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

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

Phone

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