Rutherford County Humane Society Foster Pet Parent Application

How to Foster a Pet

Fostering is an easy, direct and short-term way to make a lifetime of difference. It simply means temporarily opening your home to pets in need and giving them love and care while they wait to be adopted. Rutherford County Humane Society can provide everything you need, including food, supplies, support and medical care.

If you can help, please complete and submit the Foster Pet Application.

Foster Pet Parent Application

This is a multi page form. Please complete each page before clicking “Next” to proceed to the next page. When you complete all three pages and the form is submitted, you will receive an email with a printable PDF of your completed form. We will get back to you ASAP. If you need to stop and come back to the form later, click ‘Save and Continue’ A link will be provided for you to return and complete this form from any computer.

1Personal Information

2Pet Experience

3References

This field is for validation purposes and should be left unchanged.

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Cell Phone

Email(Required)

Your Age(Required)

21 years of age or older

Residence Type(Required)

House

Apartment

Condo

Residence Ownership(Required)

Rent

Own

How long have you lived at this address?:(Required)

Are you presently a volunteer for the Rutherford County Humane Society?(Required)

Yes

List all people who spend significant time in your home that you could expect to have regular contact with the foster animals:

Are any of these people pregnant or immune compromised?(Required)

Yes

Are any of these people allergic to animals?(Required)

Yes

Are any of these people under the age of 12?(Required)

Yes

If any of these people allergic to animals, please describe

What kinds of animals are you willing to foster?(Required)

Adult Cats

Mother Cats and Kittens

Animals on Medications

Adult Dogs

Mother Dogs and Puppies

Cruelty Case Animals

Puppies

Unsocialized/Shy Animals

Unweaned Bottle Fed Babies

Kittens Injured/Sick Animals

Have you had experience taking care of these animals?(Required)

Yes

Please Describe your had experience taking care of these animals?

What pets are currently living with you in your home?(Required)

Click the plus signs on right to add more rows

Species/Breed

Age

Sex

Spayed/Neutered?

Medical Problems?

Where are your animals during the day?(Required)

Where are your animals during the night?(Required)

Where do you keep food and water dishes for your animals?(Required)

Do your cats have an area for food and litter boxes that would be inaccessible to dogs?(Required)

Yes

Do Your current Animals like each other?(Required)

Yes

Do they like other animals?(Required)

Yes

What days and hours are all of the human adults typically gone from your house?(Required)

Do you have a regular schedule?(Required)

Yes

What do you do with your own pets when on vacation or out of town?(Required)

Do you have an area in your home where you can isolate foster animals?(Required)

Yes

Are you willing to keep foster dogs and/or puppies crated and cats and kittens confined when nohuman adults are home to supervise?(Required)

Yes

Do you understand that most dogs and pups will not be housebroken and kittens or cats under stress may sometimes potty outside the litter box? How will you handle this?(Required)

Do you have a fenced-in yard?(Required)

Yes

How will you exercise pups and dogs over 10 weeks of age?(Required)

Can you provide basic supplies (litter, litter boxes, treats, etc) for your foster animals?(Required)

Yes

Do you have experience administering medications to animals? If yes, please explain.(Required)

Do you understand that medical appointments for evaluation or treatment may be necessary? Would you be willing to take the foster pet to this appointment?(Required)

Yes

Are your current animals up-to-date on their vaccines?(Required)

Yes

Have they been neutered? If not, why?(Required)

Yes

If your pet have not been neutered, why?(Required)

What is your veterinarian's name?(Required)

First Last

What is the Veterinarian Clinic Phone Number?(Required)

What is your veterinarian's address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Reference #1(Required)

Please provide name, address, phone number & email address of NON-RELATED personal references, whom you have known for at least 3 years, and who may be familiar with your pet ownership history.

Name

Address

Phone

Reference #2(Required)

Please provide name, address, phone number & email address of NON-RELATED personal references, whom you have known for at least 3 years, and who may be familiar with your pet ownership history.

Name

Address

Phone

Reference #3(Required)

Please provide name, address, phone number & email address of NON-RELATED personal references, whom you have known for at least 3 years, and who may be familiar with your pet ownership history.

Name

Address

Phone

Please tell us why you would like to foster a pet and what makes you qualified to do so.(Required)

Recognition of Risk and Release of Liability(Required)

As a volunteer for the Rutherford County Humane Society (RCHS) Foster Pet Parent Program, I assume responsibility for all human or animal injuries, illnesses, behavior or psychological problems incurred while
the foster pet(s) is (are) in my home or under my care. I realize that there are risks involved in caring for animals and I hold the Rutherford County Humane Society, harmless in any way for said problems to my pets, myself, my family or guests, including damage to personal property.
I also recognize that I am to provide a temporary home to RCHS foster animals. The animals are the property of RCHS, and I agree to return the animals to RCHS on the date requested.
I understand and agree to the following:
· I will bring in my foster pets for vaccinations, treatment or checkups as instructed by RCHS medical staff or the volunteer coordinator of the foster pet program.
· There will be limited or no contact between the foster animals(s) and my own pets of the same species. This is especially important during the first 14 days the foster animal(s) is (are) in my home.
· Because of financial constraints, the RCHS may only be able to provide limited medical care to the foster animal(s).
· If I, my family and/or my guests become sick due to exposure to the foster animal(s), RCHS will be unable to provide medical care.
· The foster animal(s) may get sick and be euthanized.
· I realize that rescued foster animal(s) may be returned to an owner if legal custody is not gained by RCHS.
· Foster animals released for adoption will be placed in the normal adoption program. Any potential adopter must be approved by the RCHS Adoption Department.

By signing this application, I attest to the fact that I am 21 years of age or older, and that the above information provided is correct, to the best of my knowledge. RCHS and potential foster parent agree to accept typed in names
(electronic signatures acknowledging approval of this agreement, to be the equivalent of actual signatures of the parties.

I agree to RCHS conditions.

Signature