(example: MS - Mississippi)
(example: Your Driver's License #)
If you do not have a certain animal in mind leave this blank.
If you are not applying for a specific animal leave this blank.
Pet's Health and Disposition
Tupelo Lee Humane Society cannot guarantee the health or disposition of any foster animal. We do not have past records for these animals and there are some risks associated with taking in foster animals. Family pets will be current on all shots and foster pets will be kept isolated from family pets, for a minimum of 7 days for the protection of all animals. I agree to be fully responsible for the safety and well being of the foster pet. I will provide a safe, loving, humane environment with adequate food, water and shelter at all times. I will not declaw, crop ears, or crop tail of fostered pet. I will adhere to all state and local animals laws and all foster animals will wear a collar with identification. I will promptly notify Tupelo Lee Humane Society of any signs of illness, behavioral issues or concerns, an inability to continue to foster, if the pet becomes lost, and/or if the pet(s) bites someone.
Personal or Property Damage and/or Injury
I agree that accidental animal bites or other injuries to humans and other animals do occur, and agree to hold harmless and indemnify, and protect Tupelo Lee Humane Society from any claim or suit filed by someone as a result of such incident.
In addition, Tupelo Lee Humane Society will not be responsible if an animal should damage or destroy property belonging to the foster caregiver (signee of this form), the foster caregiver’s household, or others, or if the animal shall transfer any disease, internal or external parasites to other animals or people in the foster caregiver’s household.
I understand that if I am approved for fostering, this declaration represents a legal contract between me and Tupelo Lee Humane Society. I understand that I the designated foster caregiver for all animals owned and cared for by Tupelo Lee Humane Society. I understand that if I am approved to foster an animal, I must abide by this agreement and that this agreement applies to any and all animals that I foster with Tupelo Lee Humane Society.