Simcoe and District Humane Society

Full Name:

Street Address:

Mailing Address:

City, Postal Code

Cell Phone

Home Phone

Email Address

Identification you will be using

Driver's License
Student Card
Ontario Identification Card
Other: Health Card is Not an Option

If you said "other" in identification please specify

Are you interested in Fostering to Adopt?

Yes
No
Unsure at this time

Did you wish to be a full time foster with SimcoeDHumane?

Yes
No
Unsure at this time

Do You Rent or Own you home

Rent
Own

If you Rent Your Home do you have an animal agreement with your landlord? Please Explain

How many people live in your home?

1 Adult
2+ Adults
1 Child
2 Children
3 Children
4 or more Children

How old are the children?

0-18 months
18 months to 3 years
3-5 years
5-8 years
8-12 years
12-16 years

Will the children have involvement with the foster animals?

Yes
No

Does Anyone have allergies to animals?

Yes
No
Depends on the animal

If you said yes to allergies, are they medically controlled?

Yes
No

Is there a concern that due to allergies the foster animal may need to be removed from the home?

Yes
No
Unknown

How many hours will this animal be left unattended each day?

No Hours left unattended on a regular basis
1-3 hours per day
3-5 hours per day
5-7 hours per day
7-10 hours per day
10+ hours per day
depends on my shifts

How many days per week will they be left alone?

None
1-2 days per week
2-4 days per week
5 days per
6 or 7 days per weel
depends on my shifts

Fosters must keep our animals safe from injury, spread of disease, weather and the elements, undue stress, etc. Please tell us how you will keep them safe.

What type of animal(s) would you like to foster?

Dogs
Cats
rabbits
small animals
Large animals
other: such as reptiles, birds

Please list the animals you have in your home now.

Are your animals up to date with vaccinations, spayed or neutered?

Yes
No

Are your Animals up to date with Flea/Tick Treatment and currently dewormed?

Yes
No
Due soon

User Agreement

By continuing, you agree to our Privacy Policy and Terms of Service

I understand that fostering is an integral part of the Simcoe and District Humane Society’s Animal Care Program.

As a Foster Home and animal Caregiver, I am acting as a representative of the Simcoe and District Humane Society, through the guidance of the Animal Care Coordinator and Team under the authority of the Simcoe and District Humane Society.

I understand that foster animals are in the custody of Simcoe and District Humane Society and all care must be agreed upon by the Animal Care Coordinator prior to making any arrangements.

As a fosterer, I may request and apply to adopt the animal in my care. I understand that all adoptions are screened by the Animal Care Team and I will be notified if adoption is suitable.

I understand that if I do not make the animal available to adopt, I may be charged the total cost of care while it was considered in the custody of Simcoe and District Humane Society and the adoption fee for this animal .

I agree to follow the Foster Care Guidelines and accept responsibility for the animal(s) I will have in my care.

I also agree to inform the Animal Coordinator or another Simcoe and District Humane Society Representative immediately if there is an emergency with the animal in care, if there are changes in circumstances that would affect the animal in care, if there is a change of address or phone number, or if I can no longer provide appropriate care for the animal(s).