Rescue website: Gainesville Cockatiel Rescue Contact: Jennifer Hugus

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1 Foster Application Rescue website: Gainesville Cockatiel Rescue Contact: Jennifer Hugus Caring for a bird is a serious responsibility. Each potential foster parent must be willing to provide adequate housing, good nutrition, exercise, and stimulation for the bird. It is important that you educate yourself on the species you wish to foster and ask any questions on aspects of care you are uncertain about. Please fill in all the answers and this application back to: betta5@yahoo.com with the subject Foster Application. All questions must be answered to proceed. Bird Fostering agreement: I am requesting to foster a bird within my home and will take appropriate care of any bird in my care. I will give the bird(s) fresh food and water daily and set aside some time each day to interact with it/them. I will contact the rescue immediately and return the bird(s), if I can no longer care for the bird. I will not sell, give away or breed the bird(s). I understand that the bird(s) belong to Gainesville Cockatiel Rescue (Jennifer Hugus) and must be returned immediately upon request. I agree not to hold Jennifer Hugus or other representatives of Gainesville Cockatiel Rescue personally or otherwise responsible in the event that I sustain emotional, financial, personal or property damage while serving the rescue/caring for the bird (s). I agree to follow any special instructions to care for the bird (s) I am fostering. I understand that effort is made to make sure that birds are healthy before being placed in foster care but I will not hold Jennifer Hugus (Gainesville Cockatiel Rescue) responsible for any illness that appears. I will use proper quarantine procedures if I have other birds to avoid the transfer of any disease that may be carried. Any known diseases/issues will be disclosed before the bird is offered for fostering. Unless you are willing to take the foster bird to the vet and pay the vet bills yourself (without reimbursement), any bird found to be ill must be returned to Jennifer Hugus (Gainesville Cockatiel Rescue) immediately for care. I have read and understand the agreement above in its entirety and agree to the terms. Name: Household Information Signature (to be added later):

2 Your Name: Partner s Name: Your Age (place an X next to one): Partner s Age (place an X next to one): Do you have any children living (full- or part-time) in your home? If yes, please list names and ages below: Child #1 Name: Age: Child #2 Name: Age: Child #3 Name: Age: Child #4 Name: Age: I agree to supervise all children who are handling or interacting with any rescue bird. Home Address: City: State: Zip Code: Home Phone: Your Partner s Your Employer: Your Occupation: Years Employed There: Your Work Hours: Your Work Address:

3 City: State: Zip Code: Partner s Employer: Partner s Occupation: Years Employed There: Partner s Work Hours: Partner s Work Address: City: State: Zip Code: Partner s Work Phone: Who will be the primary caregiver(s) for this bird? Are all members of the household aware that you are applying to foster a bird? In what type of residence do you live? (House, Condominium, Apartment, Other) Do you rent or own your home? If renting, does your landlord allow pets? Landlord s Name: Phone: Does anyone in your household have a health condition that could hinder his or her ability to handle or care for the bird.? If yes, please describe: Does anyone in your household have allergies? If yes, Please list Does anyone in your home smoke? Do you currently have other birds in your home? If yes, how many and what species? Have you had previously owned birds that you no longer own? If yes, why do you no longer own these birds. What happened to them?

4 Do you currently have other pets living in your home? If yes, please list the species and how many: Describe your daily routine at home:. Does this routine change on weekends?. If yes, how? Do you need information on proper bird care and quarantine procedures? Would you be interested in doing home visits for Gainesville Cockatiel Rescue? If yes, how far are you willing to travel? Within Gainesville: An hour away: 2 hours away: Please list any other way that you would like to volunteer for Gainesville Cockatiel Rescue: Anticipated Household Changes

5 How long do you plan to act as a foster parent for the bird (s)? This is an estimate, a bird can be returned at any time if you can no longer care for him/her, them. Do you travel with your job or family? Who would care for the bird(s) while you are gone? Interest in Birds to foster: (Note: there is no right or wrong answer to these questions, they just help to pair up birds with foster volunteers). How many birds would you like to foster? Do you have a gender preference (male / female)? Are you interested in fostering a tame bird? Are you interested in fostering birds that are not tame? Do you have the experience/desire to work with birds to tame them if they are not currently tame? Are you able to foster an ill bird that requires medication? Are you interested in fostering a bird that has a non-contagious disease or disability? Would you like to foster a pair of birds (same gender or opposite)? Do you plan to keep the bird(s) caged all day or will you have time to let them come out and interact with you? Are you willing to pay for supplies (food/toys) the bird (s) need? (Note: vet bills are not included in this question if the bird becomes ill, return it immediately to the rescue and the illness will be treated). It is not a requirement for you to pay for food or toys but it does make it easier to keep taking in birds in need as no monetary donations are currently accepted to pay for the birds or their care (so all expenses come out of pocket).

6 References Please list at least 2 people who have known you for at least 5 years. These people should not be relatives. (Please include addresses, if at all possible, for quicker correspondence). Reference 1: Reference 2: Reference 3: Reference 4: I understand this bird must be kept in my home. If I can no longer keep the bird for any reason, it will be returned to the rescue. I understand that I must contact Jennifer Hugus if any of my contact information changes (including phone number(s), address(es) and address(es). I also agree to a home visit before being approved to foster a bird (or birds). I understand that Jennifer Hugus or a representative of the rescue (a.k.a. Gainesville Cockatiel Rescue) may make periodic home visits to my home to check on the bird. I also understand that the references listed above may be contacted before this application is approved. You will be required to sign a paper copy of this application if approved to become a bird foster parent. Applicants Signature: Date: