The Washington County Humane Society, Inc.

Personal Pet History of Foster Home

 

 
Family Name: _________________________________________________________   

Address: ______________________________________________________________

City/Zip: ______________________________________________________________

E-mail: ________________________________________________________________

 
Name of Cat/Dog Cat or
Dog		 Sex Spayed/
Neutered		 Age Good with Cats Good with Dogs
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N
______________________________ Cat/Dog M/F Y/N ________ Y/N Y/N


Any other pets in your home?: ________________________________________

 _________________________________________________________________

 _________________________________________________________________


Are your pets up-to-date with vaccinations?: ______
Please attach copies of vet records.

How many children in your household?: ___________

Ages of children: ______________________________


I prefer to foster:  r Dogs    r Puppies    r Cats    r Kittens
Our greatest need is with cats and kittens.

 

Return completed form and vet records to:
The Washington County Humane Society
Attn: Kerry
3650 State Road 60
Slinger, WI  53086


Thank you!
Our Volunteer Coordinator, Kerry, will be in contact with you to schedule a meeting to discuss further.  After that meeting, she will perform a home visit.  Once that process is complete, and you are approved, you can begin the rewarding experience of fostering!

Ph: 262-677-0731 | Fax: 262-677-0388 | E-mail: volunteer@washingtoncountyhumane.org