Page 4 | Pet Foster/A dopt Application
In signing this Application, I affirm that the information I provided in this application and as part of the foster
and/or adoption process is truthful and complete. I understand that although Sandoval County takes reasonable
precautions to screen pets and interested applicants, it makes no guarantee relating to the pet’s health, behavior,
or actions if placed in my care. I understand that I accept foster pets at my own risk and that I can reject foster
pets placed in my care at any time and for any reason. I also understand that I must complete and sign an
Adoption Agreement for any pet I might wish to adopt. I fully indemnify and hold harmless Sandoval County
and any of its agents, employees, contractors, and volunteers from all liability arising out of any and all claims,
demands, losses, damages, action, judgment of any kind and description which may occur or be suffered by me,
members of my household, or any third parties by reason of activities arising out of any pets I agree to have
placed in my home associated with this application.
____________________________________ _____________
SIGNATURE OF APPLICANT DATE
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Date Application Reviewed by Sandoval County:_________________________
Date of Interview with Applicant: _____________________________________
Reco
mmend (circle one) Approval/Denial for Foster:_______________________________________
STAFF AGENT
Final (circle one) Approval/Denial for Foster:_____________________________________________
COMMUNITY SERVICES DIRECTOR
Recommended (circle one) Approval/Denial for Adoption:___________________________________
STAFF AGENT
Final (circle one) Approval/Denial for Adoption:___________________________________________
COMMUNITY SERVICES DIRECTOR
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