Liberty Humane Society - Foster Application

Liberty Humane Society
235 Jersey City Blvd., Jersey City, NJ 07305
Telephone: 201-547-4147 Fax: 201-547-8381
Email: volunteer@libertyhumane.org
www.libertyhumane.org

Thank you for your interest in fostering a shelter pet!

Foster volunteers are highly committed people who open their hearts and homes to care for a homeless animals in need until their forever home is found. From healthy animals and to the ones that come to LHS injured, ill, too young, too small, unsocialized, pregnant, orphaned or in need of manners before they can go home. Fosters truly are our lifesavers.

Date *

First Name *

Last Name *

Street Address Line 1 *

Address Line 2 (Apartment/Suite)

City *

State *

ZIP *

Primary Phone *

Secondary Phone

Email Address *

Have you attended a general LHS volunteer orientation in the past? *

Yes

No

Month/Year of orientation (approximately): *

If this application is for a specific animal, please enter the pet's name here

Do you rent? *

Yes

No

What is your landlord’s name/phone? *

Do you have any restricitions with breed or size of animal where you live (from landlord OR insurance)? If so, please list. *

How many adults live in your household? *

How many children? How old are they? *

Do you have other animals in your home? *

Yes

No

Please describe: (type, age, sex) *

Are all other animals up to date on vaccinations, including rabies? *

Yes

No

Are all other animals spayed or neutered? *

Yes

No

Will your current pet(s) accept a new pet in the house? *

Can you keep foster animals and resident animals separate, if required? *

Yes

No

Please describe separation arrangements: *

Have you had a companion animal in the past? *

Yes

No

Previous companion animals- please list type of animal and how long you had them for: *

Are you available to make frequent trips to the shelter for supplies, medicine, or veterinary care? *

Yes

No

LHS relies upon foster parents to recruit and actively seek permanent homes for their adoptable foster animals. Are you willing to help market your foster animal for adoption in the community, provide photos and bios, and bring them to LHS for adoption events? *

Yes

No No

I would be willing to provide foster care for (please check all that apply): *

I have experience with the following:

I am available to provide foster care for: *

Up to one week only

One to three weeks

Three to six weeks

Until adopted

Please describe separation arrangements: *

Although the Liberty Humane Society makes every possible effort to place the animals in our care into adoptive homes, euthanasia is sometimes our only option for severely sick or injured animals or for animals with serious behavioral disorders. How would you respond to the euthanasia of one of your fostered animals? *

Please list any special skills you have that would make you a valuable Foster Parent:

As a volunteer with the Liberty Humane Society., I understand the risks involved in working near or with
any animal, including the risk of personal injury. On behalf of myself, my heirs, personal representatives
and executors, I hereby release, discharge, indemnify and hold harmless The Liberty Humane Society,
its agents, servants and employees from any and all claims, causes of action, or demands, of any nature
or cause, including costs and attorney’s fees incurred by the Liberty Humane Society in connection with
the same, based on damages or injuries which may be incurred, or sustained by me in any way connected
with my services for the Liberty Humane Society including, but not limited to, animal bites, property damage, accidents or injuries.

Signature: By typing my name in the field, I am confirming that all information that I have provided is accurate. *