Animal Shelter
Foster Program Application
Name: ________________________________________________________________________
Address: ___________________________________ City, State, Zip: ______________________
Phone Number: ____________________________ or __________________________________
E-mail Address _________________________________________________________________
DL #: _________________________________ State: _______________ D.O.B. _____________
How many pets do you currently have? (please list name, age, breed for each):
______________________________________________________________________________
Do you currently have any foster pets? Y ___ N___
If yes, how many and for which group are you fostering for? _______________________
Are there any children in your household? Y ___ N ___
If yes, what are their ages? _________________________________________________
Are the pets within your home current on all vaccinations? Y ___ N ___
Please explain any restrictions on your ability to foster (time limit, dog breeds, etc.)
______________________________________________________________________________
How many hours a day would your foster pet (s) be alone?
Less than 2 hours ___ 2-3 hours ___ 4-8 hours ___ 9+ hours ___
Describe the noise activity in your home (mark ‘X’ for all that apply):
Quiet ___ Mid-level ___ Active/Loud ___
Describe the physical activity in your home (mark ‘X’ for all that apply):
Low activity ___ Moderate ___ Active/athletic ___
Do you have the ability to keep your personal pets and your foster animals separate for a
quarantine period? Y ___ N ___
What type of shelter pets are you interested in fostering? (mark ‘X’ for all that apply):
Shelter Break Sleepover
Puppies 0-4 weeks old*
Dog Day Out
Puppies 4-8 weeks old
Kittens 0-4 weeks old *
Pregnant dog
Kittens 4-8 weeks old
Dog with puppies
Pregnant Cat
Dog/puppy medical
Cat with kittens
Adoptable dog/puppies
Cat/ kitten medical
Behavior/Dog
Adoptable Cat/kittens
24 hour emergency**
Behavior/Cat
Other
*Young orphans who require bottle feeing and round-the-clock- care.
** After hour emergency situations. Open to being contacted at any time.
Thank You for you helping us save pet lives at Lake County Animal Shelter!
The answers you’ve given will help us to pair you with the perfect pet foster.
I hereby acknowledge with my signature that I agree and understand that the Lake County
Animal Shelter has the right to refuse my application for my falsification on information or lack
thereof.
I also agree that the Lake County Animal Shelter has the right to reclaim any animals that I have
in my possession for fostering purposes at any given time.
_______________________________________ _____________________________________
Signature Date
_______________________________________
Printed Name
Official Use Only:
Approved ___ or Rejected ___ by: _____________________________ Date: ______________
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