| Date: |
|
| Full name: |
|
| Email address: |
|
| Physical address |
|
| Mailing address: |
|
| Home phone: |
|
| Work Phone: |
|
| Cell Phone: |
|
Do you currently have animals? |
|
Number of
dogs: |
|
Number of
cats: |
|
Other (what
kind) and how
many: |
|
Are your pets spayed/neutered? |
|
If not, why
not? |
|
| |
Have you had any animal
related diseases in your household, e.g., parvo, feline leukemia,
feline AIDS? (If so, what disease(s) and when did they occur?) |
| Do you have a fenced
yard? |
|
Height of
fence: |
|
| |
How many hours are you gone during the day when
your foster pet would be alone?
|
| |
Where will your foster animals
be housed at that time?
|
| |
Are other members of your
household aware and/or willing to participate in the fostering of animals? |
| Do you have children? |
|
| What
ages? |
|
| Would you be willing to foster: |
|
Puppies with mother
|
|
Puppies without mother
|
|
Adult dogs
|
|
Kittens with mother
|
|
Kittens without mother
|
|
Adult cats
|
|
| |
Are you interested in rehabilitation work
(e.g., injured, underweight, or undersocialized
animals, etc.?)
|
| |
Have you ever fostered or volunteered here or
with any other animal shelter? (If so, where?) |
| |
Why do you want to foster for the Routt
County Humane Society?
|
| |
VET REFERENCE: WE WILL REQUIRE THE NAME OF YOUR
CURRENT VET, OR IF YOU HAVE NO ANIMALS AT THIS TIME, A VET YOU HAVE USED
IN THE RECENT PAST. WE WILL CALL THE VET TO CHECK ON YOUR PREVIOUS CARE
OF ANIMALS. |
| Name of Vet's Office: |
|
| Vet phone: |
|
| Approx. date of last visit |
|
| Reason for last visit: |
|
| |
THE ROUTT COUNTY HUMANE SOCIETY
MAY REQUIRE A HOME VISIT PRIOR TO PLACING AN ANIMAL IN YOUR CARE.
IS THIS ACCEPTABLE?
|
| |
|
| |
I release the Routt County Humane
Society from any liability of injury or illness I, my family, or my pets may
receive while volunteering as a foster parent for
the Routt County Humane Society. I have received, read, and understand
the foster parent guidelines. |
| Name: |
|
| Date: |
|
|
