Foster Care Application - Gloucester-Mathews Humane Society

Your Name

First

Last

Phone Number

Email

Preferred Contact Method

Text
Email
Phone Call

Birthday

Address

City, State, Zip Code

Do you own or rent?

Own
Rent

Why do you want to foster?

When you are home, where will the pet be kept?

When you are not home, where will the pet be kept?

How long will the pet be left alone during the day?

Please list all people and pets that live in the household, including breed, gender, and ages.

Do you have a place to keep a pet separate, or are you only interested in fostering pets that get along with other household pets?

Describe the level of activity of the household (quiet/loud, active/mellow, if you often have visitors. etc.)

Describe any experience you have had fostering previously.

Describe any special skills, certifications, medical training, dog training, or experience that may be helpful when fostering an animal.

What is your daily routine on an average day?

Please check all you are interested in fostering:

Terms of Fostering:

I agree to release, discharge, indemnify and hold the Gloucester-Mathews Humane Society harmless for any and all damages to my personal property while performing as a foster volunteer in a volunteer capacity any and all duties for the GMHS. I recognize there exists a risk of injury or sickness including personal injury or harm in handling foster animals in my care belonging to GMHS in a volunteer capacity. On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify, and hold harmless the GMHS, its agents, affiliates, employees and board of directors from any and all claims, causes of action or demands, or any nature or cause connected with the foster volunteer services. This is to include any cost and attorneys fees incurred by the GMHS related to damages incurred or sustained by me in any way in connection with my foster volunteer services. Such damages might include but are not limited to animal bites, accidents, personal injuries, injuries to my own pets, and personal property damage.

I understand that public relations are an important part of volunteering at GMHS. I agree, therefore, on behalf of myself, my heirs, personal representatives, and executors to allow the GMHS to use any photograph or video taken of me for personal use in a public relations effort. Any photographic images or video in which I appear will become the property of GMHS which can use them in any and all ways it sees fit. The GMHS will use reasonable efforts to notify me but such notification is not a pre-condition to the release of the photographs under the auspices of the GMHS.

I understand that all animals in my care as part of the GMHS foster program remain the property of the GMHS and that the GMHS retains rights to all decisions, including but not limited to adoption placement, medical care, and outcomes. I agree to keep this animal indoors, on leash, or confined at all times. I agree that a home visit may be done at any time a foster animal is in my care. I acknowledge that I have read and understand the above terms of fostering, and certify that I have never been convicted of animal cruelty or neglect.

Signature

A copy of your responses will be emailed to the address you provided.