Foster Application
Thank you for your interest in becoming part of our Foster Family network! Please fill out the form below completely and we'll get back to you soon with any additional questions.
We truly appreciate your willingness to help these animals that may need some special care. You are an angel!
Sign in to Google to save your progress. Learn more
Name *
Address *
Email *
Phone number *
Date of Birth
*
MM
/
DD
/
YYYY
Do you Rent or Own your home?
*
If "Rent", please provide your landlord's Name and Phone number
Where would your foster pet(s) stay?
*
If / when Outside, please describe  how the pet would be confined (i.e. on leash, chain, kennel, fenced area, etc.)
*
Do you have a quiet place where your foster pet can adjust, away from other animals? *
Please list the ages of all children under 18 in your home
*
Please list the names, types, breeds and ages of all other animals in your home
*
Please provide your Veterinarian's name and phone number
*
Are all your current pets spayed/neutered?
*

When fostering pets from a high-intake facility, it is very important that all of your pets at home be up-to-date on all vaccinations and boosters, for their protection. This includes Rabies, DA2PPV / FVRCP (including boosters) and Bordatella (Kennel Cough) 

Are your current pets up to date on vaccines?

*
Are your current pets protected by flea / tick / heartworm control?
*
Please confirm your understanding that, even when taking all reasonable precautions,  fostering an animal could still pose a risk to your existing pets *
Required
What types of pets are you willing to foster? (Please check all that apply)
*
Required
How long could you keep a foster pet?
*

I understand that all animals fostered remain the property of the LOGAN COUNTY HUMANE SOCIETY (LCHS) and must be adopted through the LCHS application process. I understand and agree that I may not transfer or adopt out my foster animal to any other person, family, rescue, shelter or organization without the prior written permission of the Logan County Humane Society. Any friend or relative of a foster parent who wishes to take over my foster or to adopt my foster must apply and meet the same criteria as any other adopter.

By checking "I Agree" below, I agree to take proper care of my foster animal, providing appropriate food, shelter, bedding, exercise, medical care, training, love and affection, to keep in regular contact with LCHS, report any problems, medical issues or symptoms immediately, and return the animal to the LCHS for any medical appointments or treatments required. 

By signing this I understand that failure to comply with any of these conditions will hereby terminate my status as a foster parent. 

In agreeing to this Foster Parent Agreement I  hereby acknowledge that by bringing into my household animals that are or may be sick or injured, there is a risk to my own animals, even though they have been properly vaccinated. By signing this, I agree not to hold LCHS liable for any illness or injury caused as a result of any animal I am fostering.

*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report