FOSTER APPLICATION
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 Address
example@example.com
Please indicate the type of animals you interested in adopting
*
Adult Small Dog under 20lbs
Adult Medium Dog 20lbs- 50lbs
Adult Large Dog 50lbs- 80lbs
Adult X-Large 80lbs and over
Senior Small Dog under 20lbs
Senior Medium Dog 20lbs- 50lbs
Senior Large Dog 50lbs- 80lbs
Senior X-Large 80lbs and over
Puppies
Litter of puppies and mom
Pregnant Dog
Kittens
Litter of kittens and mom
Pregnant Cat
Small Animal (Rabbit, guinea pig, hamster etc)
Where do you live?
*
Townhouse
Single Family Home
Farm
Apartment
Other
Do you have a fenced yard?
*
Yes
No
If fenced, what type of fence (material used)?
How many people are currently living in your home?
*
Please indicate the number of children and their ages
*
Does anyone in your household suffer from allergies?
*
Yes
No
If yes, provide more information:
*
Who will be responsible for feeding and caring for the foster animal?
*
Approximately how many hours each day will the animal be left along?
*
Describe your home's activity level?
*
Busy/active/noisy
Moderate comings/goings
Quiet, occasional guests
What pets do you currently own?
*
Dog
Puppy
Cat
Kitten
None
Other
Tell us more about the pets you currently own: Breed, Age, Gender, Spayed/neutered, Vaccinated?
*
Are there any other pets in the household?
*
Yes
No
Occasionally
If yes, how are they with other animals?
*
Do you have a Veterinarian
*
Yes
No
On a waiting list
Why do you want to be a foster caregiver?
*
Have you fostered animals in the past?
*
Yes
No
Please describe your animal care background:
*
For what period of time are you willing and able to foster a animal?
What hobbies and activities does your family enjoy?
*
Are you willing to allow the Prince George Humane Society to inspect your home before and during fostering?
*
Yes
No
Are you willing to allow the a potential adopter to meet a fostered animal in your home at a prearranged, mutually convenient time??
*
Yes
No
Are you willing to transport a animal to and from veterinary appointments?
*
Yes
No
Are you willing to foster a animal under any of the conditions below? Check all that apply:
*
An animal with behaviour issues
An animal requiring housetraining
An animal recovering from sugary
An animal requiring medication
An animal requiring bottle feeding
I, the Undersigned, assume the risk of being bitten, scratched, or injured in connection with my PGHS fostering work. The risks may include but not limited to , being bit or nipped by rescue animals, lifting animals or crates, vehicular traffic, actions of other people including, but not limited to, participants, volunteers and spectators. PGHS is not liable to me or my guardian for any injuries, damages, liabilities, losses, judgments, costs or expenses whatsoever, which I might suffer or sustain in connection with my PGHS fostering activities.
*
I agree
I understand the Prince George Humane Society is not providing any medical or other insurance benefits to me. I am in good health and have no physical condition, disability, or injury that would make it dangerous for me to participate in volunteering for the Prince George Humane Society.
*
I agree
I understand that fostering for the Prince George Humane Society is voluntary and and I am not a paid employee of the Prince George Humane Society by virtue of fostering. I will receive no financial compensation for my time fostering, other than approved incurred expenses.
*
I agree
Applicants Signature
Date
*
/
Month
/
Day
Year
Submit
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