Foster Parent Application:

Thank you for considering becoming a Doc Williams SPCA foster parent. We often need loving temporary homes for pets not ready for a forever home. Please complete the information below. Upon receipt of completed application, references will be checked and a home visit scheduled.

Name: *

Address: *

Phone: *

Cell: *

E-Mail Address: *

Emergency Contact: *

Emergency Phone : *

Veterinarian’s Name and phone :

Pet History

Do you have other pets now?:

Yes

If yes, please list species, age, breed and if spayed or neutered::

Your Pet Vaccination History. (All must be current with Rabies, DHPP, and Bordatella):

If you have had pets in the past, but do not have them now, what is the reason?:

Care of the Foster Animal

Do you own your : *

own home

rent

lease

Do you have a preference in what animal you foster?:

Cat/Kitten

Dog/Puppy

Can you isolate your foster pet from your other pets if they do not get along? :

Yes

Do you crate your pets?:

Yes

Why?:

Do you have a fenced yard? :

Yes

How many hours a day will this pet are left alone:

Where will this animal be kept while you are away? :

Is everyone in your family willing to help with the care of this foster pet?:

Yes

Are you willing to take multiple pets? (Litters of puppies or kittens):

Yes

If yes, how many? :

Are you willing to bottle-feed an animal? :

Yes

Personal References

Name: : *

Phone: *

Name: *

Phone: *

Most of our animals are shelter rescues; therefore no history can be given on the animal in reference to health, temperament, or where they originally came from.

I: *

am also aware that the animal I am fostering has, or is recuperating from an illness. I am also aware that by taking the animal in to my home where other animals may be, there is a chance if spreading illness. Should any animal in my home become ill, I do not hold Doc Williams SPCA responsible in any way. I also understand that it is my responsibility to take this animal into the adoption center/ shelter for regular medical attention. If I decide to keep this animal, I understand that I must follow the standard adoption procedure of any animal adopted out of the Doc Williams SPCA. I understand that any misrepresentation of the fact may result in not being approved to provide foster care and/or the removal of the foster pet from my home.

Signature: *

By typing my initials in the box above and clicking the Submit button, I agree with the terms and conditions above.

Date: *