FOSTER HOME CARE APPLICATION
West Valley Humane Society, 5801 Graye Ln, Caldwell, ID 83607 * phone: 208-455-4920, fax: 208-454-7811
DATE OF APPLICATION _______/_______/______________
Thank you for your interest in fostering an animal for the West Valley Humane Society! (Hereafter
WVHS) In order for us to place each specific dog/cat or litter into the right home, we ask that you
answer the following questions as completely as possible.
YOUR INFORMATION
First Name:
__ Middle:
_______
Street:
__ City:
Phone #: (Home)
(Cell)
__ Last Name:
____
_ St: _____ Zip:
(Work)
Email*:
Driver’s license #: ___________________________________ State issued in: ____________________
Car insurance company: ________________________________________________________________
In case of emergency: (Name)
(Phone)
Relationship to applicant:
*Email will be the primary method of communication from Shelter, so if you do not check email
regularly, please tell us how to best get in touch with you.
Best time to reach you: ________________________________________________________________
HOUSEHOLD
Pease list the names, ages and relations of all adults in the household: __________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Pease list the names, ages and relations of all children in the household: ________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
If there are no children living with you, are there children that visit? (For example, grandchildren,
children you babysit, etc?) _______________ Ages: _________________________________________
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Have you ever fostered an animal before?  Yes  No
Have you ever fostered an animal for WVHS before?  Yes  No
If yes, when was the last time? (Month/Year) ________ / _____________
What was your experience with your prior foster animal(s)? __________________________________
________________________________________________________________________
_____
________________________________________________________________________
_____
Number of animals I can foster ________________
Types of animals I can/am willing to foster:








Motherless, bottle fed kittens
Weaned, motherless kittens
Mamma cats with kittens
Pregnant cats about to give birth, then keep all until kittens are old enough to be adopted
Cats/kittens recovering from an illness/surgery
Cats/kittens needing a break from the shelter
Older cats with medical needs
Cats needing hospice care





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Puppies not old enough to be adopted
Puppies needing socialization
Mamma dogs with puppies
Pregnant dogs about to give birth, then keep all until puppies are old enough to be adopted
Dogs/puppies recovering from an illness/surgery
Dogs/puppies needing a break from the shelter
Older dogs with medical needs
Dogs needing hospice care
 Other animals (specify animal: __________________________________________________)
List any restrictions on the type of animal you are willing to foster (For example, “No dogs over 30 lbs”,
“Only adult cats”, etc.)
_____________________________________________________________________
_____ ____
_____________________________________________________________________
_____ _____
_____________________________________________________________________
_____ _____
Where my foster animals will sleep at night:
_____________________________________________________________________
_____ _____
Where my foster animals will stay during the day when I am home:
_____________________________________________________________________
_____ _____
Where my foster animals will stay during the day when I am not home:
_______________________________________________________________________ _____ _____
Percentage of time my foster animal will be alone:
________________________________________________________________________
_____
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DWELLING
What type of housing do you live in? (Apt/Condo, Townhouse, Single Family Home…)
___________________________________________________________________________________
□ I own my home and am permitted to bring an animal or animals into my dwelling.
□ I rent my home and am permitted to bring an animal or animals into my dwelling.
(Please provide written permission from your landlord stating you may have animals at the residence.)
Length of time at this residence: ________________________________________________________
□ I have a fenced-in yard.
Height of fence ___________ What is it made of? __________________________________________
□ The fence has a gate.
□ The gate has a lock. Description of the latching and locking mechanism:
___________________________________________________________________________________
___________________________________________________________________________________
If you do not have a fence, how will you exercise the dog?
___________________________________________________________________________________
___________________________________________________________________________________
Have you ever had an animal at your home &/or in the yard that had or was exposed to parvo?
□ Yes □ No
If yes, when? ______________________________________________________
Have you ever owned a dog/cat before? __________________________________________________
If so, what particular breed (for dogs)? ____________________________________________________
What kind of experience have you had/have with dogs/cats? (Dog training, vet tech, groomer, agility,
happy pet owner, etc.) ________________________________________________________________
___________________________________________________________________________________
Who will be the primary caretaker of the animal? ___________________________________________
Does anyone in the household have allergies? □ Yes □ No
How often do you travel? ______________________________________________________________
Are you planning a vacation in the near future? □ Yes □ No
Are you willing to cover the costs of caring for a foster animal EXCEPT for medical expenses and food
expenses, which will be provided by WVHS? □ Yes □ No
What pets do you currently own and how long have you owned them? __________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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If you currently own a dog/cat, is it spayed/neutered?
□ Yes
□ No
PERSONAL REFERENCE INFORMATION
Please supply names and telephone numbers for 3 personal references, including your veterinarian:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
• I understand a WVHS representative may visit my home for a home inspection before my
foster application is approved.
• I understand that if I am approved for fostering, I will be required to bring my foster animal(s) at
designated times for shots, check-ups, etc. and promise to do so. If the animal I foster is on
medication, I will continue the medication as directed. I will not let the animal out loose by itself. If
the animal I am fostering requires medical during the time I am fostering it, I will contact WVHS first
and before taking it to another vet, unless it is an emergency. I understand the foster animal is the
property of WVHS and will not sell, trade or dispose of the animal. I understand the importance of my
own animals being up to date on all standard vaccinations and shall provide WVHS with a current shot
record for each one, if so requested. □ Yes □ No
• I understand that anyone interested in adopting my foster animal (including myself) must go through
the standard adoption process. □ Yes □ No
• I understand that although WVHS takes reasonable care to screen animals for foster care placement,
it makes no guarantee relating to the animal’s health, behavior or actions. I understand that I receive
foster care animals at my own risk and can reject or return any animals for which the shelter has asked
me to provide care. I indemnify and hold WVHS free and harmless from all liability arising out of any
and all claims, demands, losses, damages, action, judgment of every kind and description which may
occur to or be suffered by me, members of my household, my own animals or any third parties by
reason of activities arising out of this agreement. I release WVHS from responsibility for any diseases
that may be contracted by my resident companion animal(s) from the foster animal(s). □ Yes □ No
• I have read this application in its entirety, and I agree that all statements contained in this
document are made by me, and are truthful. I understand that falsifying answers on the application,
or at any other time during the fostering process, disqualifies me from fostering.
_______________________________________________________ ________________________
Signature of Foster Parent
Date
_______________________________________________________
Print name
_______________________________________________________ ________________________
Signature of WVHS Representative
Date
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