Animal Services Foster Application Form

2. Foster homes must have prior approval from landlords/parents/roommates, etc. prior to applying, this makes the experience enjoyable for everyone and the pets! Thanks for your interest in fostering!

4. First Name*

5. Last Name*

7. Address 1*

9. Address 2

11. City*

12. State*

13. Zip*

15. Phone*

17. E-mail*

19. Date of Birth*
    Date of Birth

23. Do you:*

    1. Own
    2. Rent
    3. Other

24. If other, explain:

26. Property owner's name:*

27. Property owner's phone*

29. If you rent, are animals permitted by your landlord?

    1. Yes
    2. No

30. If yes, are there size and/or breed restrictions?

    1. Yes
    2. No

32. Will you allow a home check by a representative of the Athens-Clarke County Animal Services Department?*

    1. Yes
    2. No

34. How many people reside in your home?*

35. Is everyone in your home aware that you want to foster?*

    1. Yes
    2. No

37. Are there children in your home?*

    1. Yes
    2. No

38. What are their ages?

42. Relative that resides nearest to you (but not living with you)

44. Relative's Name*

45. Relation to you*

47. Relative's Phone Number*

49. Address 1*

51. Address 2

53. City*

54. State*

55. Zip Code*

59. Do you foster with another shelter or rescue organization?*

    1. Yes
    2. No

61. Which shelter or rescue organization?

63. Are you currently fostering an animal from another shelter or rescue organization?*

    1. Yes
    2. No

67. Animals Currently In Your Household

69. How many animals (including reptiles, livestock, small mammals, etc.) are currently in your household, including any animals owned by another in your residence?*

    1. None
    2. One
    3. Two
    4. Three

71. Animal #1 Breed

72. Animal #1 Name

74. Spayed/Neutered

    1. Yes
    2. No

76. Vaccinations

    (check all that apply)

    1. Distemper/Parvo
    2. Rabies
    3. Kennel Cough
    4. Other
77. If other, explain:

79. Where is the animal?

    1. Still own
    2. Gave away
    3. Surrendered to a shelter
    4. Stolen
    5. Lost
    6. Hit by a car
    7. Died of old age
    8. Other

80. If other, explain:

82. How is the animal confined?

84. Where does the animal sleep?

86. Pet's veterinarian?

88. Who is listed as the owner?

90. Animal #2 Breed

91. Animal #2 Name

93. Spayed/Neutered

    1. Yes
    2. No

95. Vaccinations

    (check all that apply)

    1. Distemper/Parvo
    2. Rabies
    3. Kennel Cough
    4. Other
96. If other, explain:

98. Where is the animal?

    1. Still own
    2. Gave away
    3. Surrendered to a shelter
    4. Stolen
    5. Lost
    6. Hit by a car
    7. Died of old age
    8. Other

99. If other, explain:

101. How is the animal confined?

103. Where does the animal sleep?

105. Pet's veterinarian?

107. Who is listed as the owner?

109. Animal #3 Breed

110. Animal #3 Name

112. Spayed/Neutered

     1. Yes
     2. No

114. Vaccinations

     (check all that apply)

     1. Distemper/Parvo
     2. Rabies
     3. Kennel Cough
     4. Other
115. If other, explain:

117. Where is the animal?

     1. Still own
     2. Gave away
     3. Surrendered to a shelter
     4. Stolen
     5. Lost
     6. Hit by a car
     7. Died of old age
     8. Other

118. If other, explain:

120. How is the animal confined?

122. Where does the animal sleep?

124. Pet's veterinarian?

126. Who is listed as the owner?

128. May we contact the veterinarians listed to verify this information?

     1. Yes
     2. No

132. Please complete the following questions:

134. Have you adopted from us before?*

     1. Yes
     2. No

135. If yes, when?

137. Have your ever applied for adoption here and been denied?*

     1. Yes
     2. No

138. If yes, when?

140. Are you familiar with the animal control laws in your area?*

     1. Yes
     2. No

142. Have you ever been warned or cited for a violation of animal control laws?*

     1. Yes
     2. No

144. If yes, please indicate the date:
     If yes, please indicate the date:

145. What County?

149. Please answer the following questions concerning the pet you wish to foster:

151. How will you confine this pet?*

153. Where will the pet sleep?*

155. Where will the pet be kept while you are away for an extended period of time?*

157. Are you able to bring the pet to adoption events or vet visits if needed?*

     1. Yes
     2. No

159. May a representative of the Athens-Clarke County Animal Services Department come to your home to check on the animal’s well being? *

     1. Yes
     2. No

161. Generally, what time would be most convenient for a representative to visit your home for a home check and/or periodic check-ins? *

163. Video of Home*

     The Georgia Department of Agriculture requires a home check, so all interested fosters must submit a video of their home. This should be a short tour that shows where the foster pet will be housed. Please start outside with the house or apartment number shown. (Please note: File make take some time to upload depending on size).

165. Electronic Signature*

     1. By checking this box, I certify that the information I have given is true and that any misrepresentation of facts may result in the denial of this application for fostering.

Leave This Blank:


167. 1. Receive an email copy of this form.
168. Email address

     This field is not part of the form submission.

169. Submit

* indicates a required field