Foster Application 2021

Foster Application
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Are you 21 years of age or older?

YesNo
Please tell us why you want to foster
Type of Residence

Single Family homeTownhome/condoApartmentTrailerOther
If you rent, please provide Landlord's name and contact information
If you have children, how many and ages
If you do not have children living with you, do you have children who visit regularily?

YesNo
If yes, what are their ages?
Do you currently have pets?

YesNo
If yes, what type (cats/dogs) and how many?
If no, have you had pets in the past?

YesNo
Please list types of past pets and reason you no longer have pet
For pets you currently have, are they spay/neutered?

YesNo
For pets you currently have, please check the vaccinations they are current on (check all that apply)

RabiesDistemperHeartwormParvo (dogs only)FeLV (cats only)FIV (cats only)
Name of current Veterinarian
Clinic Name
Phone number
If no current vet, name of previous veterinarian
Clinic Name
For dog fosters, please indicate the type of accomodations you have for dog(s)

Fenced yardStationary tie outOutdoor runInvisible fenceOther
If fenced yard, type of fencing
When I am not home or able to supervise my foster animal, my foster will be:

In the yardIn houseIn garageLoose in houseIn a designated room in houseIn a crate
In a 24 hour period, my foster pet would be alone (number of hours)
I understand that a representative from Mason County PAWS may do a home visit prior to placement of my first foster animal and a follow up home visit after my foster animal(s) arrive

AcceptDecline
ACKNOWLEDGEMENTS
I CERTIFY THAT i HAVE READ THE FOSTER QUESTIONS CAREFULLY AND THAT THE INFORMATION IN THIS FORSTER APPLICATION HAS BEEN ANSWERED TRUTHFULLY. I GIVE MASON COUNTY PAWS PERMISSION TO FULLY INVESTIAGE TTHE INFORMATION PROVIDED AS WELL AS CONTACT VETERINARIANS AND RELATED OFFICIALS.

I AGREE TO HAVE MASON COUNTY PAWS PRESENT MY FOSTER TO PETENTIAL ADOPTERS. I AFREE TO KEEP MY FOSTERS CURRENT ON ALL VET SERVICES, TESTING, AND PREVENTION, AND TO ACCURATELY DOUCMENT ALL PROCEDURES AS PART OF THE PENDING ADOPTION PAPERWORK.
Signature
Date

MonthDayYear
Date
Heading
Name

First NameLast Name
Should be Empty:

Foster Application

Heading