Online Foster Application

READ THESE INSTRUCTIONS BEFORE FILLING OUT THIS APPLICATION:

To move through the application, use the TAB key or your mouse--DO NOT USE the return/enter key.
Take time to answer all questions. It will help us process your foster application.
Applications missing vital information will not be processed.
When you are finished filling out the application be sure to click on the SUBMIT button on the bottom.
If you need help with this application or have questions about it please email us at neenahanimalshelter@gmail.com or call us at (920) 722-9544.

PLEASE FILL OUT THIS APPLICATION AS COMPLETELY AS POSSIBLE.

Personal Information

Residence Information

Additional Information

Animal Care

Indoors vs. Outdoors

Pets in the Last 5 Years

All cats must be current on rabies and distemper.
All dogs must be current on rabies, distemper and Bordetella.

List pets you had or that lived with you in the past 5 years: *

If you had pets in the last 5 years, list veterinarian(s) who cared for each pet: *

If you had pets in the last 5 years, where are they now? *

Were all of these pets neutered or spayed? *

If pets were not neutered/spayed, please explain: *

References

Please list two references who do not live with you:

Please read this carefully before signing the application:

Foster Care Waiver of Liability

In consideration of NAS accepting or denying my application for participation in the Foster Care Program, I agree to release and hold NAS harmless from and against any and all loss, damages, claims, liability, cost and expenses, of any nature whatsoever, including without limitation attorney’s fees and disbursements. I hereby assume full responsibility for any risk of bodily injury, death, or property damage arising out of or relating to the activities whether caused by the negligence of the released parties or otherwise.

I further agree to indemnify NAS for any of the foregoing asserted by any third party, including, but not limited to, other individual residing at my home, to the extent that any of the foregoing arise from or are occasioned by my participation in the Foster Care Program.

I understand that when I care for NAS animals in my home, I am doing so strictly as a volunteer. Thus, I will not expect to make claim for wages in return for my services.

I agree that NAS may photograph my participation in this program, and I hereby release any such photographs to NAS for use in its programs, publications, and purposes.

I have read this agreement of release and waiver of liability, assumption of risk and indemnity, fully understand its terms, and I understand that I have given up substantial rights by signing it, and have signed it freely and voluntarily without any inducement, assurance or guarantee begin made to me and intend my signature to be a complete and unconditional release of all liability of the greatest extent allowed by law.