Foster Home Care Volunteer Application

Please identify all dogs/cats/other pets currently living in your home *

If you currently own animals, please list your veterinary reference where vaccination records can be found, veterinary phone number, and whose name they are under. *

Does your veterinarian know you plan to become a foster parent? *

If you rent, provide landlord's contact info, including phone number and/or email address. *

Are all of your animals current on their vaccinations? *

Yes No

If yes, please attain copies of current vaccination records and fax them to us at 715/634-5394 (or have your veterinarian fax them directly) to the attention of the Foster Home Coordinator.

If no, please provide estimated date of when vaccinations will be current and forward at that time. *

Required Vaccinations: ALL animals in the home must be vaccinated for Rabies and Distemper. Recommended vaccinations include:

Bordatella vaccinations are highly recommended for all dogs in the home
Feline Leukemia vaccinations are highly recommended for all cats in the home.

Do you have a room to isolate foster animals from other pets? If yes, please describe the area & how you would isolate them. *

Describe your experience in caring for sick or injured animals. Please note any experience you have in dog obedience training or behavior medication. *

In consideration of NHS accepting or denying my application for participation in the foster Home program, I agree to release and hold NHS harmless from and against any and all loss, damage, claims, liability, costs and expenses, of any nature whatsoever, including without limitation attorney's fees and disbursements. I further agree to indemnify NHS for any of the foregoing asserted by third party, including but not limited to, other individuals residing at my home, to the extent that any of the foregoing arise from or are occasioned by my participation in the foster home program. I understand that when I care for NHS animals in my home, I am doing so strictly as a volunteer and in the spirit of volunteerism. Thus, I will not expect to make claim for wages in return for my services. I agree that NHS may photograph my participation in this program, and I hereby release any such photographs to NHS for use in its programs, publications, and purposes.

By typing my name and date in the boxes below, I acknowledge I am providing accurate information to NHS.

We Would Love to Have You Visit Soon!
located 4 miles east of hayward on highway 77 east
10812 N O'Brien Hill Road

Hours

Until further notice, Shelter Hours are by Appointment Only

Telephone

715-634-5394

Email

paws@northwoodshumanesociety.org

Mailing address

PO BOX 82
Hayward, WI 54843

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Tax ID Code: EIN 39-1634-807; Dog Seller License 267329-DS
The Northwoods Humane Society (NHS) is a Section 501 (c) (3) charitable organization. Donations to NHS are deductible as a charitable gift.
If you should have any questions concerning tax deductibility, please consult your tax advisor.
The NHS receives NO funds from any local, state or federal government. We are a "no-kill" shelter.