Your Information
Name
Address
City, State, Zip
Phone
Email Address
Household Information
How many adults are
living in the household?
Do you have any children
living in your household?
Please Select One
Yes
No
If yes, how many and
what are their ages?
If there are no children living with
you, are there children that visit, for example, grandchildren,
children you babysit, etc?
Does anyone in the household have
allergies?
Please Select One
Yes
No
How often do you travel? Are
you planning a vacation in the near future?
Are you willing to have someone from
Chama Valley Humane visit your home?
Please Select One
Yes
No
FOR ALL PROSPECTIVE
FOSTERS:
Why do you want to
foster an animal?
Are you interested in
(check all that applies)
Puppies (if yes, how many?
)
Dogs (if yes, how many?
)
Cats/Kittens (if yes, how many?
)
Have you
ever fostered an animal before?
Please Select One
Yes
No
If so, what
was your experience?
Do you currently have any pets living at
your home?
Please Select One
Yes
No
If Yes, please provide us with the
following:
Where will this animal
be kept during the day?
During the night?
Who will be the primary
caretaker of the animal?
Can you cover the cost
of caring for a foster animal, except for medical expenses?
Please Select One
Yes
No
Can you transport foster
animals to and from the vet?
Please Select One
Yes
No
To adoption events?
Please Select One
Yes
No
To meet regional transports or to other rescues/shelters?
Please Select One
Yes
No
FOR PROSPECTIVE
DOG/PUPPY FOSTERS::
Do you have a fenced in
yard?
Please Select One
Yes
No
If so, briefly describe
it
If not, how will you
exercise a foster dog?
Have you ever owned a
dog before?
Please Select One
Yes
No
If so, what particular
breeds?
What kind of experience
have you had/have with dogs? (dog training, vet tech, groomer,
agility, happy pet owner, etc.)
How many hours per day
will the foster dog be left alone?
Have you ever crate
trained a dog?
If you are interested in
fostering puppies, do you have a safe place where they will be warm,
clean, and safe from other animals?
Please Select One
Yes
No
Please describe this
place:
How often will the
puppies be monitored and handled?
FOR PROSPECTIVE CAT &
KITTEN FOSTERS::
Are you familiar with
the requirements for unweaned kittens
Please Select One
Yes
No
Have you ever bottle-fed
kittens before?
Please Select One
Yes
No
If yes, how old were the
kittens?
How long did you have them?
Did they survive?
Are you willing to nurse
kittens younger than 4 weeks around the clock?
Please Select One
Yes
No
