Name *

First

Last

Phone Number *

Address *

Email *

What kind of home do you live in? *

Home
Apartment/Condo
Farm/Ranch
Other

Do you Own or Rent? (If renting, please provide landlords name and phone number) *

Does you have your landlords permission to get a pet? *

Yes
No

Check yes if you own your home

Where will the foster animal stay during the day? At night? *

Are there children in the home? *

Yes
No

If yes, how old are they?

Do all household members agree to having foster animals in the home? *

Yes
No

Are you willing to work with animals who need socialization or were abused? *

Yes
No

What animals do you have currently and how many? *

Are your pets current on vaccinations? *

Yes
No

Are they spayed/neutered? *

Yes
No

What kinds of animals are you willing to foster? *

Cats
Dogs
Other

Have you ever cared for: *

Young kittens
Puppies
An injured cat
An injured dog

Have you ever successfully bottle fed animals? *

Yes
No

If yes, what kinds of animals?

Are there any other factors that might hinder you from being a foster home?

Dog Fostering: I am willing to foster *

How many dogs are you willing to foster at once?

How long have you worked with dogs?

Do you need information on the proper care & training of dogs?

Yes
No

Cat Fostering: I am willing to foster *

Do you need information on the proper care & training of cats?

Yes
No

How many cats are you willing to foster at once?

How long have you worked with cats?

While you are fostering an animal for HSUV, remember the animal remains property of HSUV until it is adopted through HSUV. You cannot give the animal to anyone, HSUV can remove the animal from the foster home if it is deemed necessary. You will be expected to take the animal to the vet for any shots, spay/neuter, and/or other health problems. Vet visits must be approved by HSUV, HSUV will also provide food necessary for maintenance of the animal. You agree to this statement and to abide by all rules and regulations stated in the Foster Home Handbook by signing below *

I understand the above statement and agree to follow the rules and regulations of HSUV

E Signature *

First

Last

Date: *