"*" indicates required fields

Thank you for your interest in fostering an animal from the Brown County Humane Society (BCHS). In an effort to ensure the best possible foster placements for the animals in our care, we ask that you fill out the following application completely. All information will be kept confidential. Please note that you must be at least 18 years of age or older to foster an animal for BCHS. Email your completed application to: director@bchsohio.org.

What animals are you interested in fostering?*

PERSONAL INFORMATION

Your Name*
Address*

HOUSEHOLD INFORMATION

Please provide homeowner information below.
If your name is not listed as owner of property, provide name and phone # for property owner:

CURRENT ANIMALS IN YOUR HOUSEHOLD

Type N/A if not applicable

If seeking to foster a DOG, please complete the following few questions:

Type N/A if not fostering a dog
Type N/A if not fostering a dog or you do not have a fence.
Type N/A if not fostering a dog.

ANIMAL RELATED EXPERIENCE

What do you consider your level of experience caring for/handling pets? Check level that applies:*
Please check any of the following that you have experience with and/or are interested in fostering:*
If yes, what type?*

References

Veterinarian Name*
Personal Name*

BCHS Foster Policies

Please click the box below each statement indicating you understand and agree

I acknowledge that fostered animals are the legal property of the Brown County Humane Society (BCHS) and I understand I may not sell, trade, give away, or otherwise dispose of the animal.*
I agree to provide safe indoor space, humane care, and attention to the animals I foster. I agree to ensure that anyone who comes in contact the foster animal(s) will treat them with love and respect.*
BCHS retains ownership of the foster animal(s). If the foster animal is not being properly cared for - including neglect, physical abuse or mental abuse - BCHS will seize the animal. If a foster animal is found to have been abused or neglected, BCHS will prosecute to the fullest extent of the law following recovery of the animal.*
If for any reason I am unable to care for and need to return the foster animal, I will contact a BCHS representative immediately.*
I understand that I can cancel the foster contract, and that BCHS can cancel the foster contract, at any time without cause.*
BCHS reserves the right to conduct site inspections to check on the condition of the foster animal(s) without advance notice, but typically BCHS will provide advanced notice.*
I fully recognize that any foster animals under my care are actively being advertised for adoption and can be placed in forever homes at any time. I understand that anyone interested in adopting the foster animals (including myself or family members) must go through the standard adoption approval process and placement of animals is up to the BCHS. (Of course, BCHS welcomes referrals)*
I agree to make every effort to provide the needed transportation for the animal(s) to BCHS-approved veterinarian appointments and to the BCHS shelter as needed for health checkups, vaccinations, adoption meetings, etc.*
I acknowledge that I have no right to authorize any health care or well-care unless an absolute emergency – without the express permission of BCHS. If I do so, I understand that I will be financially responsible for all unauthorized expenses. BCHS will pay or reimburse for pre-approved veterinarian expenses.*
I understand that although the BCHS takes reasonable care to screen animals for foster care placement, BCHS makes no guarantees about the animal’s health, behavior or actions. I understand that I receive foster animals at my own risk and can reject or return any animals for which the BCHS has asked me to provide care.*
I understand that BCHS is not responsible for any damages or injuries to myself, family members, personal pets or property caused by my foster animal.*
I understand that I will not be reimbursed for pet food, toys, cat litter or other pet supplies that I purchase. BCHS will attempt to provide needed pet supplies to fosters as the items are available at the shelters. However, I understand that BCHS is a 501c3 nonprofit organization that relies almost entirely on donations and grants for dogs in their care, and solely on donations/grants for cats and all other animals in their care.*
I agree that if I move residences, or change phone numbers, it is my responsibility to notify BCHS immediately of those changes.*
I agree to send photos of the animal(s) I foster when asked by BCHS management. I also agree that BCHS may use those photos in advertisements and other types of communications (i.e., Facebook, BCHS brochures, etc.).*

By signing below, I am applying to foster animals for BCHS and I am stating that I have answered all questions completely and truthfully. My signature below also indicates that I have read, understand, and agree to all the foster policies.

Date*

*** Office Use Only ***

Date