any current or future animals (hereinafter “Pet”) in Caregiver’s care on behalf of FAR Side Journey. The parties hereby agree to the following: 1. Caregiver shall accept and consider the Pet as a household companion and will provide the Pet with a safe environment, humane treatment, proper food, fresh water, shelter, exercise and indoor housing (not a garage, shed or other non-heated space). 2. Caregiver agrees to be fully responsible for the safety and well-being of the Pet and shall immediately notify FAR Side Journey if Pet is lost or stolen, injured, becomes ill, or if death of the Pet occurs during the fostering period. 3. Caregiver will not allow or cause any elective veterinary procedure to be performed on Pet. 4. Caregiver shall permit FAR Side Journey to visit, at reasonable convenient times, to check on the well-being of the Pet. 5. Pet shall wear the collar and ID tag provided by FAR Side Journey at all times. 6. Caregiver shall keep the Pet on a leash at all times when off Caregiver’s property. 7. Caregiver understands that purchases made voluntarily by Caregiver are not eligible for reimbursement by FAR Side Journey. 8. Caregiver shall not leave bones or pet toys around the house when children or other animals are present and shall be cautious and observant when children or other animals are around the Pet. 9. Caregiver shall not leave any child (under 13 years of age) unattended with the Pet. 10. Caregiver shall not allow any household member under the age of 5 to interact with foster Pet: 11. If a visitor under the age of 5 is on the property, the Pet (this applies to dogs only) must be in a crate or separate room for the duration of time the visitor is on the property. 12. In the case that Caregiver can no longer foster the Pet, FAR Side Journey shall be notified, and Caregiver shall make every effort to find a suitable replacement Caregiver or adoptive home for the Pet. 13. Caregiver understands the Pet is the property of FAR Side Journey and Caregiver has no rights to loan, give up, sell, or otherwise dispose of the Pet to any person or organization without the express written consent of FAR Side Journey and that FAR Side Journey’s legal rights to the Pet are superior to Caregiver’s legal rights. 14. Caregiver agrees to adhere to all federal, state and local laws and to follow all oral and written instructions from FAR Side Journey. 15. Caregiver understands that if adoption of the Pet is desired, Caregiver shall follow FAR Side Journey’s existing adoption procedures. 16. Caregiver understands that FAR Side Journey makes no guarantees regarding the Pet’s disposition, temperament, health and personality. 17. Caregiver shall introduce the Pet to other household pets with caution and slowly over a reasonable period and in a neutral environment. 18. Caregiver understands that FAR Side Journey will not be responsible if the Pet should damage or destroy property belonging to Caregiver, Caregiver household, or others, or if the Pet shall transfer any disease, internal or external parasites to other animals and people in Caregiver’s household. 19. Caregiver agrees to carefully read all documents and follow all instructions provided by FAR Side Journey. 20. Caregiver shall abide by this Agreement and understands that this Agreement applies to any and all Pet’s that Caregiver foster’s with FAR Side Journey. This Agreement is the entire Agreement of the parties, and there are no oral promises or representations made in addition to this Agreement. This Agreement shall only be changed in an express writing signed by both the Caregiver and FAR Side Journey. This Agreement and all related documents are signed when a party’s signature is delivered by electronic medium. These signatures shall have the same force and effect as original signatures. The laws of the State of California govern this Agreement. Both parties consent to the personal jurisdiction of the state and federal courts in Los Angeles, California.

READ CAREFULLY, THIS IS A CONTRACT

I HAVE READ THIS AGREEMENT CAREFULLY AND FULLY. I AM AWARE THAT THIS IS A BINDING CONTRACT BETWEEN FAR SIDE JOURNEY INCORPORATED AND MYSELF. BY TYPING MY NAME BELOW, I AM AGREEING TO THE TERMS AND CONDITIONS OF THIS CONTRACT.

YOUR TYPED NAME WILL ACT AS YOUR ELECTRONIC SIGNATURE

RELEASE OF LIABILITY I understand that the behavior of domestic animals can be unpredictable and that domestic animals are capable of spreading disease, inflicting serious personal injury, causing property damage, and/or causing death. Knowing the risks of handling domestic animals, nevertheless, I hereby agree to ASSUME THOSE RISKS and to release indemnity and hold harmless FAR Side Journey Incorporated and its board members, officers, and volunteers from any form and against all liability, claims, demands, damages to my person or property suffered and/or sustained as a direct and/or indirect result of being a foster caregiver for any dog or cat belonging to FAR Side Journey Incorporated. It is understood and agreed that this Indemnity, Waiver/Release of Liability and Assumption of Risk form is intended to be binding on my heirs, distributes, guardians, legal representatives, and/or assigns. I HAVE READ THIS AGREEMENT CAREFULLY AND FULLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND ASSUMPTION OF RISK FORM AND IS A BINDING CONTRACT BETWEEN FAR SIDE JOURNEY INCORPORATED AND MYSELF.

YOUR TYPED NAME WILL ACT HAS YOUR ELECTRONIC SIGNATURE

*I have read and agree to the Terms and Conditions