Adams County Humane Society Foster Application

    In order to be considered for the foster program you must meet the following requirements:
    > Be 21 years of age and have a form of identification with your name and birthdate on it for verification.
    > Current pets must be spayed/neutered and up to date on vaccinations.
    > Landlord and parent approval must be obtained. ACHS will contact either if this applies to you.

    Complete ALL Questions & Blanks. This form will not submit if any field is missing. Thank you!

    Financial/Employment

    Home Environment

    Adams County Humane Society has the right to accept or deny this foster application for any reason. A completed application does not guarantee an approved application.

    By signing this application:

    > I certify that I am 21 years of age or older
    > I certify the information I provided is true and accurate.
    > I authorize all verifications of statements I have made.
    > I recognize that any misrepresentation of facts may result in losing the privilege of fostering an animal.
    > I understant that ACHS will makes all medical decisions necessary for all fosters, will schedule any veterinarian appointments necessary, and will provide any medication prescribed.
    > I understand I am responsible for the daily safety and care of the ACHS foster animal.
    > I understand that foster cats and dogs must live inside my home, and I will not place the animal with anyone else.
    > I will notify ACHS if the animal I am fostering becomes ill, is injured, or becomes lost.
    > I understand how the ACHS Foster Program works and agree to comply with all requirements. 
    > I will contact the ACHS Foster Coordinator immediatly if I have any questions of concerns.
    > I have thoroughly read and understand the Cat Foster Agreement or Dog Foster Agreement, depending on the animal I will foster.
    > I understand ACHS will call me to schedule an appointment at the shelter to go over this Foster Application and the Cat/Dog Agreement. I will sign and initial both forms at the scheduled appointment and provide my driver's license or photo ID with birthdate to be copied and attached to this application.

    I agree that the Adams County Humane Society may photograph my participation in the program and I hereby release any such photographs to the Adams County Humane Society for use in its programs, publications, and purposes.
    I understand that I am fully approved to volunteer at Adams County Humane Society once a background check has been approved and the required orientation has been completed. 

    I understand there are certain risks of personal injury, death, disease and property damage in fostering animals for Adams County Humane Society, and by signing below I accept those risks.In consideration of the Adams County Humane Society accepting my application for participation in the Volunteer Foster Care Program, I agree to release and hold harmless the Adams County Humane Society, its Directors, Officers, Agents, and Employees from and against any and all loss, damage, claims, liability, costs and expenses of any nature whatsoever, including without limitations, attorney’s fees and  disbursements, arising from or occasioned by my participation in the Adams County Humane Society Volunteer Foster Care Program. 

     I have read and fully understand the terms and conditions of the Volunteer Foster Care Program Agreement and Waiver of Liability and I willingly comply with all its conditions.

    Signature of Foster Parent____________________________________________ Date___________________
    ​Signature of Foster Parent____________________________________________ Date___________________
    ​Signature of ACHS Rep _______________________________________________ Date___________________
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