Small Animal Foster Application Your Name (required) Address (required) City (required) Postal Code (required) Phone (required) Cell Phone Birthdate Your Email (required) Program Requirements Applicants for this program are required to be 18 years of age Applicants must, ideally, be able to commit to house the animal until adoption Regular internet access and communication via e-mail is necessary. Applicants must pass our Small Animal Foster Care orientation and sign all LCHS required forms prior to housing their first foster animal. Children cannot be the primary care giver for any cat, daily care must be provided by an adult over 18 years of age. About You Do you have any physical limitations? YesNo If yes, please describe Do you have any allergies? (Specifically animals or grass/hay) YesNo If yes, please list them When was the last time you visited our shelter? 0-2 Months3-5 Months6-8 Months9-11 MonthsOver a year For what purposes have you visited LCHS? Have you ever attended one of our Volunteer Orientations? YesNo If yes, which one and when What do you like about LCHS and why do you want to volunteer for us? Do you know any LCHS Staff members or volunteers? YesNo If yes, who If you rent, is your landlord aware that you will be fostering an animal? YesNo Is everyone in your household aware you will be fostering an animal? YesNo Are you employed YesNo If yes, what is your occupation? How much time do you spend at home? Your Pets Are there any pets in your household? YesNo If you have any pets, please list their name, species, type, age, sex and if they are fixed. Do you take your pets to see a Veterinarian Regularly? YesNo If yes, please provide the name of the clinic that you use Are your pets up-to-date with their vaccinations? YesNo Do we have permission to discuss with your Veterinarian any questions or concerns we have regarding your pets? YesNo Past Experience and General Information Have you ever had any positive or negative dealings with LCHS or any other SPCA? YesNo Please explain Are you affiliated with any other animal rescue groups? YesNo If yes, who Please list any related experience, past or present, in owning/caring for animals What species of small animals are you interested in fostering? RabbitGuinea PigFancy RatBirdReptileChinchillaDeguHamster Do you have any experience in giving medications to animals? YesNo If yes, please explain Would you be willing to foster an animal on medication? YesNo Are you able to foster until the animal gets adopted? YesNo If no, how long can you foster for? When are you available to begin fostering? What will you do with your foster pet when you go holidays? What behaviour are you not willing to accept from this foster cat? What will you do if this type of behaviour surfaces? Please provide a name and phone number of 2 personal references who can comment on your suitability for volunteering with us Name (required) Phone number (required) Name (required) Phone number (required) Please list 2 emergency contact numbers for yourself Name (required) Phone number (required) Name (required) Phone number (required) Acknowledgement You must read the species-specific care handout in full even if you have owned small animals before; I agree to do this and will follow all instructions for feeding, housing, cleaning and handling YesNo (required) I agree not to let any LCHS small animals come into direct nose-to-nose contact with an animal they do not share a cage with: YesNo (required) I will take extra precaution to avoid spreading the bordatella virus from rabbits, dogs or cats to guinea pigs at LCHS (bordatella is naturally carried by dogs, cats and rabbits so those animals must not be within nose-contact or sneezing distance of guinea pigs). I will always wash / sanitize hands before touching a guinea pig or his cage accessories: YesNo (required) Small Animals must be housed indoors at all times; I agree to do this: YesNo (required) If your foster animal shows signs of illness you must contact the small animal coordinator immediately via e-mail. If they are not available, call the shelter front desk. Vet care must be preapproved and we have arrangements with specific vet clinics; I agree to do this YesNo (required) Are you able to take and e-mail photos, as well as write a description of the foster animals for social media? YesNo (required) Please Note: if you are no longer interested in fostering or you have any questions, please email our coordinator a safoster@lchs.ca The LCHS appreciates the interest of our applicants, we recognize that your time is valuable and we thank you and appreciate that you are considering giving that time to help animals at the Lincoln County Humane Society! I acknowledge the above information is correct and fostering is conducted at my own risk, including transmission of viruses or diseases to my own pets. I signify that all of the information contained herein is true and understand that any false information will result in immediate application denial. The LCHS reserves the right to refuse any applicant. YesNo Foster Care Temporary Care Release Form I, the undersigned, agree to the following: The Lincoln County Humane Society (LCHS) and its employees, agents or 3rd parties shall not be held liable or responsible for any damage or injury to any person or property caused by any animals while in foster care. I understand that through fostering I do not own the animal(s) in my care. Ownership is only transferred after completing the LCHS adoption process and paying any requisite fees. Fostering does not guarantee approval for adoption. All supplies for fostering will be provided by the LCHS. All monetary expenses must be approved by the LCHS in advance. Foster parents may choose to pay out of pocket and such expense may be eligible for a tax receipt, but is not guaranteed, upon review and production of a receipt for those expenses. I agree to care for the animal(s) in a responsible manner and will provide the proper food, water, shelter and care, both medical and other, and I will humanely house any animal(s) in my care at all times. I will keep the animal indoors at all times. I agree that the LCHS has explained the animal’s behaviour and medical history to me. I understand that either party may terminate this agreement at any time. I agree to provide 24 hours notice if I wish to terminate a foster situation and will provide notification by telephone to the coordinator. The LCHS may terminate this agreement at any time, and with no notice, if deemed necessary. The LCHS reserves the right to refuse any adoption or foster arrangement. The LCHS makes no warranties or claims that an animal(s) in a foster situation are completely healthy and free from aggression. All foster care providers acknowledge that foster animals may harbor illnesses, disease, or parasites, and hold LCHS, LCHS agent and 3rd parties, not responsible if transmitted to another person or animal. As such, I agree that taking any animal(s) into my home I bear the risk and sole responsibility for any and all injuries or illness to people, visitors, my pets, or pets in my home. Further, I hold the LCHS/ LCHS agents and 3rd parties blameless for such injury or illness, should it occur. . I acknowledge that I have reviewed this Temporary Care Release Form and I understand and accept its terms. I also accept responsibility for the animal(s) and their actions while in my care. I agree to the terms of the Foster Care Temporary Release Form YesNo (required) Small Animal Foster Care Agreement/Liability Waiver I understand and agree that: The animal(s) described herein are the property of the LCHS and LCHS will provide veterinary care for the animal(s). I will provide food and fresh water on the required scheduled basis and a frequently-cleaned litter box at all times. If the animal(s) is in need of veterinary attention, shows any sign of distress or illness, or is lost or injured, I will contact LCHS immediately. If I am unable to care for the animal(s), I agree to contact the LCHS Fostering coordinator immediately. LCHS agrees to remove the animal(s) from the premises at my request as soon as possible. I will keep animals(s) indoors at all times. Animals will be transported in a carrier. If the animal gets loose, I will contact LCHS immediately. The LCHS Fostering Coordinator will contact me to see how the animal(s) is (are) doing and may arrange to visit a number of times. LCHS may remove the animal(s) at any time for veterinary care or other purposes. I will not allow the animal(s) to be removed from the premises or give the animal(s) to any third party without prior approval from the LCHS Fostering Coordinator. The adopting of the animal(s) into a permanent home will be in accordance with LCHS policies. I understand that I must refer anyone interested in adopting the animal(s) to LCHS. I understand that my volunteer work does involve contact with many different breeds and temperaments of animals, therefore, there is a risk that I may be scratched bitten or may come into contact with a diseased animal. . In consideration for the opportunity to perform volunteer work for the Lincoln County Humane Society, I agree to fully release, indemnify and hold harmless the Lincoln County Humane Society, and it’s officers, directors, employees, agents or third parties, from any and all liability for any damage or injury, whether arising from this contract or a breach thereof, or from any act of negligence or gross negligence by the Lincoln County Humane Society, its officers, directors, employees, agents or third parties. I understand that it is my responsibility to inform my doctor of my volunteer work for the Lincoln County Humane Society so we can discuss which, if any, vaccinations would be recommended for me. Everyone in the household as well as your Landlord are aware and know about the agreement to have the animal(s) in the home. I have read and understand the terms of this agreement and will abide by all the conditions stipulated. If I fail to abide by the terms of this agreement or am otherwise unable to meet the program requirements, I may be terminated from the Society. I understand that I may at anytime with or without cause be removed from my position as a volunteer at the sole discretion of the Lincoln County Humane Society I agree to the terms of the liability waiver including the home visits YesNo (required)
