FOSTER CARE APPLICATION

Name *
Name
I am at least 19 years old *
Phone Number
Phone Number
Employer's Phone Number
Employer's Phone Number
Address
Address
Agreeable to home visit? *
Is anyone in your household allergic to cats/dogs? *
Do you live in a: *
Do you rent or own? *
If you rent, is your landlord agreeable to you fostering a large dog? (You will need to provide a letter stating you have permission to keep a dog over 50 pounds.) *
Landlord's Name
Landlord's Name
Landlord's Address
Landlord's Address
Landlord's Phone Number
Landlord's Phone Number
Is your yard completely fenced? *
Do you have a tie-out or runner for your dog? *
Are your children used to being around cats/dogs? *
Are you willing to foster for a long term or extended time frame if required? *
Are you willing to bring the foster cat/dog to our adoption events at PetSmart Eastern Shore Center and other locations around Baldwin County? *
Baldwin Humane Society issues medical vouchers for care for foster cats/dogs. Are you willing to take the foster dog to 1 of our 29 participating Vets for authorized medical care? *
I acknowledge the inherent risks in rescuing and handling dogs and cats, and I assume that risk, much as a fan at a baseball game assumes the risk of being hit by a baseball. *
I give my consent to the Baldwin Humane Society to contact with the listed references. Any information obtained by Baldwin Humane Society will remain confidential. *