Do you live in Jacksonville or nearby surrounding areas?

Please note we are only able to accept fosters in or near Jacksonville.

What is your age?

Please provide the name(s) and age(s) of all members of your household.

Please include all roommates, family members, etc.

Occupation

Employer

Does your phone receive text messages? yes no

Facebook URL address or name

We have a secret fb group for volunteers "FUR Family"

Which are you interested in? Fostering Transporting Volunteering Foster to Adopt All of the above

Do you rent or own? rent own

If renting, what is the Landlord's name and phone number?

Does your landlord, HOA or insurance company have any breed restrictions? Yes No Not Sure

Is there a fenced yard? If yes please give height and whether Privacy or chain link

Have you ever owned a dog/cat before? If yes, where is the dog/cat now?

How long will the animal be alone during the day?

Where will the animal be kept when alone?

What other pets are in the household?

Please include breed, age and size

Are current animals in your household spayed and/or neutered? Yes No

What is the name and phone number of your current veterinarian?

Where will this animal sleep?

When the pet is outside, what shelter is provided?

Are you willing to administer heartworm prevention, flea and tick control for this animal along with any other necessary medicine prescribed? (As long as the dog is in your care as a foster – FUR will cover costs until adoption or first right of refusal and foster failure) yes no

Why do you want to foster a FUR animal?

Do you agree to return this dog to Florida Urgent Rescue, Inc. if it does not work out for any reason? Yes No

I understand that Florida Urgent Rescue, Inc. (FUR) has no history on animals before they entered the shelter, and I understand that FUR makes no representations about the breed, age, temperament or behavior of any animals I foster. I agree I do not agree

I agree to keep my fosters separated from my existing pets initially, and to introduce them very slowly. (I understand that I may borrow a gate or a crate upon request). I agree I do not agree

I understand that my new foster pet may be anxious, disoriented or scared in a new environment, and I agree to keep my foster pet(s) separated from any children initially, and to introduce them very slow and only with adult supervision. I agree not to leave my foster pet unsupervised with children. I agree I do not agree

I do not have any restrictions from my landlord or Homeowner’s Association preventing me from fostering an animal. I agree I do not agree

If it does not work out for any reason, I agree to return my pet to FUR. I will never abandon my foster pet(s) or surrender them to a shelter. I agree I do not agree

I understand and agree that completing this application does NOT guarantee qualification for fostering an animal from FUR. I agree I do not agree

I certify that the above information is true and that false information may result in nullifying my application, and I understand and agree that FUR reserves the right to refuse anyone at their sole discretion. I agree I do not agree

I understand that any animal I foster will still legally belong to FUR, and I agree not to give, transfer or surrender my foster pet to any other person or organization without prior written approval from FUR. I agree I do not agree

I hereby release and waive any claim against Florida Urgent Rescue, Inc. which I may have now or in the future for any damages and/or injuries to person or property cause by said animal. Abuse, neglect or failure to comply with any provisions in this agreement shall constitute a breach of contract and will result in the immediate removal of the animal from my custody. Florida law and its applicable statutes shall apply to this contract, including its interpretation and enforcement. I agree I do not agree

Foster Guidelines & Expectations • Commitment Fosters are expected to be committed to Florida Urgent Rescue’s mission and while attending events to conduct themselves appropriately. If you have questions regarding our programs or activities, please ask before participating. Fosters are not required to attend every activity or event, but if you agree to participate in an activity or event, you are expected to adhere to that commitment. If you should decide to not Foster with us any longer, we would appreciate it if you would please send the Foster Coordinator an e-mail to let us know that you will no longer be Fostering with us. We ask that you notify the Foster Coordinator so that other arrangements may be made in a timely manner. • Treatment of Animals Animals are to be treated kindly, gently, and professionally, at all times. • Conduct As a Foster, you are a representative of Florida Urgent Rescue. When involved in our events or representing us on transports, you are expected to present a good image of the organization at all times. This includes language. Please be respectful of others as well as your fellow volunteers. If you disagree with someone, another volunteer, potential adopter, sponsor or event attendee, please refer the matter to the volunteer coordinator. It is unacceptable to act unprofessionally at any time while at a FUR sponsored event or function. • Safety The safety of our Fosters is important to us. To that end, Florida Urgent Rescue will not release a Foster’s phone number, age or other personal information to anyone outside of our organization or to any other volunteer without that Foster’s permission to do so. • Release of liability I recognize that working with animals places me at physical risk, and I agree to assume that risk. I realize that although Florida Urgent Rescue has taken all reasonable measures to protect me, accidents and injuries may still occur. Therefore, I hereby completely release and entirely discharge Florida Urgent Rescue from any and all claims and causes of action of negligence or gross negligence that I or another might have or bring relating to or arising from any injury or damage that I should sustain while assisting Florida Urgent Rescue or in connection with my volunteer work for Florida Urgent Rescue. • Photo Release During my Foster time with Florida Urgent Rescue, I understand my photo may be taken at various events and projects. I also hereby grant Florida Urgent Rescue permission to use my likeness in photograph(s) and/or video(s) in any and all of its publications or on the World Wide Web, whether now known or hereafter existing. I will make no monetary or other claim against Florida Urgent Rescue for the use of the photograph(s) and/or video(s). Understanding and acceptance of Foster guidelines and expectations I have read, understand and agree to the volunteer guidelines and expectations set forth by this agreement. I fully understand and agree that I am providing my services in a Foster capacity without any expressed or implied promise of compensation. I agree to perform my Foster duties to the best of my ability and to adhere to the guidelines and expectations detailed in this agreement. ........................................................................By signing (printing my full name) below I am stating that I have read, understand and agree with everything listed in the above Foster guidelines and expectations

Do you have a valid driver’s license and insurance? Yes No

Can you be available with short notice to transport to vet appointments? Yes No

Are you available on Saturdays for events? Yes No

Can you transport? to & from event to, from & volunteer at event volunteer at event - no transporting

Transporting - Volunteering

I certify that the above information is true and that false information may result in nullifying the transport/volunteer agreement. I agree I disagree

Volunteer Guidelines & Expectations • Commitment Volunteers are expected to be committed to Florida Urgent Rescue’s mission and while attending events to conduct themselves appropriately. If you have questions regarding our programs or activities, please ask before participating. Volunteers are not required to attend every activity or event, but if you agree to participate in an activity or event, you are expected to adhere to that commitment. If you should decide to not volunteer with us any longer, we would appreciate it if you would please send the Volunteer Coordinator an e-mail to let us know that you will no longer be volunteering with us. We ask that you notify the Volunteer Coordinator so that other arrangements may be made in a timely manner, prior to our next event. • Treatment of Animals Animals are to be treated kindly, gently, and professionally, at all times. • Conduct As a volunteer, you are a representative of Florida Urgent Rescue. When involved in our events or representing us on transports, you are expected to present a good image of the organization at all times. This includes language. Please be respectful of others as well as your fellow volunteers. If you disagree with someone, another volunteer, potential adopter, sponsor or event attendee, please refer the matter to the volunteer coordinator. It is unacceptable to act unprofessionally at any time while at a FUR sponsored event or function. • Safety The safety of our volunteers is important to us. To that end, Florida Urgent Rescue will not release a volunteer’s phone number, age or other personal information to anyone outside of our organization or to any other volunteer without that volunteer’s permission to do so. • Release of liability I recognize that working with animals places me at physical risk, and I agree to assume that risk. I realize that although Florida Urgent Rescue has taken all reasonable measures to protect me, accidents and injuries may still occur. Therefore, I hereby completely release and entirely discharge Florida Urgent Rescue from any and all claims and causes of action of negligence or gross negligence that I or another might have or bring relating to or arising from any injury or damage that I should sustain while assisting Florida Urgent Rescue or in connection with my volunteer work for Florida Urgent Rescue. • Photo Release During my volunteer time with Florida Urgent Rescue, I understand my photo may be taken at various events and projects. I also hereby grant Florida Urgent Rescue permission to use my likeness in photograph(s) and/or video(s) in any and all of its publications or on the World Wide Web, whether now known or hereafter existing. I will make no monetary or other claim against Florida Urgent Rescue for the use of the photograph(s) and/or video(s). Understanding and acceptance of volunteer guidelines and expectations I have read, understand and agree to the volunteer guidelines and expectations set forth by this agreement. I fully understand and agree that I am providing my services in a volunteer capacity without any expressed or implied promise of compensation. I agree to perform my volunteer duties to the best of my ability and to adhere to the guidelines and expectations detailed in this agreement. ...................................................................... By signing (printing full name) below I am stating that I have read, understand and agree with everything listed in the above volunteer-transport agreement

*I have read and agree to the Terms and Conditions