Foster Care Agreement
1. You are responsible for the daily care (feeding, exercising, etc.) of the animal for the period in which it remains in foster care at your home.
2. If you are no longer able to care for the animal, you will immediately notify the Humane Society so that other arrangements can be made.
3. You may not rehome any animal without the written permission of the Board of the Humane Society.
|City:______________________________ State:______ Zip:___________|
|Phone: (home)_____________ (cell)_____________ (work)____________ [ ] Don't call at work.|
|Have you ever fostered an animal before? Yes____ No____|
|If yes, what kind of animal did you foster?____________________________________________|
|When did you foster the animal?_________________________________________________|
|Are you 18 years of age or older? Yes____ No____ If no, how old are you?____|
|Are there children in your home? Yes____ No____ If yes, what are their ages?____ ____ ____|
|Are there elderly or infirm persons in your home? Yes____ No____|
|Is anyone in your home afraid of large animals? Yes____ No____|
|Are there any dogs, cats or other pets in your home? Yes____ No____|
|If yes, how many? Cats______ Dogs______ Other______|
|Are they spayed or neutered? Yes____ No____|
|Are they ALL up to date on shots? Yes____ No____|
|Is your yard fully fenced? Yes____ No____|
|Do you have a kennel or dog run? Yes____ No____|
|Who is your Veterinarian?________________________ Location:____________ Phone:_________|
|Would you consider fostering an older cat, or a cat with special needs? Yes____ No____|
|How long are you able to foster? Short Term______ Long Term______ Doesn't Matter______|
|Can you foster more than one animal? Yes____ No____|
|If yes, how many animals can you foster?____|
|How many hours per day will the animal be alone?____|
|Tell us about yourself...why do you want to be a foster care provider?|
|Please ask any questions or make any comments here:|
By signing this application you indicate that you are an independent contractor volunteering for The Humane Society of Somerset County, Inc.
Although the animals in your care belong to the Humane Society, the Humane Society cannot be held liable for any damages that the animals may cause to you, your property, or your home while in your care.
Signature(s) of Foster Care Provider(s):
Signature of Society Representative: