Foster Parent Application Name*Address*CityZip Code*Phone Number*Email Address*I prefer to Foster:*KittenBottle Feed KittensLitter of KittensPuppyCatDogNursing Cat Mom / LitterNursing Dog Mom / LitterMedically NeedyAnimals in Need of SocializationSenior PetsPocket PetsHave did you learn about the FHS Foster Program?*Would you allow an FHS representative to visit your home?* Yes No Are you able to Bathe or Groom your foster?* Yes No Have you Fostered before?* Yes No If you had to keep the Fosters away from your personal pets - could you?* Yes No Are you able to keep appointments for follow up visits and vaccinations?* Yes No Are you able to provide supplies for the animals in your care? (Not required)* Yes No Are you able to deal with the death of an animals if it happens?* Yes No Are your personal pets current on their vaccinations?* Yes No I don't have any personal pets at this time If you have personal pets - Who is your current veterinarian?List the Name, Breed, Age, Sex, and Sterilization Status of all your current personal pets.I understand that foster animals remain the property of the Flagler Humane Society, Inc. and that they retain all rights regarding animals in foster care. All information that I have provided is true and correct.* I understand and agree to all Fostering stipulations. I would prefer to speak to the Foster Coordinator first.