Foster Application/Registration

Individual or Couple *
Primary First Name *
Primary Last Name *
Primary Phone Number *
Primary Email Address *
Confirm email
Secondary First Name *
Secondary Last Name *
Secondary Phone Number *
Secondary Email
Street Address *
City *
State *
Zip Code *
Is this application for an animal that you have turned in/will turn into the shelter and are currently fostering? *
What is the animal's species? *
What is the animal's name? *
Do you have children that live in your home or visit on a regular basis? If so, please list their ages. *
About Your Home/Animals
Do you rent or own? *
Landlord Name *
Landlord Phone Number *
Landlord Street Address *
Landlord City *
Landlord State *
Landlord Zip Code *
Do you currently have any pets in your home? *
List and describe the pets who currently live in your home with you. (Name, ages, breed)
Are all of your pets spayed and/or neutered? *
If your current pets are not spayed or neutered, please specify the reason *
Are your pets current on their vaccines, including rabies? *
Please provide the number on their rabies tag and the name of the facility or vet they received it from. *
If your current pets are not up-to-date on Rabies or other core vaccinations, please select the reason below: *
If "Other" please explain *
Are your pets on a monthly flea and heartworm preventative?
If you do not currently use flea or heartworm preventatives, could you please share your reasoning with us? *
Have you ever had puppies/dogs with PARVO at your house/ in your yard? *
Please explain the circumstances. *
If you have cats, have they been tested for Feline Luekemia? *
Do you have a securely fenced yard? *
If "Other" please explain *
If you have fostered/volunteered for another Humane Society, briefly tell us about that experience. Be sure to list the name of the Humane Society and the name and number/email of a person who can give you a reference. *
Expain why you would like to foster animals for Darlington County Humane Society. *
Are you willing/able to transport your foster pet to the Humane Society veterinarian or to the Humane Society for routine medical care, medicine, or for a health certificate before traveling to his/her rescue? *
Can you be emotionally prepared to let your foster pet go when he/she has been adopted or when he/she has been rescued by a rescue group? *
Do you have a veterinarian's office you currently use or have used for a former pet? *
What is the name of the veterinarian you currently use or have used for a former pet? *
What is your veterinarian's office phone number? *
Location of current veterinarian office. *
What state is your current vet located in? *
What are you interested in fostering? *
In which area(s) would you like to help our cats and kittens? *
What are you interested in fostering? *
We see you are interested in fostering adult dogs, please indicate what weight range. (check all that apply) *
You indicated interest in fostering medical cases. Are you comfortable with the understanding that these placements are often long-term (typically 1–3 months) to allow for full recovery? *
How would you like to balance fostering both species? *
How will you keep your foster pet safe while you are NOT at home? (check all that apply) *
If "other" please explain *
Where will your foster pet SLEEP at night? *
If "other" please explain *
Where will your pet stay while you are home? (check all that apply) *
If "other" please explain *
About how many hours will your foster pet be left alone during the day? *
Who will be the primary caregiver for this foster animal? *
How do you plan on introducing your foster pet to your current pets? *

Check all entries for accuracy, then press the "Submit" button ONLY ONCE. If you do not receive a confirmation email after you hit Submit, please re-submit your application.