Foster Care Application & Agreement

Date *

Name *

Are you at least 21 years old? *

Address *

City *

State *

Zip *

Home Phone *

Work Phone *

Cell Phone *

Email *

Do you own or rent the place you live? *

If you rent, are animals allowed?

Are there any restrictions on animals? *

If yes, explain.

If you rent or reside in another person's home, please provide their name and telephone number.

Number of children in your household

Their ages:

Do you have a yard? *

If yes, is the yard completely fenced?

Fence Height

Choose the option that best describes your day.

Do you have any pets currently living with you? *

If yes, indicate what kind(s) of Pet(s)

Name of your veterinarian

Are your pets:

Are your pets currently on their vaccinations?

Are all of your pets neutered and/or spayed?

If no, explain.

How long are you willing to foster at one time? *

Are you willing to foster more than one animal at a time? *

Any foster pets you take needs to get along with:

How will the foster pet receive exercise? *

Where will the foster pet be kept during the daytime hours? *

Where will the foster pet be kept during nighttime hours? *

Where will the foster pet be kept while you are on vacation? *

Have you ever surrendered a pet to a shelter? *

If yes, explain.

Have you ever had an animal removed from you by court order? *

If yes, explain.

Have you ever cared for young unweaned puppies before? *

If yes, explain.

Have you given medicine to sick animals before? *

If yes, explain.

Are you willing to provide food and water at your own cost for foster pets? *

Are you willing to take the foster pets to adoption events, if your schedule allows? *

Have you fostered an animal before? *

If yes, what organization did you foster for?

What type of animal(s) would you like to foster? *

I, (Name of foster applicant) *

make the above statements and voluntarily enter into this agreement to provide a temporary home as a foster caregiver to any animals NM K‐911 may temporarily place in my care. *