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Applicant Information

First Name*
Last Name*
Address*
City*
State*
Zip Code*
Primary Phone Number*
Email Address*
I am 18 years of age or older or have a parent/guardian who will act as the primary foster:*
1. Yes
2. No
Describe any prior experience you have with animals:
What types of animals do you wish to foster?
Dogs
1. Bottle Baby Puppies
2. Puppies, Weaned
3. Mom & Puppies
4. Adult Dogs
1. Medical Cases
2. Behavioral Cases
3. Adoption Ambassadors
4. Fospice Dogs
Cats
1. Bottle Baby Kittens
2. Kittens, Weaned
3. Mom & Kittens
4. Adult Cats
5. Medical Cases
1. Behavioral Cases
2. Adoption Ambassadors
3. Cat Cafe Fosters
4. Fospice Cats (end-of-life care)
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Current Pets

What kinds of animals do you have currently in your home?
1. Dogs
2. Cats
3. Small domestic pets
1. Livestock
2. Other
If you have a dog, has your dog ever bitten or injured another animal? If yes, please explain the incident:
Are all animals in the home up-to-date on current vaccinations (including canine influenza and bordetella)?*
1. Yes
2. No
3. Unsure
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Home Environment

Foster Care Contract

Foster Care Contract
TERMS AND CONDITIONS:

• I understand that the animal(s) will at all times remain the sole property of the Kenton County Animal Shelter.
• I agree to provide the animal(s) good loving care, including at a minimum: adequate feed, adequate water, adequate shelter that is properly cleaned, adequate space in the primary enclosure for the particular type of animal depending upon its age, size, species and weight, adequate exercise and follow Kenton County Animal Shelter regulations on transportation and veterinary care when needed to prevent suffering or disease transmission.
• I understand that medicines and other supplies provided by the Kenton County Animal Shelter are for use with foster care animals only, and are not to be administered to animals that are not the property of the Kenton County Animal Shelter.
• I understand that all veterinary care must be authorized in advance by the Animal Shelter. I agree to personally incur the cost for any treatment that has not been so authorized.
• I understand and acknowledge that I do not have any right or authority to keep, adopt, transfer, or place foster animals in other homes or with other individuals.
• I agree that every animal I provide foster care for must be physically returned to the Kenton County Animal Shelter by the date set forth below or at any time upon the request of the Animal Shelter. I also agree to return the animal(s) immediately if I am no longer able to provide adequate care.
• I agree to provide the appropriate staff members at the Kenton County Animal Shelter with the necessary information and materials at any time (such as fecal samples or temperature/weight measurements) to enhance the care that I am providing to the foster animal(s).
• I agree to hold the Kenton County Animal Shelter harmless from any direct or consequential damages arising out of this foster care arrangement.
• I acknowledge that the Kenton County Animal Shelter may terminate this or any other foster care arrangement at any time in its sole discretion.
• I certify that no person residing in the household where the animals will be fostered has ever been charged with or convicted of animal cruelty, neglect or abandonment.
I certify that the above information is correct to the best of my knowledge. I also agree to follow all the rules, regulations and policies of the Kenton County Animal Shelter. No person residing in the household has ever been convicted of animal cruelty, neglect or abandonment.
Type your full name to indicate agreement:*
Today's Date:*
Today's Date:

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1. Receive an email copy of this form.
Email address

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