Foster Interest Form

Today's Date (MM/DD/YYYY):(Required)

Your Legal Name (First, Middle, and Last name)(Required)

Your Date of Birth (MM/DD/YYYY) - YOU MUST BE 18+ YEARS OLD TO FOSTER!(Required)

Your Address (Street/City/Zip)(Required)

NOTE: 1) IF YOU RENT, YOU WILL NEED TO OBTAIN LANDLORD/HOMEOWNER PERMISSION PRIOR TO US PLACING AN ANIMAL IN YOUR CARE. 2) You need to live within a 30 minute drive from the LCHS shelter (located at 825 Thornwood Dr, Heath, OH 43056).

Your County of Residence (For example, Franklin County, Licking County, etc.)(Required)

Please enter your email below:(Required)

Your Phone Number (xxx-xxx-xxxx)(Required)

How did you hear about our foster program?(Required)

Have you ever fostered before? If yes, please give a brief description of your foster experience(s).(Required)

What type of animals are you most interested in fostering (check all that apply)?(Required)

Pregnant/Nursing Moms

Bottle Babies

Kittens/Puppies

Adults

Seniors

Respite

Hospice

Scared/Other Behavior Issues

Injured/Recovering from surgery

What length of fostering term are you most interested in?(Required)

Short term (less than 2 weeks)

Typical Term (2-8 weeks)

Long Term (8+ weeks)

*PLEASE NOTE: A length of stay for a particular animal is NEVER guaranteed due to the health of the animal and available space in the shelter.

Do you have any pets in the home?(Required)

Yes

PLEASE NOTE: You will need to provide up-to-date vaccination records for ALL dogs and cats in your home prior to us placing an animal in your care.

Are there any children in the home?(Required)

Yes

Please list the first and last names of all adults (18+ years old) who live in the home:(Required)

Thank you for your interest in fostering! A member of the foster team will reach out to you soon!

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