Foster Application/Agreement
FOSTER HOME APPLICATION
Foster
Home Information:
Name: _______________________________________
Address:
____________________________________________________________________________
(street address,
city, state, zip where foster horse will
reside)
Mailing
Address (if
different than above)
:______________________________________________________
Home phone: _______________________Work
Phone: ______________________________
Email address: _________________________Website:____________________________________
Date of birth: _____________Current
Employer:
__________________________________________
Years with this Employer:_____ Employer’s Address:
_______________________________________
Do you have animals other than horses? ___________________________________________________
(list types, breeds, numbers)
___________________________________________________________________________________
Do you have children? _________If
yes, will the child(ren) help with the foster
horse?____________
(ages)
Number of people in household that will be in contact or
assist with care of the foster horse?_________
Have you ever been charged with or convicted of animal
abuse? ______If yes, please explain.
___________________________________________________________________________________
FOSTER APPLICATIONPAGE
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Preferred Type(s) of Horses
These questions
are to help determine what animals you would most like to foster. Feel free to
explain any stipulations you may have or any concerns you may have on the lines
provided.
Place a check
mark next to which of the following you would be willing to
foster:
______ Mare______ Stallion (or
Newly Gelded)
______ Horse with
physical disabilities (founder, laminitis, diminished vision,
other?)
______Gelding
Mare and
foal
Would you be willing to foster an horse which Charming
Acres has no background information on?
(This can occur with abandoned or auction
horses.)
___________________________________________________________________________________
Would you be
willing to foster a horse with training issues? If so, please explain your own
training experience._________________________________________________________________________
___________________________________________________________________________________
Would you be willing to foster a horse with health
issues?_____________________________________
(explain
any health issues you are/aren't comfortable dealing
with)
___________________________________________________________________________________
Would
you be willing to foster an old horse? Over 30?______Over
25?______Over 20?_____Senior
undetermined age?______(check all that
apply)
Would you be willing to foster a horse under one year of
age?__________________________________
Would you be willing to foster a mare in
foal?______________________________________________
Current
equines
Do you currently own any horses? If so, breeds, sex and
number of each? ________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
If the horse will be kept someplace other than the
address given above, please list the name of the facility, address, contact
person, and phone number:
___________________________________________________________________________________
FOSTER APPLICATIONPAGE
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When was the date your equine(s) were last vaccinated?
______________________________________
What vaccinations did your equine(s) receive?
______________________________________________
When was the date your equine(s) were last dewormed?
______________________________________
What dewormers do you use
annually?____________________________________________________
What do you feed your current equine(s)?
__________________________________________________
Equine
Experience
Do
you currently own equines or have you owned equines before?
(If so, when, for how long, and what types?)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
In the past five years, have you given any equines away
or sold any equines? If so, please explain.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
In the past five years, have you had any equines in your
care die? If so, please explain.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Please describe your experience with handling, caring
for, riding, and training equines.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Are you actively breeding your equines?_______ If yes, do
you have adequate facilities to separate the foster equine from your breeding
herd/stallions?_____________________________________________
___________________________________________________________________________________
FOSTER APPLICATIONPAGE
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Will anyone other than yourself be feeding the fostered
horse?________________________________
___________________________________________________________________________________
How often do you plan on feeding the fostered horse?
___________________________________________________________________________________
How often do you plan on having a farrier trim the
fostered horse?
___________________________________________________________________________________
How often do you plan on de-worming the fostered horse?
_____________________________________
___________________________________________________________________________________
If you own other equines, do you have adequate facilities
to quarantine the foster horse?
___________________________________________________________________________________
Will the fostered horse be kept in a barn or pasture?
________________________________________
If the horse will be in a barn, how big are the stalls?
________________________________________
If the horse will be in a barn, how often will it be
turned out? _________________________________
If the horse will be kept in pasture, how big is the
pasture? ___________________________________
How many other equines are in the pasture?
________________________________________________
What kind of fencing do you have?
_______________________________________________________
Is
there debris in the pasture such as (circle one) limbs, metal, glass, trash,
other (if
other, please describe)?
___________________________________________________________________________________
Reference
Information:
You must provide us with three separate references. One
must be a vet, one must be an equine professional, and one must be a personal
reference. These must be three
separate unrelated people.
Who is (or will be) your veterinarian?
_____________________________________________________
___________________________________________________________________________________
(please list name, address, phone number, also the
approximate distance from your facilities)
Please list the name, address, and phone number of the
equine professional who will submit a letter of reference for you:
_____________________________________________________________________
(Equine professional can be a trainer, farrier, equine
dentist)
Please list the name, address, and phone number of the
person who will submit a letter of personal reference for you:
_____________________________________________________________________
(This must be someone NOT living at the same
address.Please list your relationship
to this person)
FOSTER APPLICATIONPAGE
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#######################
I the undersigned understand I am applying to foster
horses from Charming Acres Rescue Inc (CAR). I understand that I must complete
the application procedure and have my home (or boarding facility) approved
before being allowed to foster any horse from CAR.I
understand that I may not be able to foster the horse I want for various
reasons. I understand that if I am no
longer able to care for the horse that I am fostering, it will be returned back
into the care of CAR.
By signing this application, I agree that I have read and
understand the fostering policies of Charming Acres Rescue Inc. I also agree
not to hold CAR liable in the event of injury, death, or damage to any human,
animal, or property as a result of activities or actions of the horse(s) I
foster.
I also understand that I am responsible for daily care of
the horse(s) I foster, including (but not limited to) cost of grain, de-wormer,
farrier work, and other costs incurred in routine care of the horse. Charming
Acres Rescue Inc will be responsible for vet care of the horse(s) in accordance
with the Veterinary Procedures Policy unless injury to the horse is caused by
my neglect or actions.
I have read and agree to the foster home policies listed
above:
__________________________________________________________________
Fostering applicantDate
*Please make sure to attach photos of your barn, shelter,
pasture and/or any areas the foster mini will be in housed or
living.
*If there is additional information that you feel is
important to share with CAR, attach additional sheets as
needed.
Charming Acres Rescue Inc.
614 Gault Rd.
Gap, Pa.
17527
www.charmingacresstables.weebly.com
717-606-4885