Be a Foster


Name: Date: ¬¬¬¬¬¬________________

Address: City: _______________ State: _________________ Zip:¬¬¬¬¬¬¬¬¬_________
E Mail Address ________________ Home Phone¬¬¬(_______)________________________
Work Phone: (_______) _____ Cell Phone: (________)___________________________
Would you be able to: (CIRCLE all that apply)
Transport animals/ supplies: day evening Assist on Adoption Days (circle) Saturday Sunday
Do you have any animals of your own? Yes No If so, what kind?
Are your pets: Spayed/Neutered: Yes No Vaccinated: Yes No Do you have a fenced yard? Yes No
Name of your current Veterinarian: __________________________________________
What type of dogs do you have experience with? ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬_____________________________________________________
Size/type of dog you would foster Puppies Dogs Small Medium Large X Large How many of a time? ________
Issues willing to work with ( CIRCLE ALL THAT APPLY) housebreaking shedding barking jumping jealous of other dogs not good with small children Long term care (running back and forth to vet for broken legs, heartworm positive) Litters of puppies. Giving pills/ ear medication Doesn’t like cats

Please specify any time of the year you cannot foster ___________________________

I understand that I shall be legally responsible for any animal(s) that I foster for Last Hope, Inc. I shall collect payment of the adoption fee and shall forward the adoption fees to Last Hope at the above address within 1 week. Failure to collect said fee (i.e. giving the animal away, it becomes lost or stolen) will result in my becoming responsible for fully reimbursing Last Hope, Inc. for the adoption fee. I further understand that should I decide to keep the foster animal, I shall be required to pay Last Hope, Inc. the required adoption fee immediately. I agree to either assist Last Hope Inc. in finding a home for the foster pet by coming to adoption days, or I shall return a completed adoption application with the full amount of the adoption fee to Last Hope Inc. should I place the animal from my home.

My first foster pet(s): Description: Record No.

I have a copy and have read the Last Hope Fostering guidelines. I understand how the guidelines will relate to me as a foster home and my responsibilities as a Foster.

Signature: Date