Dog Re-homing Questionnaire

*If renting, please provide a copy of the tenancy contract which states that pets are allowed, otherwise, an NOC from landlord.
fill above Name: __________ Age:_________ Relationship:___________________________
fill above Name:______ Age: Breed:_____ Date of last vaccinations:______
By submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. I understand that if I am accepted as a foster, that I am NOT the rightful owner of the dog and any medical deci-sions/rehoming decisions will be made by FURRBALLS UAE. I understand that any false statements, omissions, or other misrepresentations made by me on this application may result in an immediate termination of the foster contract and the foster dog to be returned. FURRBALLS shall be held harmless from and against any and all claims and damages of every kind, for injury to any person or persons and for damage to or loss of property, arising out of or attributed to, directly or indirectly, the operations or performance of the above named volunteer (foster) under this agreement, in-cluding claims and damages arising in whole or part from the negligence of FURRBALLS. I agree to notify FURRBALLS of any emergencies such as illness, escapes, injuries or any concerns pertaining to my foster as soon as possible.


Signature_________________________ , Date:___________________________