Foster Application

Foster Information

I'm interested in fostering a:

Cat or Kitten

Dog or Puppy

Small Animal

Other/Open/Not Sure Yet

I can support the following needs:

Mom & Nursing Babies (up to 12 week commitment)

Senior

Medical Issues (surgery recovery, providing shots, providing medicine, etc.)

Required Socialization

Behavior Modification (training certificate required)

Any behavior issues you would find difficult to work with?

First Name

Middle Name

Last Name

Former Names (Maiden name, previous name after a name change, etc.)

Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Phone

Birthday

Month

Day

Year

Employer/Source of Income

Employer Phone

Number of Years Employed

Supervisor's Full Name

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Address

Country/Region

Address

City

Zip / Postal code

Emergency Contact Phone

Emergency Contact Email

Home Environment

Home Type

Rent

Own

Live with Parents/Relatives

How many hours are you gone during the day?

While away, where will this pet be kept?

Current Pet Information

Household Members

Other Adults

Children

Seniors

Is anyone in your household allergic to any animals?

Yes

Do you have other pets in your home?

Yes

If you previously owned pets in the last three years, but no longer have them please indicate why:

Have you ever had to rehome a pet or surrender a pet to a humane society/rescue?

Yes

Disclosure

By submitting this form,

I certify that I am at least 18 years of age and the information given is true. I authorize any and all verifications of statements made in the application. I recognize that any misrepresentation of facts may result in losing the privilege of fostering a pet.
I understand that SWCHS will provide supplies and make all decisions about medical attention for my SWCHS foster animal(s). I am responsible for all aspects of the daily care of my SWCHS foster animal.
I understand SWCHS has the right to do a follow up visit and take pictures showing proper shelter is being provided for any animal kept outside. If the animal(s) I am fostering become ill, injured, or lost, I will contact SWCHS immediately.
I understand how the foster process works, agree to complete any spay/neuter requirements, and to pay fees involved with adoption if the foster pet does not return to SWCHS.
I understand that fosters are assigned as needed and there may be times where no fosters are required.
I understand that I am allowed to refuse any foster animal offered to me.
I understand all terms and conditions.

Please note that SWCHS has the right to accept or deny this application for any reason. A completed application does not guarantee an approved application. Upon approval of this application, a physical signature may be required.

Foster Application

Foster Information

Emergency Contact

Home Environment

Current Pet Information

Other Questions

Disclosure