How to Adopt
Online Adoption Application
Lost & Found Pets
Other Ways to Help
Online Foster Application
Help Me Heal Fund
Scrip Fundraising Program
Furry Flurry 2016 Photos
Thank You to Our Furry Flurry Sponsors
Drool in the Pool 2016
Happy Tails Testimonials
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 email@example.com or call us at (920) 722-9544.
PLEASE FILL OUT THIS APPLICATION AS COMPLETELY AS POSSIBLE.
Puppies less than 6 months
Kittens less than 6 months
Surgery Recovery Dogs
Surgery Recovery Cats
Bottle Baby Cats
Your Legal Name
Maiden Name (if applicable)
Date of Birth
Driver's License Number
Occupation (or other source of income)
List other adults living in your household (18 yrs or older). Include name, maiden name (if applicable) and date of birth for each person:
List any children living in your household (under 18 yrs). Include name and age of each child:
If renting provide landlord's name:
If renting provide landlord's phone:
Do you have children that visit or live next door?
If yes, list the children's ages:
Describe your family's activity level:
Not very active
Is anyone in the household allergic to this animal?
If allergies exist, how do you plan to solve the problem?
Who will be responsible for the care of this animal?
Do you have a room or area to isolate your foster animal(s) from other pets? Please explain.
Indoors vs. Outdoors
This animal will live (check all that apply):
Outdoors this animal will be (check all that apply):
Animal will not be outdoors
Indoors this animal will be (check all that apply):
Animal will not be indoors
How long are you able to foster?
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:
Include each pet's name, breed, age and sex (M/F).
If you had pets in the last 5 years, list veterinarian(s) who cared for each pet:
Include pet's name and veterinarian name and phone for each pet. PRIOR TO SUBMITTING APPLICATION PLEASE CALL YOUR VET CLINIC(S) TO RELEASE YOUR PET RECORDS.
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:
Please list two references who do not live with you:
How did you hear about our shelter? (check all that apply)
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.
Signature of Applicant
WAIT...BEFORE YOU SUBMIT...Did you fill in this application as completely as possible??
© 2014 Neenah Animal Shelter. All rights reserved.
951 County Road G Neenah, WI 54956 | T: 920-722-9544 | E: