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Foster Care Application
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Name: _________________________________________________
Address: _______________________________________________
Phone Number: ________________E Mail Address_________________
How many people live in your household? ____________________
Are there any children? If so, ages: _________________________
Do you have any other pets now? Yes / No
What kind of pets? _______________________________________
Are your pets
Spayed/ neutered? _______________________________________
How long will the foster animal be left unattended? ______________
Where will the foster animal be kept? _________________________
Do you have a fenced yard? Yes / No
How will the animal get exercise if you answered "no" to the previous
question? ______________________________________________
Do you know how to housebreak? Yes / No
Do you have a place where any new foster animal can be isolated from other animals? ______________________________________
Vet's name: ____________________________________________
Will you allow a representative of the Twin County Humane Society to
visit your home? _________________________________________
Foster Program Agreement
1. Only animals approved by the Board will be foster animals.
2. Animals will severe behavioral problems and/or that have bitten or shown aggression will not be foster animals.
3. Foster agreement includes spay/neuter, first worming, rabies
vaccination, first inoculations, and for a dog/puppy, a
heartworm test; for a cat/kitten, a leukemia test.
4. All of the adoption fee will be returned to the Twin County
Humane Society.
I understand that when fostering an animal for the Twin County Humane Society I am fully responsible for the well being of the animal. I understand that I will be providing food and shelter for the animal, while the Twin County Humane Society will provide veterinary services. I am responsible for letting Suzanne Collins, or another representative of the Twin County Humane Society know if the animal becomes ill and will take it to the veterinarian specified by that person. I understand that I am not to adopt out any animal that belongs to the Twin County Humane Society before the adoption is approved by the Adoption Committee. I understand that if I can no longer foster the animal that I will contact the Adoption Committee chairperson, Suzanne Collins
Name: _________________________________________________
Signature: ______________________________________________
Date: _________________________ |
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