Dog Foster Application By applying to foster for the Humane Society of Bay County (HSBC) you hereby give your Veterinarian(s) and other references permission to disclose information to HSBC. We ask that you please contact them and give verbal permission to disclose vaccination and other pertinent records. Signature is implied and assumed on e-mail & online Applications. Personal InformationNameAgeEmailPrimary PhoneAddressPlease list any current pets in the home (breed, name, age)Have you had any pets in the past 5 years that are not listed above? If so, please list with current status (deceased, rehomed, etc.)VeterinarianWho is you current veterinarian?AddressPhoneName and phone number of any other veterinarians you have usedHousing InformationDo you live in:HouseApartmentMobile HomeOtherIf other, please specifyDo you:OwnRentLive with parent or family memberOtherIf other, please specifyPlease note: HSBC requires a copy of Landlord statement/Lease Agreement for Renters, or a letter of approval from current landlordDo you have a fenced yard?YesNoFencing type and heightIf no fencing, how will exercise/toilet be handled?How many adults in the home and relationship to applicant:Children in the home?YesNoAge(s) of children in the homeAre there any family members who need special consideration for any reason? If so please explain:Are there any breeds you will NOT foster?Size preference for foster dog (please select at least one) No Preference Small (less than 20 pounds) Medium (25-45 pounds) Large (46-75 pounds) Extra Large (over 75 pounds) Please tell us if you have any specific requirements for a foster dog placed in your home:Personal ReferenceNameRelationshipAddressPhoneEmailYears KnownPersonal ReferenceNameRelationshipAddressPhoneEmailYears KnownBy submitting this application, I hereby testify that I am physically able to care for a foster dog. I understand that HSBC is financially responsible for the care of any and all foster dogs. I understand that all potential foster homes must submit to a home check by an HSBC volunteer. I understand that I will be required to sign a foster contract if approved to participate in the foster program, and to abide by the guidelines of that contract.