Foster Application 2021

Name

First Name Last Name

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Email

example@example.com

Are you 21 years of age or older?

Yes No

Please tell us why you want to foster

Type of Residence

Single Family home Townhome/condo Apartment Trailer Other

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?

Yes No

If yes, what are their ages?

Do you currently have pets?

Yes No

If yes, what type (cats/dogs) and how many?

If no, have you had pets in the past?

Yes No

Please list types of past pets and reason you no longer have pet

For pets you currently have, are they spay/neutered?

Yes No

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

Rabies Distemper Heartworm Parvo (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 yard Stationary tie out Outdoor run Invisible fence Other

If fenced yard, type of fencing

When I am not home or able to supervise my foster animal, my foster will be:

In the yard In house In garage Loose in house In a designated room in house In 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

Accept Decline

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

Clear

Date

Name

First Name Last Name

Foster Application

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