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 Date Format: 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 Known Medical Conditions:*Column 1Column 2 Foster Parent's Name* First Last Date of Birth* Date Format: MM slash DD slash YYYY Phone*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 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*Date* Date Format: MM slash DD slash YYYY Telluride Humane Society SignatureDate Date Format: MM slash DD slash YYYY EmailThis field is for validation purposes and should be left unchanged.