Volunteer Foster Agreement Form

Phone

This field is for validation purposes and should be left unchanged.

Please add the required information in the form below and once required data is populated the Fostering Release and Indemnity Agreement will be presented for signature. Document may also be emailed for signature depending on the information provided.

Date*

Name 1:*

First Last

This is the Primary Applicant.

Email - Name 1*

Enter Email Confirm Email

Mobile Phone - Name 1

Mobile phone of primary applicant.

Phone - Name 1

Name 2:

First Last

Provide Name 2 for Foster Applications with multiple responsible adults for any foster dog at listed address.

Email - Name 2

Enter Email Confirm Email

Mobile Phone - Name 2

Phone - Name 2

Address*

Street Address Address Line 2 City State ZIP Code

What type of Voluteering are you interested in?*

Foster

Transport

Fundraising

Administration

Other

Are you Currently a CBR Rescue Member?*

To be a CBR Rescue Member requires a member application, and to be approved with a signed Member agreement. If you are not and would like to be, please go to our Volunteer>Member Application page.

Please describe what your volunteer interest are?

Have you previously volunteered with CBRRR?*

Please describe Volunteer Activities?

Provide a short description of activities you assisted CBR in previously, e.g. Foster, Transport, Fundraising, etc.

Have you volunteered with other dog rescue organizations?

Please describe activities you participated in with other Dog Rescues.

PLEASE SELECT YOUR REGION BELOW

CBR Region*

Please select CBR Region matching the State of your Application Address.

CBR Representative Name:

First Last

If you are working with a CBR Member/Volunteer, please enter their name here.

Fosters Only Section

Please complete all required information below if you interested in providing a Foster Home for a CBR Rescue dog.

Members of your household?

Please provide information about anyone other than the applicant(s) living in the home.

Ages of Children

Additional Information about household members.

Add information about those who live in home or frequently visit.

Is anyone in your home allergic to dogs?

Do you own your home or Rent?

Provide Name of Landlord

Landlord Phone (if renting)

Landlord Email (if renting)

Is your yard completely fenced?

To answer yes, the fenced yard must not have any openings that are not gated. If yes, please provide height in next field.

Height of fence?

Do you have a pool?

How many hours a day will the foster dog be alone?

Do you have means to safely isolate foster dog ?

crate, kennel run, laundry room?

Where will the foster dogs spend his days?

Indoors? Basement? Garage? Fenced yard (loose)? Kennel run?

Where will the foster dogs spend his nights?

Indoors? Crated Indoors? Basement? Garage?

Other animals (dogs/cats) in your home?

Do your pets get along with other dogs?

Have you ever owned Chesapeake(s)?

Why are your interested in fostering a Chesapeake?

Are you willing to care for your foster Chesapeake through medical treatment?

Are you willing to care for your foster Chesapeake through spay/neuter?

Are you willing to help your foster Chesapeake with:

Basic Training

House Training

Socialization

Transport

Foster a special needs dog

This field is hidden when viewing the form

Are you willing to help your foster Chesapeake with:

Name of your Veterinarian

Phone of your Veterinarian

If fostering, are you willing to have one of our volunteers visit your home?

We take safety seriously. Are you willing to read our volunteer / foster manual and watch a few short videos on safety?*

What else would you like to tell us about yourself?

Do want to be added to CBR Relief and Rescue email listing?

Yes, Sign Me Up!!

CBRR&R sends out monthly newsletters and other CBR related emails. Please join us.

Are you human?

Volunteer & Foster Request Form

PLEASE SELECT YOUR REGION BELOW

Fosters Only Section

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