Foster Care Application

Today's Date *

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Primary phone? *

Secondary phone?

Tertiary phone?

My email: *

Please tell us about all members of your household including their ages and how they will care for the foster animals *

My Date of Birth *

Please tell us about all animal members of your household including their ages, breed, sex, altered status (are the spayed/neutered?) and date of last rabies vaccination *

Name of your Vet Clinic *

Vet's Phone Number? *

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Please check this box if you understand that: to be approved to foster for HSNBA, all animals in your home must be vaccinated against rabies. If a veterinarian other than the one listed above vaccinated the pet(s) against rabies, please let us know which vets in the field below. Please consult your vet as well about fostering. They may have recommendations including additional vaccinations to protect both your pets and ours.

Other Vets that Vaccinated

Where do you live? *

A home that I own
A place that I rent
I live with my parents or other home owner

Landlord's Name (if you rent)

Landlord's Phone

Describe where you will be keeping the foster animals, including how you will separate them from your own animals, if applicable: *

Approximately how long, on an average day, will foster animals be left alone in the home? *

What is your previous experience with companion animals? *

Are you currently or have you previously fostered for any other humane organization? If so, which ones? *

My household is able to foster: (Select all that apply) *

Is there anything else you would like to share about yourself or your experience with animals?

*

By checking this box you understand that the Humane Society of the New Braunfels Area (HSNBA) will determine the criteria for fostering, deciding which animals will be fostered, and appoint Foster Providers from a pre-approved list. Approved Foster Providers may always refuse a specific request for any reason. HSNBA staff will inform Foster Providers of any medical treatments to be given, the expected length of the foster care period, the objectives of the care (restoring to health, rearing to adoptive age, socializing, etc.), and any other expectations HSNBA has.

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By checking this box you understand that HSNBA may decide to euthanize animals that do not respond to medical treatment, or animals that exhibit aggressive behavior. Also, animals in foster care occasionally expire unexpectedly. It is important that Foster Providers feel that they are able to cope with these possibilities.

*

By checking this box you understand that there is a risk that foster animals are incubating contagious diseases that could infect animals or humans in the home of the Foster Provider. Any illness or disease contracted by resident pets or humans is the sole responsibility of the Foster Provider.

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By checking this box you understand that HSNBA will retain ownership of all animals in foster care, and will make all decisions regarding the medical care or euthanasia of those animals.

Finally, please type your name stating that you understand and have filled out the above questions to the best of your ability, as truthfully as possible. *