Foster Application Please complete the below form and we will contact you regarding your Foster Application. Thank you! THS – Foster Application Foster Animal's Name* Foster Animal Date of Birth MM slash DD slash YYYY Dog/Cat/Other:* Gender*FemaleMaleAge: Breed: Distinguishing Markings:*Where Did the Animal Come From?*Medical Records: Drop files here or Select files Max. file size: 2 GB. Known Medical Conditions:*Column 1Column 2 Foster Parent's Name* First Last Date of Birth* MM slash DD slash YYYY Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* How Many Animals Do You Currently Have?*Please enter a number from 0 to 10.Why Do You Want to Foster?*How Long Can You Foster for?*Any Prior Foster Experience? Please Describe*I hereby acknowledge and agree that a representative for the Telluride Humane Society (THS) may visit my home to inspect it in advance of a foster agreement, and that pictures may be taken to document the foster pet’s environment. Due to Covid 19 protocols, a video and/or pics of foster home will be required to be provided to THS. I hereby acknowledge and agree that my home for the fostering of a pet is compliant with local, county and state zoning regulations and laws. I hereby acknowledge and agree that I have adequate and secure fencing for the security of a foster pet that is allowed to go outside (this applies for dogs). I hereby acknowledge and agree that I will administer medications that may be prescribed for the pet and if doing so, will maintain an up-to-date and accurate accounting of medications, dosages, dosage times, etc as required for the health and well-being of the pet. This accounting will be provided to the Telluride Humane Society as requested. I hereby acknowledge and agree that the Telluride Humane Society has provided me with a written disclosure of any and all known medical conditions, behavior facts, care instructions, etc as needed for the safety and well-being of both foster and pet. I hereby acknowledge and agree that I have received a rabies brochure and that I have read the rabies brochure. I hereby understand and agree that the pet is in the legal custody of the Telluride Humane Society until the pet has an adoption agreement and can be removed from my foster care with 24-advance written notice. I hereby understand and agree that I will be fully cooperative and support the THS foster and adoption procedures and protocols and will not knowingly or unknowingly interfere with the process of finding the pet an adopter. I hereby acknowledge and agree that I will provide the best care, safety and environment possible for the pet I will foster. I hereby acknowledge and agree that THS has sole custody of the pet and decision-making for the pet which I agree to foster.Foster's Signature* Reset signature Signature locked. Reset to sign again Date* MM slash DD slash YYYY Telluride Humane Society Signature Reset signature Signature locked. Reset to sign again Date MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged. Δ
