Foster Program Application Form

Click here for more information about our Foster Program.

If you would prefer to download this application, click here for a PDF version of the foster parent application.

First Name: Last Name:

Street Address:

City: State: Zip:

Phone Number(s):

Home Phone: Work Phone:

Email Address:

Age:

List Animals you've had experience with:

Please describe what type of experience you've had and for how long:

Pleast list 2 persons knowledgable about your care of dogs and cats (vet, trainer, breeder, dog care professional, animal rescue organization)

Name:
Credentials:

City / State: Phone:
Email:

Name:
Credentials:

City / State: Phone:
Email:

Dogs now in household (breed, gender, age, altered):

Cats now in household (breed, gender, age, altered):

Children in household (name, gender, age):

Any medical or allergy conditions in family members?

How many and what what gender dogs and cats will you foster at one time?

Length of time you are willing to foster:

Fenced Yard? (Describe):

Crate (type and Size):

Kennel Run (Describe):

Amount of time per day animal(s) will be alone, and where:

Do you have reliable transportation and are you willing to transport your foster animal to and from the vet, to grooming appointments and bring them to mobile adoption events?
Yes No

Are you comfortable talking with people and dealing with potential adopters? We need folks on the foster parent team who are great with both animals and people. We need to know that you'd be comfortable having people come to your homes to meet the animals and answering phone calls or emails when people call to inquire about your foster animal. Yes No

Comments or additional information:

I, (we) understand the risks inherent in fostering a rescue dog or cat, and willingly and knowingly agree to volunteer as a foster home for Good Semaritan Pet Center, Inc. I (we) agree to release and hold harmless Good Semaritan Pet Center for any matters, now or in the future, which arise out of my (our) services as a volunteer foster home.

Enter your name as signature to indicate your agreement with the above statement.

Signature/Name:

Date: