FOSTER - kingmancountyhumanesociety.org

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We need great Foster Homes for pets that may require some specialized care or just need a little longer to find the right home. If you are over 18 and could help us by fostering a pet for no more than a few months please fill out the Foster Application below and one of our volunteers will get with you soon! Thank you for your support!

First Name*

Last Name*

Street Address*

City*

States*

Zip Code*

Home/Cell Phone Number*

What is the best time for potential adopters/staff to reach you?*

E-mail Address*

I would like to foster:*

Adult Cat Kittens Mom-Cat with Kittens Sick Cat Sick Kitten Farm Animals Exotic Animals Lg/XL Adult Dog Med Adult Dog Sm Adult Dog Sick Adult Dog Sick Puppy/ies Puppy/ies Bottle Fed Pups Mom-Dog with pups Bottle Fed Kittens

I am willing to work with KCHS’ On-Staff Trainer and these behaviors: *

Separation Anxiety Basic Pet Manners Socialization Potty Training Crate Training Chewing Dog Agression Food Agression Stranger Agression resource guarding Fears and Phobias

Please list all of the animals in your home currently*

What vaccinations are your pets on*

Veterinarian Name*

Veterinarian Phone Number*

Have you fostered for other organizations?*

Yes No

If so, who?

Are you renting your home?*

Yes No

Will you landlord allow you to have ADDITIONAL pets?*

Yes No N/A

Landlord Name

Landlord Phone Number

Do you have a fenced in yard?*

Yes No

If so, what are the dimensions?

Where will foster pet be kept when you are away from home?*

Where will foster pet sleep at night*

Where will foster pet stay when you are home?*

Please list all children in your home and their ages:*

Will you take our animal to the veterinarian?*

Will you allow potential adopters to call or visit the animals at your home?*

Will you show the animals to friends and colleagues?*

Will you abide by all animal governing regulations, either by state, county or city?*

Have you or any member of the household been convicted of a crime relating to theft or cruelty to animals?*

If yes, details?

Reference 1 Name*

Reference 1 Phone Number*

Reference 2 Name*

Reference 2 Phone Number*

Date*

Signed*

811 East C Ave

P.O. Box 103

Kingman, KS 67068

316-542-1812

kchs@kingmancountyhumanesociety.org

QUESTIONS OR COMMENTS? SEND US AN EMAIL

HOURS

M, T, TH, F - 10AM TO 4PM

(closed noon to 1 pm)

WEDS 10 AM TO 12 PM

SAT 10 AM TO 12 PM

SUN CLOSED

OR BY APPT

Website was made possible by a grant from the Petco Foundation.

Designed by Sukesh Kamesh and KCHS

Name*

Email*

Question / Comment*

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