Foster Care Application and AgreementFoster Care Application and AgreementFirst NameLast NameDate / TimeAre you over 18? Yes NoAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweEmailDo you own or rent the place where you live? Own RentIf you rent, are there any animal restrictions? If you rent or reside in another's home please provide their name and phone numberHow many children are in your household and what are their ages? Do you have a yard? Yes NoIs the yard completely fenced? Yes NoPlease describe the fence type and heightSelect the options that describes your normal day Home all dayOut part-timeGone 7-10hrs dailyIndicate pets currently living with youDogsCatsBirdsReptilesSmall AnimalsFarm animalsAre your petsIndoor onlyOutdoor onlyBothAre your pets current on vaccines?Are all your pets spayed and/or neutered? If no, please explain: What type of animal(s) would you like to foster?CatsSmall DogsMedium/Large DogsPoultryGoatsParrotsPocket Pets (ferret, hamster, etc.)AlpacasReptilesRabbitsSick or Injured PetsHow long are you willing to foster at any one timeAre you willing to foster more than one animal at a time? Yes NoAny foster pet you take needs to get along with? DogsCatsKidsHow will the foster pet receive exerciseWhere will the foster pet be kept? Please mark for both night and day. Loose indoorsBasementGarageClosed in a roomFenced yardPenLoose outdoorsTied outsideCrate or CarrierOtherHave you ever given medication to a sick animal before? - Select -YesNoIf yes, please explainAre you willing to provide food, toys, bedding and litter at your own cost for foster pets?- Select -YesNoAre you willing and able to provide all basic needs of food, clean water, shelter, vet transport, socialization, training and potentially emergency transport?- Select -YesNoDo you agree that you have knowledge of care for this animal and humane treatment? - Select -YesNoHave you or anyone who will be around the animal been convicted of animal abuse/neglect?- Select -YesNoDo you agree to only use positive training methods and ask for help from MMHRS if needed?- Select -YesNoHave you fostered an animal before? - Select -YesNoIf yes, what organization did you foster for? References1st non related reference:First NameLast NameHow do you know them?How long have you known them?2nd non related referenceFirst NameLast NameHow do you know them?How long have you known them? Foster Terms and Agreement OPEN DOCUMENT FOR TERMS I have read and agree to the Terms and Conditions and Privacy Policy I have read this application and Agreement in its entirety, and I agree that all statements and agreements contained in this document are made by me and are truthful, under penalty of perjury under the laws of the State of Washington. I consent to have this website store my submitted information so they can respond to my inquirySubmit Form