Houlton Humane Society Foster Application

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Date *

YYYY

Foster Parent Name *

Date of birth *

YYYY

Driver's license number *

Phone number *

Address where the animal(s) will be fostered *

Name of animal(s) to be fostered *

Breed *

Color *

Markings *

Please list the full names of anyone over the age of 18 living in your home. Include name and age. *

I am volunteering my home as a foster home for Houlton Humane Society. By signing this form, I am stating that all of my animals are spayed or neutered and up to date on vaccines needed and I will provide proof from a veterinarian. I understand that HHS is not responsible for any bodily injury or property damage in my home. I take full responsibility for this pet while in my care. I understand that in the case of an emergency, I must contact HHS immediately. HHS will provide all supplies needed while the dog or cat is in my home unless I choose to donate the supplies I need. During this foster period, I understand that the pet is not to leave my home. I understand this dog, cat or kittens is/are NOT mine and that HHS will be looking for an adoptive home or may have already found one. *

I agree

I do not agree

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