Foster Application

Name:

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone:

Email:

Are there any others residing in your home? If yes, please list names and relation:

How many children are living in your home? Ages?

Employer Name:

RESIDENTIAL INFORMATION

Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you been there?

Is this where the pet will be staying with you?

Do you own or rent? If you rent, you MUST provide name and contact information for your property owner. Applications will not be processed without this information?

Do you have any breed or weight restrictions?

Do you have a fenced yard? If so, please describe (yard, size, fence height):

OTHER INFORMATION

Name of the animal you are interested in fostering:

How long are you able too provide a foster home for this pet?

What makes you think this is a good choice for your family?

How many hours a week are you away from home?

Where will you keep your foster pet during this time?

Where will your foster pet be sleeping during the night?

Please list other pets in your home (species, breed, name, age):

Are all current pets current on vaccines and sterilized?

Does anyone in your home have asthma?

Have you or anyone in your home ever been convicted of animal cruelty or neglect?

What type of fostering are you interested in (medical, whelping, underage puppies, behavioral)?

Date you can begin fostering:

Are you able and willing to transport your foster pet to needed veterinary appointments?

Current veterinarian and phone number:

I understand that by submitting that I certify that all information provided on this form is true to the best of my knowledge. I give Ross County Humane Society of their named representative to verify the information I have provided. I understand that incomplete applications or any false/deliberate misrepresentation of the facts will result in the denial of this application. I understand that Ross County Humane Society has the right to deny an application for any reason.

RESIDENTIAL INFORMATION

OTHER INFORMATION

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