Heartland Humane Society Foster Application & Care Agreement
Interested in fostering, please fill out the form and a staff member will reach out to you in a timely manner.
Email *
First and Last Name: *
Names of other adults in the home: *
Age(s) of all children in your home: *
Address: (Street, City, State, Zip) *
Phone: *
Do you own your own home: *
Required
Your home is a (check one): *
Required
Do you currently own pets: *
Required
If yes, please complete below with each pet's: name, age, breed, and if spayed/neutered:
Who is your veterinarian (name & phone). If no pets, write N/A *
The foster animal(s) will be kept: *
Required
Do you have a completely fenced yard or an outdoor kennel? *
Will you be able to return a pet within 24 hours of request for HHS staff? *
Required
Please select the programs in which you are interested in fostering:
There are many different ways you can help out! Think about and choose which programs you feel comfortable with or wouldn't mind education on to help with. We will ask you to foster within those programs as we need.
Kittens *
Required
Puppies *
Required
Cats for adoption  *
Required
Adoptable dogs *
Required
Small Critters - Select any you will foster: *
Required
Heartland Humane Society Foster Care Agreement
Please read and sign/initial next to each statement.
1. Fees: I cannot charge HHS for providing care or, or boarding of animals. I understand that I can ask HHS for any food/bedding/products to help care for the animal and all monies I personally spend to care for animals are at my own expense. I understand that any borrowed items such as crates must be returned to HHS when I cease fostering for HHS. *
2. Aggressiveness and Damage: I assume any and all risk of unpredictable or destructive behavior from the fostered animals that may cause damage to persons or objects. HHS is not liable to pay for or reimburse payment for any damages or vet/medical care received as caused by a foster animal in my care. *
3. Illness/Disease/Injury/Death: HHS is not liable for, or the treatment of, any illnesses or disease a person or pet may contract from a fostered animal. Foster caregivers are not liable for injury or death that may naturally occur to foster animals while in their care. It is the responsibility of the foster caregiver to provide vet care and payment of care for any injury or illness to themselves or other humans/animals associated with them. It is required that your personal pets are up-to-date on all vaccinations.  *
4. Adoption: The foster animal cannot be transferred to another party without approval from HHS. I understand that HHS is the sole and rightful owner of the foster animal. I agree to make foster animals available to any prospective adopter as requested by HHS. *
5. Inspections: HHS has permission to inspect facilities at a time convenient as possible for all involved but may be unannounced if deemed necessary by HHS.  *
6. Returns: Foster animals must return into custody of HHS upon request within 24 hours. If the caregiver must return the animal to HHS, they understand that the animal might be placed in a new foster home, in a shelter facility, or be euthanized if no other solution is found. *
7. Abuse/Neglect: Foster animals shall never be abused in any manner, nor be trained or used for attack, protection, or fighting. Foster dogs should be supervised at all times when strangers (human and animal) or any children are present. *
8. Lost/Stolen/Supervision: All foster dogs must wear a HHS kennel ID. If the ID becomes lost, please ask for a new one. In the event a foster animal is lost or stolen, I will notify HHS immediately. I will not allow others to care for my foster animal(s) unless I have received approval from HHS. I am responsible for the well-being of my foster animal(s) at all times. I agree that all foster cats or kittens must be kept inside at all times unless in transit to shelter. *
9. Medical: I agree to follow any medical protocol as directed by HHS. *
10. Euthanization: HHS has final say in euthanizing a foster animal. *
As a foster care provider for HHS, I understand I will be working with animals with unknown and possible unpredictable characteristics and dispositions. I, intending to be legally bound for myself, those living at my residence, my heirs, and personal representatives, forever release and hold harmless the HHS, its officers, directors and staff from any and all rights, claims, and costs for damages I may have arising out of any injuries or illnesses suffered by myself, my pets or others as a result of providing animal foster care services under this agreement.

I agree to provide vaccination records for every animal currently residing at my residence.
Please send those veterinary records via email to info@sdheartlandhumanesociety.com.
E-Signature *
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