PET FOSTER HOME AGREEMENT

I, __________________________________________ agree to provide a foster home for the pet described as:

Name of pet: _______________________ Species: ______________ Breed: ________________

Age: ________________ Sex: ___________________ Neutered: ______

Description: ____________________________________________________________________

Distinguishing marks: _____________________________________________________________

Health: ________________________________________________________________________

Personality: _____________________________________________________________________

And agree to provide for the care and safety of this pet, to show the pet to prospective adopters and to return the pet to GIVER upon request.

FOSTER Printed Name: _________________________________________________________

Address: ______________________________________________________________

City: _____________________________________ State: _____ ZIP: _____________

Day Phone: __________________________ Nite Phone: ________________________

FAX or CELL Phone: _________________ E-Mail: ___________________________________

GIVER: Printed Name: _________________________________________________________

Address: ______________________________________________________________

City: _____________________________________ State: _____ ZIP: _____________

Day Phone: __________________________ Nite Phone: ________________________

FAX or CELL Phone: _________________ E-Mail: ___________________________________

FOSTER Signature: ________________________________________________ Date: ___/___/___

GIVER Signature: __________________________________________________ Date: ___/___/___