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Foster Application
Foster Application
Thank you for your interest in the life-saving work of fostering. Every foster animal is different and will have different needs. Please fill out this application so that we can find the right fit for you.
Today's Date
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MM slash DD slash YYYY
Name
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First
Last
Address
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Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
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New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Best Phone #
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Email
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Date of Birth
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MM slash DD slash YYYY
Are you 18 years of age or older?
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Yes
No
You must be 18 or older to foster.
Describe any experience you have that may be relevant.
Please select what types of animals you would like to foster.
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Adult dogs
Adult cats
Puppies
Kittens
Please indicate what time of year you are available to foster
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All year
Summer only
During school semesters only
Other
How many adults live in your home (list the ages)
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How many children live in your home (list the ages)
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Do you rent or own your home?
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Rent
Own
If you rent, be sure you are aware of any rules regarding pets, as well as any associated fees or additional rent required.
How many pets are in your home? List all breeds and ages
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How did you learn about fostering for the Brown County Humane Society?
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Friend or Family
Facebook
BCHS Website
Bloomington Volunteer Network
Other
Emergency contact name, phone number, and relationship
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Waiver and Release of Liability
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I read and understand the Waiver & Release
I understand that the behavior of domestic animals is sometimes unpredictable and that some domestic animals are capable of inflicting serious personal injury or death, as well as extensive property damage. Knowing the risks of handling domestic animals, I agree to assume those risks and to release, indemnify, and hold harmless the Brown County Humane Society and/or its officials, directors, supervisors, employees for any and all personal injury and property damages resulting from my volunteer work. I understand that I will be trained according to my volunteer interests and the documentation will be kept as I progress through training. If the Volunteer Applicant is under 18 years of age, their parent or guardian has read and understands this Waiver and Release of Liability
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