Foster Care Application

Full name *

Street address *

City *

State *

Zip code *

Phone number *

Email address *

Housing ownership status *

Own

Rent

Landlord's name *

Landlord's phone number *

Apartment complex name (if applicable)

How many hours would foster animals be home alone on an average day? *

Do you have pets of your own? *

Yes

No

How many and what type(s) of animal(s) do you have? *

What animals are you interested in fostering? (Please select all that apply) *

Nursing cat with kittens (4-8 weeks of care)

Orphaned kittens (1-8 weeks of care)

Injured/sick cat (2-6 weeks of care)

Under-socialized cat (2-6 weeks of care)

Nursing dog with puppies (4-8 weeks of care)

Orphaned puppies (1-8 weeks of care)

Injured/sick dog (2-6 weeks of care)

Under-socialized dog (2-6 weeks of care)

Heartworm recovery dog (~2 months of care)

Do you have any prior experience with foster care? *

Yes

No

How did you hear about our foster care program? *

Foster parents are required to provide transportation to bring foster animal(s) into the shelter for checkups and regular vaccinations. Please confirm your understanding. *

I understand

Do you have a confined area where you are able to keep the foster animal(s) separate from your own pet(s) for health reasons? *

Yes

No

If any personal pets become ill from being around the foster animal, the shelter cannot treat them. Please confirm your understanding. *

I understand

Are you willing to administer medications should the foster animal(s) require them? *

Yes

No

To become an LHS foster parent, I understand that I will be required to fully read the foster care manual. If I meet the requirements of the program, I agree to fulfill the duties and responsibilities of an LHS foster parent outlined and to abide by the policies an procedures of the foster care program. *

Please type your full name as a digital signature.

Foster Care Application

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