Foster Care Programs
Foster Care Application
Humane Society/SPCA of Bexar County
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Date: _________________
Foster Parent's Name: _______________________________
Address: ____________________________________________
City: ______________ State: __________ Zip: _________
Employer's Company Name: ______________________
Home Phone: ( ) _____ Work Phone: ( ) ______
I, __________________________, agree that all of the information which I have given
above is correct as written and I authorize the Humane Society/SPCA of Bexar County to
verify any information.
Date ______________________ Volunteer Signature ____________________________
Date ______________________ Parent/Guardian Signature _______________________
(Parent/Guardian must sign release if volunteer is under the age of 18 and is living at
home.)
Foster Care Agreement
I agree to the following conditions: (Please initial each)
Signature: __________________________________________
Date: _______________
Print Name: __________________________________
Date: _________________
| Orphaned Kittens(s) ____ | Orphaned Puppy(ies) ____ | Pregnant Cat ____ | Pregnant Dog ____ |
| Adult Cat ____ | Adult Dog ____ | Military Cat(s) ____ | Military Dog(s) ____ |
Foster Parent's Name: _______________________________
Address: ____________________________________________
City: ______________ State: __________ Zip: _________
Employer's Company Name: ______________________
Home Phone: ( ) _____ Work Phone: ( ) ______
- Are you a part of any animal organization? Yes [ ] No [
]
If Yes, which one: ____________________________
- Why would you like to foster? _________________
_______________________________________________
_______________________________________________
_______________________________________________
- Do you live in a: Condo/Townhouse [ ] Apt. [ ] Duplex [
]
Mobile Home [ ] House [ ]
- Do you: Rent/Lease [ ] Own [ ]
If you rent, is your lease: Yearly [ ] Monthly [ ]
Name of complex and/or association: __________
Name and phone # of landlord or owner: _______
PET POLICY: __________________________________
How long have you been at this address? _____
- How many adults reside at this address? ________
Are there children in your home? Yes [ ] No [ ]
If yes, how many and what are their ages? _________________
- Would there be anyone at home during the day? Yes [ ] No
[ ]
If yes, who? __________________________________
- Do you have any dogs and/or cats at home now? Yes [ ] No
[ ]
1. Age _____ Breed _____________________ Sex____ Licensed: Yes [ ] No [ ]
2. Age _____ Breed _____________________ Sex____ Licensed: Yes [ ] No [ ]
3. Age _____ Breed _____________________ Sex____ Licensed: Yes [ ] No [ ]
Name(s) of your pet(s): ______________________________________
Approximate date and reason of last vet visit: _____________________________
- Have you had other pets in the past five years? Yes [ ]
No [ ]
1. Age _____ Breed ______________ Year: _____ Disposition: ______________
2. Age _____ Breed ______________ Year: _____ Disposition: ______________
Name(s) of your pet(s): ______________________________________
- What animal hospital/clinic do you (or did you) use?
_________________________________________
- Where will the foster animal(s) be when no one is
home?
Indoors [ ] Outdoors [ ] _________________________
- Where will the foster animal(s) sleep?
Indoors [ ] Outdoors [ ] _________________________
I, __________________________, agree that all of the information which I have given
above is correct as written and I authorize the Humane Society/SPCA of Bexar County to
verify any information.
Date ______________________ Volunteer Signature ____________________________
Date ______________________ Parent/Guardian Signature _______________________
(Parent/Guardian must sign release if volunteer is under the age of 18 and is living at
home.)
Foster Care Agreement
I agree to the following conditions: (Please initial each)
| 1. ______ | I certify that my own pets are currently licensed and
up to date on his/her vaccinations, including rabies. |
| 2. ______ | I agree to keep my pets separated from the foster
animal for at least 10 days. If the foster animal is incubating any diseases this separation will minimize the chance of my pets becoming ill. |
| 3. ______ | I agree to keep the foster animal indoors unless
accompanied outside by myself. |
| 4. ______ | Should the foster animal become ill while in my care, I
agree to call the Humane Society and take the foster animal to a veterinarian. Any charges that may incur through a private veterinarian will be my expense. Deworming and vaccinations that are required during foster time will be provided by the clinic by scheduling an appointment. |
| 5. ______ | I fully understand that the foster animal is the
property of the Humane Society/SPCA of Bexar County. Any decision made by the director of foster care will be followed by me, regarding the return and/or disposition of the foster animal. |
| 6. ______ | I agree to return the foster animal(s) as instructed. I
agree to make an appointment on the said date. Incoming foster animals are to come through the receiving department, the receiving associate will announce to the clinic of their arrival. At the appointment time, the director of foster care will make a decision as to the disposition of the foster animal. |
| 7. ______ | I understand that the Humane Society/SPCA of Bexar
County is not responsible for any property damage and/or injuries that may occur. Any damages and/or injuries will be my responsibility. |
| 8. ______ | The Humane Society/SPCA of Bexar County is held
harmless should any animal(s) become ill from a foster
animal. I further agree to pay any veterinary expenses incurred for my animal. |
Signature: __________________________________________
Date: _______________
Print Name: __________________________________
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