"*" 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

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