Foster Parent Application
 
Due to the economy and other circumstances, there is a growing number of homeless animals. You are needed and you can help! We do not have a physical shelter so we rely on loving, responsible foster parents to help us take care of our rescues as if they were their own.
 
We need caring foster parents like you so that we can answer the many calls for help. With your help, the animals we rescue can be socialized, get the medical help they need (HSLC pays for pre-approved medical care), and receive the love that they need to recover from any trauma. 
 
You must be at least 18 years of age, have no past animal neglect or cruelty charges against you, and have transportation to take your foster to the vet when needed, as well as selected HSLC adoption events. With your help our rescues can have a second chance at becoming a happy, healthy member of a loving family.
 
 
  
 Yes, I would love to become a foster parent and help to save a life! I will start the process today by filling out the application below. 
Name*
Address*
City*
State
Zip*
Email*
Day Phone*
Evening Phone*
Other Phone*
Do you own pets now? Yes   No   
Are they vaccinated? Yes   No   
Proper shelter: Yes   No   
Wholesome food: Yes   No   
Daily fresh water: Yes   No   
Please list below all pets you currently have, or had had in the past three years: (Include: Type, Sex, Age, Name, Neutered/Spayed, Where is the pet now)
Have you ever adopted a pet from us? Yes   No   
If so, when?
Name & Phone Number of your veterinarian:
Why do you want to foster animals for the HSLC?
Are other family members aware that you are considering fostering an animal? Yes   No   
How many children do you have in the family, and how old are they?
Who will be responsible for the foster animal(s)?
Which best describes your home? House   Townhouse   Condo   
Apartment   Mobil    
Do you...? Own   Rent   
If you rent, do have the landlord's permission to foster animals? Yes   No   
Landlord's Name, Address, and Phone
Please fill in the information below and let us know what you are willing to foster: Dog   Puppy   Cat   
Kitten   Bird   Bunny   
Other   
Hair: Long   Short   No preference   
Gender: Male   Female   No preference   
Age range: Infant   Baby   Young   
Old   Senior   No preference   
Color:
Are you willing to provide the animal with a possible long term home? Yes   No   
If, at any time, you were unable to foster this animal, do you understand that you must return it to the Humane Society of Loudoun County? Yes   No   
HSLC makes no representations or guarantees about any animal’s temperament. Descriptions may be based on information provided to HSLC from other sources. Do you understand this? Yes   No   
Do you agree that the HSLC is not liable for any future injury or damage which may be caused by the animal? Yes   No   
Do you understand that the HSLC, with prior notification by the foster parent and approval from an HSLC Officer, will be responsible for all medical bills while foster animals are in your care? Yes   No   
Would you be willing to take your foster pet(s) to select adoption events? Yes   No   
Will you provide proper transportation to veterinary facilities: Yes   No   
Do you have grooming aides: Yes   No   
Additional comments:


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