FOSTER SIGN UP
Animal Foster Sign Up
Fields marked with an
*
are required
Date
*
I AM INTERESTED IN PROVIDING FOSTER CARE FOR (Check all that apply):
*
Wellness Foster
Medical Foster
Adoption Ambassador
Team Tiny Hearts (Bottle Fed)
Paws Around Town (Doggy Field Trips)
Paws-Around Town (Sleepover Edition)
Best Friends Foster
DOGS (Check all that apply):
*
Bottle-fed Neonate Puppies
Small Litter
Large Litter
Mother with Litter
Adult Dog
n/a (not-applicable)
CATS (Check all that apply):
*
Bottle-fed Neonate Kittens
Small Litter
Large Litter
Mother with Litter
Adult Cat
n/a (not-applicable)
I AM WILLING TO FIND THIS FOSTER A NEW HOME USING MY NETWORK OF FRIENDS AND FAMILY. THIS IS "OPERATION WHISKERS!"
*
Yes
No
Need More Information
First Name
*
Last Name
*
Prefered Pronouns
Address 1
*
Address 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampsire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Post Code
*
Home Phone
Work Phone
Email
*
What is the best way for us to contact you?
*
Phone Call
Text Message
Email
Drivers License Number:
*
Date of Birth (MM/DD/YYYY)
*
EMERGENCY CONTACT: Name
*
Emergency Contact's Phone Number:
*
HOUSEHOLD INFORMATION:
*
Rent
Own Home
Other
Landlord/Apartment Manager's Name/Phone Number
Does Your Lease Allow Pets?
Yes
No
Describe the Area Where Your Foster Animals(s) will be Kept:
*
Do You Have a Fenced-in Yard?
*
Yes
No
SCHEDULING: Which days of the week would you prefer for Foster Rechecks?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
ANIMAL CARE: Have You Had Pets Before? Copy
*
Yes
No
ANIMAL CARE: Do You Have Pets at this Time?
*
Yes
No
Please Describe Your Pets (Species, Breed, Sex, Age, Spayed/Neutered?)
Have you fostered for another organization?
PLEASE SELECT
YES
NO
Are you currently fostering for another organization? If yes, what organization? (fill in blank)
Name/Address of Your Present Veterinarian?
If a hurricane threatens the Greater Charleston area, which are you most likely to do:
*
Shelter in place
Evacuate the area
Other
If 'Other' was selected above, what would you do if a hurricane threatens the Greater Charleston area
In the event of a natural disaster, are you able to keep your fosters with you, or would you need to find a replacement?
*
Can keep them with me
Would need to find a replacement
Unsure
Where Did You Hear About our Foster Care Program?
*
If you are a human seeing this field, please leave it empty.
City Paper
CHARLESTON ANIMAL SOCIETY HOSTS RECORD-BREAKING EVENT TO SAVE ANIMALS
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