Foster Application

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Name *

Phone *

Email *

Address *

City *

State *

Zip *

Employer *

Employed Since *

Please list all current pets, their names, types, Age, and sex/altered status *

Please list all previous pets, their names, types, sex/ altered status, what happened to them, and how long ago *

Veterinarian's Name *

Veterinarian's Phone *

What training have you given your pets? *

Why are you interested in becoming a foster parent? *

What type of animal do you want to foster? *

Dog

Cat

Do you have a preference for animal gender? *

Male

Female

Either

Do you have a breed or size preference? *

Yes

If you do have a breed or size preference, please specify

Do you have a preference for animal age? *

Have you ever adopted from an animal control or rescue agency? *

Are there any medical conditions, including any allergies, that might interfere with ownership of a new pet? *

If yes, please explain

Have you ever had an application declined by an animal control / rescue agency? *

If yes, why was the application declined?

In what type of home do you live? *

How long have you lived there? *

Are you open to a home visit? *

Do you own or rent?

Own

Rent

Does anyone in your home smoke?

Yes, inside the home

Yes, but smoking is only permitted outdoors

Occasionally, but only when not at home

If you rent, please provide your Landlord’s name *

Landlord's Phone number *

Is your yard fenced? *

Do you understand that some of the animals may not be housebroken and that changing their environment may cause the animal to have accidents and/or destroy household items? Are you willing to take the time to housebreak and train the animal? *

Yes

What method of housebreaking do you plan to use? *

What activity level best describes your home? *

It may take anywhere from 2 weeks to a month for your new pet to be comfortable in its new home. Are you willing to work with it through this adjustment period? *

Yes

This pet will primarily be *

What is the longest period of time the pet will be left alone daily? *

How many adults are in the home? *

Are there any children in the home?

If so, what are their ages?

Have your children been exposed to animals and the basic handling of them?

Where will the animal be left when you’re away from home?

Who will be responsible for the care, walking and exercise needs of the animal?

Please list two references (preferably not a relative), describe your relationship, and provide their contact information *

Thank you for your message. It has been sent.

There was an error trying to send your message. Please try again later.

BY SUBMITTING A FOSTER HOME APPLICATION YOU HAVE ACKNOWLEDGED YOUR AGREEMENT TO THE FOREGOING TERMS AND CONDITIONS. *

The Foster Family must be willing and able to Foster any dog or cat for a minimum of 60 days. Most are adopted within a 60 day range, however, some may take longer. The Foster Family will allow the shelter representative to show the dog or cat to potential adopters at various times with reasonable notice. The Foster Family will follow all relevant procedures and guidelines of HSMC regarding the pet placed in the foster home and will not make decisions or take actions regarding the pet's veterinary care or placement without prior approval from HSMC The veterinarians working with HSMC bill HSMC directly for approved medical services provided to our pets. In the event the Foster Family expends funds for pre-approved veterinary care, HSMC will reimburse the Foster Family. The Foster Family will provide the pet with humane care and maintain the pet in accordance with all current state, county and municipal laws and ordinances while the pet resides with the Foster Family. The Foster Family will provide the pet with necessary exercise and will not keep the pet chained or restrained. HSMC pets should not be kept as "outside only" pets. The Foster Family will assume responsibility for any charges/fees associated with general pet ownership at their rental home or apartment complex. This includes all pet deposits and pet rental fees. The Foster Family agrees to provide the pet with adequate food, water, shelter, affection, socialization, exercise, medical assistance, and to strive to increase the adoptability of the pet. If assistance with food is needed, HSMC will provide food upon request. If the pet cannot be kept by the Foster Family, the Foster Family shall notify HSMC immediately. The pet SHALL NOT BE SOLD, ABANDONED, RELINQUISHED TO A SHELTER OR POUND OR ANY THIRD PARTY WITHOUT THE PRIOR APPROVAL OF CARE. THE FOSTER FAMILY UNDERSTANDS THAT CARE AND ITS REPRESENTATIVES HAVE LIMITED INFORMATION REGARDING THE TEMPERAMENT OF THE PET OR ITS HABITS. THE FOSTER FAMILY WILL TAKE ALL REASONABLE PRECAUTIONS (THROUGH THE USE OF LEASHES, SUPERVISION AND COMMON SENSE) TO ENSURE THE PET DOES NOT RUN LOOSE, BECOME A NUISANCE, DESTROY PROPERTY, INJURE OR BE INJURED BY ANOTHER ANIMAL OR INJURE OR BE INJURED BY ANY PERSON. The pet is and shall remain the property of HSMC and may be removed by HSMC from the Foster Family at any time and without prior notice. The Foster Family agrees to be courteous, helpful and honest to potential adopters and to fully cooperate in accommodating those who wish to see the pet. In the event the Foster Family wishes to permanently adopt the pet, a HSMC Adoption Contract must be submitted to HSMC along with the requested adoption fee. The Foster Family should ensure that all of its pets are up to date on their vaccinations (including, without limitation, bordatella, parvo, corona, rabies, distemper) prior to bringing the pet into the foster home. THE FOSTER FAMILY DOES HEREBY RELEASE, DISCHARGE AND HOLD HARMLESS THE HUMANE SOCIETY OF MORGAN COUNTY AND ANY PERSON, FIRM OR CORPORATION CHARGED OR CHARGEABLE WITH LIABILITY TOGETHER WITH THEIR HEIRS, ADMINISTRATORS, EXECUTORS, SUCCESSORS AND ASSIGNS FROM ANY AND ALL CLAIMS, DAMAGES, COSTS, EXPENSES, LOSS OF SERVICES, ACTIONS OR CAUSES OF ACTION, WHETHER KNOWN OR UNKNOWN, BELONGING TO THE FOSTER FAMILY DUE TO ANY ACTION OR OCCURRENCE ARISING OUT OF OR IN CONNECTION WITH THE FOSTERING OF A PET FOR CARE.

Foster Application

Foster Application

Title

Humane Society of Morgan County, West Virginia

Location Address

Hours of Operation