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THHS Fostering Application
Please fill this form out to apply to foster animals from the Terre Haute Humane Society
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Primary Phone Number
*
###
-
###
-
####
Secondary Phone Number
###
-
###
-
####
Email
*
Do you Rent or Own?
*
Please select
Rent
Own
If you rent, what is your landlord's name and phone number?
Do you have children at home?
*
Please select
Yes
No
If you have children at home, please list their ages.
Hours away from home on average:
*
Please select
2-4
4-6
6-8
8-10
10+
Do you have a securely fenced yard?
*
Please select
Yes
No
Partially
What kind of animal(s) would you like to foster? Select all that apply.
Dogs - Adult
Dogs - Injured Adult
Dogs - Young
Dogs - Injured Young
Dogs - Mother with puppies
Dogs - Orphaned Puppies
Dogs - Expectant Mother
Cats - Adult
Cats - Injured Adult
Cats- Young
Cats - Injured Young
Cats - Mother with kittens
Cats - Orphaned Kittens
Cats - Expectant Mother
Any animals needing fostered
List all of your current pets with name, age and if they are spayed/neutered.
*
What is your veterinarian's name and phone number?
*
Are your current pets current on all vaccinations?
*
Please select
Yes
No
N/A
Why do you want to foster?
How did you hear about the foster care program?
How will you isolate a sick/pregnant animal in your home?
You will be contacted after the approval process is completed. At that time, we will cover the guidelines of the program to see if you are a match for our foster care program. Thank you for your interest.
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