Please complete and submit the Foster Agreement online below. FOSTER HOME/ANIMAL SHELTER AGENT AGREEMENT Georgia Department of Agriculture (Hereinafter "GDA")PLEASE PRINT THE FOLLOWING INFORMATION:"GDA" Licensed Animal Shelter (name) agrees to allow (name)(Required) to serve as their Foster Home/Animal Shelter Agent under "GDA" animal shelter license # "Foster Home/Animal Shelter Agent Agreement" Effective Date(Required) Month Day Year [1] This agreement must be on file at the above Animal Shelter's licensed address, and a copy of this agreement must be on file at the Foster Home/Animal Shelter Agent's address. [2] All animals will remain the property of the above licensed animal shelter until an outgoing animal transaction is completed. [3] If the licensed animal shelter or the Foster Home/Animal Shelter Agent terminates this agreement the licensed animal shelter must remove the animal(s) from the Foster Home/Animal Shelter Agent's possession as soon as possible. [4] Upon request from the licensed animal shelter the Foster Home/Animal Shelter Agent must release possession of the animal(s) to the licensed animal shelter that is the owner of the animal(s). [5] The Foster Home/Animal Shelter Agent must have license holder approval prior to rescuing any animal. [6] The Foster Home/Animal Shelter Agent agrees to authorized animal shelter personnel performing the recommended pre-approval inspection done prior to becoming a foster home and the required periodic inspections twice yearly (one during the summer and one during the winter is recommended). The Foster Home/Animal Shelter Agent agrees to inspections by GDA personnel when necessary. [7] The Foster Home/Animal Shelter Agent agrees to comply with all applicable laws and rules, including the Bird Dealers Licensing Act, O.C.G.A. & 4-10-1, et seq., the Georgia Animal Protection Act, O.C.G.A. & 4-11-1, et seq., the Bird Dealers Licensing Rules, 40-13-12, et seq., and the Animal Protection Rules, 40-13-13, et seq.------------------------------------------------------------------------------------------------------------PLEASE PRINT THE FOLLOWING FOSTER HOME/ANIMAL SHELTER AGENT INFORMATION:Physical Address(Required) County(Required) City(Required) State(Required) Zip(Required) ------------------------------------------------------------------------------------------------------------FOSTER HOME/ANIMAL SHELTER AGENT AND LICENSE HOLDER CONSENT TO COMPLY WITH THIS AGREEMENT:Foster Home/Animal Shelter Agent (Signature)(Required)Foster Home/Animal Shelter Agent (Printed Name)(Required) License Holder (Signature) License Holder (Printed Name) CAPTCHANameThis field is for validation purposes and should be left unchanged.