Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Please list all members in your home and the age of each person:
*
Please describe who will taking care of the fostered animals and how:
Please list all animals in your home, the breed, age, sex, and date of last rabies vaccination:
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Name of Vet Clinic you take your animals to:
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Vet's Phone#:
*
(###)
###
####
If needed, do you have approval to foster pets in your home?
*
Yes
No
Describe where you will be keeping the foster animals including how you will be separating them from your animals if necessary.
*
Approximately how long, on an average day, will foster animals be left alone in the home (without people to monitor eating, behavior, and elimination?)
*
Please describe any previous experience you have with caring for animals:
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Are you currently or have you previously fostered for any other humane society organization? If so, which one?
*
My household is able to foster the following cats or kittens: (check all that apply)
Pregnant cat
Nursing mother cat and litter
Kittens: 0-4 weeks of age
Older kittens: 4-10 weeks of age
Adult cat
Recovering from injury or surgery
On treatment for a cold
On treatment for ringworm
Needing behavioral modification
My household is able to foster the following dogs or puppies: (check all that apply)
Pregnant dog
Nursing mother dog and litter
Puppies: 0-4 weeks of age
Older puppies: 4-10 weeks of age
Adult dog
Recovering from injury or surgery
On treatment for a cold
On treatment for ringworm
Needing behavioral modification
Is there anything else you would like to share about yourself or your experience?