Name______________________________________ Date of Birth _________________

Address_________________________________________________________________

Daytime Telephone #________________________ Evening Phone # ________________

E-Mail address___________________________________________________________

  I am willing to foster the following (please circle):

 Pregnant Cat/Cat with Kittens Pregnant Dog/Dog with Puppies
 Orphaned Kittens             Orphaned Puppies
 Sick Cat/Kitten   Sick Dog/Puppy
 Adult Cat               Adult Dog

Do you or have you ever owned a pet?       YES          NO
What type and how many animals do you currently have in your home? ________________________________________________________________________
Are the animals currently in your home spayed or neutered?   YES       NO
Who is your local vet? (we may call your vet for a reference)  ________________________________________________________________________
Do you own or rent your home?     OWN            RENT
If you rent, who is your landlord? ____________________________________________
What is your landlord’s telephone number? ____________________________________
Please describe the general area where the animal(s) to be fostered will be kept:  

________________________________________________________________________

________________________________________________________________________ 
Do you have children?  ______  If so, what are their ages?_________________________
Have you ever fostered animals before (this applies to any organization)?     YES       NO 
Would you be willing to foster exotic animals?    YES         NO 
If yes, what type of exotic animals do you have experience with?  ___________________ 

Are you willing to allow the SPCA to visit the animal(s) at your home? *    YES       NO
*For example, to take a digital picture for the website.

Are you willing to abide by all animal control laws with regard to your foster animals?  YES   NO

Frequently, we try to have animals adopted directly from a foster home.
Can a prospective adopter call you regarding your foster animal?         YES          NO
Can they visit your home to see the animal?            YES            NO 
Please provide three references, listing their name and telephone number:  

1. _____________________________________________________________________

2. _____________________________________________________________________

3. _____________________________________________________________________

As a foster parent you will be required to keep your foster dog(s) on a lease or enclosed (within a fence adequate for the animal or in a home) at all times.  Foster cats must be kept indoors at all times.  By initialing, you acknowledge that you will abide by these provisions.  Initials: ________
 

As a foster parent, you may have an animal in your care for a short period of time (1 week) or an extended period of time (as many as 3 months or more).  This will be determined when you receive an animal to be fostered.  However, this amount of time is subject to change depending on circumstances at the shelter.  If you know that you will be on vacation during the period of time you are being asked to foster, you are obliged to inform the SPCA as such.  This will allow us to find the most suitable temporary accommodations for your animal.

All new foster parents must attend a foster orientation.  You will be contacted in regards to the date, time and location of this orientation.  Additionally, while you are caring for foster animals, we may call you from time to time to check on the animals’ progress and address any concerns you may have. 

As a foster parent, we want you to know that it is occasionally necessary to euthanize animals that have been in foster care.  Although this is an option of last resort, it does occur for different reasons.

By signing this form, you agree to the above statements and certify that the answers given are true. 

Signature  ______________________________________ Date ___________________
 
 

Office Use Only:

A __________       D ______________  Orientation Date_______________

Comments ______________________________________________________________

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