Pulaski County Humane Society

SOMERSET-PULASKI COUNTY HUMANE SOCIETY

FOSTER CARE APPLICATION

 DATE __________________

NAME ______________________________________________________________

ADDRESS ____________________________________________________________

HOME PHONE _____________________   WORK PHONE ___________________

E-MAIL ___________________________________   CELL ____________________

Type of pet you would like to foster:

(   ) Dog        (   ) Puppy(ies)        (   ) Cat         (   ) Kitten(s)      (   ) Other ________

Have you ever fostered a pet?       (   ) Yes         (   ) No

If yes, through which organization? ________________________________________

                                                            (Please provide name and contact person.)

Do you have other pets?                                               (   ) Yes           (   ) No

Are they spayed/neutered?                                            (   ) Yes           (   ) No

Have they been vaccinated?                                          (   ) Yes           (   ) No

Who is your veterinarian? ____________________________________________

Is your dog(s) heartworm negative?                               (   ) Yes           (   ) No

Is he/she on heartworm preventative?                             (   ) Yes           (   ) No

When was the last heartworm test done?  ________________________________

Is your cat/kitten Felv/FIV negative?                               (   ) Yes           (   ) No

Do you provide flea protection during flea season?          (   ) Yes           (   ) No

If yes, what brand? ______________________________

Do you have a fenced yard for dog/puppy foster care?    (   ) Yes           (   ) No

Do you know how to crate train?                                    (   ) Yes           (   ) No

Are you familiar with our puppy training schedule?         (   ) Yes           (   ) No

(requires letting puppy out every 4 hours, around the clock, and feeding 3 times daily)

Is this possible with your schedule?                                 (   ) Yes           (   ) No

If you foster puppies, can you keep them for two weeks or until the age of 16 weeks,

or longer, until they can be spayed/neutered?                   (   ) Yes           (   ) No

Until there is available cage space at our adoption site?     (   ) Yes           (   ) No

If you foster a dog, can you train with basic commands?   (   ) Yes           (   ) No

Are you willing to work with your foster pet 10-15 minutes per day in the areas

where he/she needs training?                                            (   ) Yes           (   ) No

Do you have any experience in providing special needs

 care such as bottle feeding, medication, checking temperature,

 liquefying food, changing bandages?                                (   ) Yes           (   ) No

Are you aware that placement in your home will be only temporary, and that you will

 be expected to eventually give up the pet for adoption?     (   ) Yes           (   ) No

Please fill out form and send to:  PC Humane Society, PO Box 448, Somerset, KY 42502