FOSTER CARE RELEASE FORM

The person named below who is providing transportation and foster care services for the MoKan OES Rescue, Inc. assumes all responsibility for the actions of any rescue OES while in the care of the undersigned. This responsibility starts from the time that the dog is picked up until it is signed over to a veterinary hospital, other facility, or adoptive home.

MoKan OES Rescue, Inc. will provide any collar, leash, or crate necessary to provide appropriate, safe transportation/foster care for a rescue OES. The person providing transportation/foster care will function in a manner required by the guidelines and requirements written out and given to her/him describing the role of the individual in providing transportation/foster care for the MoKan OES Rescue Program.

I have read and agree to the requirements above:

______________________________________ (Print)

______________________________________ (Signed)

______________________________________ (Date)

Please fill out and return to:
Carol Lake
4330 County Rd KK
Smithville, MO 64089