Valley Oak SPCA Foster Application

Date

YYYY

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Alternate Phone

(###)

###

####

Age

How did you hear about us?

Animal Care or Vet Reference

Name

Phone

(###)

###

####

Tell Us About Yourself

What Type of Home do you live in?

(You must have permission from any landlord to foster animals, if property is not owned)

Do you have a fenced yard?

If yes, What type of fence and how tall is it?

(ie Wood, Metal, Picket, Chain Link, etc)

Are there any children in your household?

If yes, what are their ages?

Do any members of your household have allergies to the type of animal you are interested in fostering?

Do you have any pets in your household now? (Please list # below)

Dogs

Cats

Other

Are they spayed or neutered?

Are their vaccinations current?

Do they have any contagious illnesses, even if stable in condition?

Are you able to separate the foster animal(s) from your own pets if necessary?

Are you willing/able to drive your foster to medical appointments, adoption events, etc. as needed

We may ask to conduct a home visit for new foster homes. Do you consent to completing a scheduled home visit prior or willing

How long are you willing to foster a particular animal?

Other

Are you able to dispense any necessary medications the animal(s) may need? (Provided from Valley Oak SPCA)

Have you ever fostered animals before?

If yes, with what organization and what type(s) of animal(s)?

How many of each are you willing to take? (If none please put 0)

Healthy Puppies

Injured/ill Puppies

Healthy Kittens

Injured/ill Kittens

Injured/ill Adult Cats

Injured/ill Adult Dogs

Adult Cat w/kittens

Bottle Kittens

Bottle Puppies

Adult Dog w/puppies

Where will the animal(s) be when someone is home?

Where will the anima(s) be when alone?

Where will the animal(s) sleep at night?

How many hours during the average day will the foster animal(s) spend without a human?

In the last year have you had any animal in your home diagnosed with Parvo/Canine Distemper/Panleukopenia/Ringworm or Scabies? (If yes, please list the date/type of disease/animals affected?