Roane County Paws Foster Application

Roane County Paws 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.
Email (Initial contact will be made here)
example@example.com
Do you currently have animals in your home?

YesNo
Are all pets up to date on vaccines and spayed/neutered?

YesNoNot applicable
Personal Veterinarian Name and Contact Information:
Do you have a securely fenced yard?

YesNo
Do you rent or own your home?

RentOwn
If renting, please provide landlord/property management name and contact information.
Would you like to foster:

DogsCatsBoth
Please let us know the time frame you are willing to foster:
Are you willing and able to take the foster animal to appointments? (Vet, grooming, etc)

YesNo
Are you 18 years or older?

YesNo
*Roane County Paws is not responsible for any harm/damages done by the foster animal during the foster period.

*Any known health or behavorial issues will be disclosed prior to beginning of the foster period.

*Regular contact must be made with a Roane County Paws representative for the duration of the foster period.

*All needed supplies and vet care will be paid for by Roane County Paws.

*A home visit is required before the start of the foster period.
I agree and understand the statements above:

YesNoI have more questions. Please contact me.
Should be Empty: