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PO Box 493
Princess Anne MD 21853
(410) 651-2424
7922A Crisfield Hwy.
Westover, MD 21871
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The Humane Society of Somerset County, Maryland
Our mission is to prevent cruelty to animals, promote respect for their intrinsic value, eliminate pet overpopulation and enhance the bond between humans and animals.
Foster Care Provider Application
Fill out this form to submit your application Online, or print out the application and bring it with you.
Foster Care Agreement
1. You are responsible for the daily care (feeding, exercising, medicating, 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 an animal, you will immediately notify the Humane Society so that other arrangements can be made.
3. The animals belong to the Humane Society. You may not rehome any animal without the written permission of the Board of the Humane Society.
Name   Email Address 
Street 
City   State   Zip 
Phone     
Is it okay to call you at work? Yes  No
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? 
Vet's location:   Phone: 
Would you consider fostering an older cat, or a cat with special needs?
Yes  No
How long are you able to foster? 
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?
Do you have any questions?
Foster Care Contract
By filling out 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.
By typing your name below you indicate that you will sign a printout of this application before you are approved as a care provider.
Typed Name(s) of Foster Care Provider(s)

Date Submitted

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