Foster App (1)

Pope Memorial Frontier Animal Shelter

Foster Parent Application

Name

Address

Cell

Date of Birth

Date

Animals You Are Interested in Fostering:Dog- PuppiesCat- KittensPregnant CatsPregnant DogsLitter of Puppies without MotherLitter of Kittens without MotherKittens with MotherBottle-Fed PuppiesBottle-Fed KittensFeline Needing Medical CareCanine Needing Medical CareCanines or Felines Needing Behavioral Training/Socialization

Do you rent or own?

Do you own the land that you live on? Yes No If no, please list Landlord's name and phone

Landlord

First NameLast Name

How many adults

Ages of children

Please tell us about the animals that are presently/recently under your care:

Who is/has been your Veterinarian

Do you have an area inside to confine your fostered animal(s)? Yes No If yes, please describe:

How long will a foster animal be alone per day at your home

Have you ever adopted or fostered for this shelter before? Yes No

YesNo

Have you ever brought an animal to a shelter before? Yes No If yes, please describe:

What year

What types of animals

Have you adopted or fostered for any other shelters? Yes No

yesno

Please list the name of the shelter, the year, and what you fostered:

Different animals need to be in foster care for different lengths of time What do you honestly feel is the longest period of time you would be willing to keep an animal in your home

Are you prepared to deal with the possible death of a foster animal (natural or by euthasia? Please explain:

Foster care is a temporary agreement; realizing this fact, will you be able to remain emotionally separated and able to part with a foster animal when the time comes? Please share your thoughts:

Name

Phone

Name

Phone

Please list two professional references:

Name

Phone

Name

Phone

Are you willing to allow a member of PMFAS to visit your home? Yes No

Are you willing to allow a member of PMFAS to visit your home?

YesNoType option 3Type option 4

For the purpose of fostering an animal, the undersigned certify that the above statements are true and complete, authorize Pope Memorial Frontier Animal Shelter, or its agents, to verify any information from the veterinarian concerning current of previous animals. Pope Memorial Frontier Animal Shelter reserves the right to determine whether a given animal is a suitable to the person, family, or lifestyle, to limit the placement of puppies or kittens under the age of 4 months to any homes with children under the age of 4 years, and to deny any foster care in the best interest of the animal(s

Printed name

Date

Please list two personal references: