Volunteer Foster Form Volunteer Foster Form Please fill out this form if you are interested in volunteering as a pet foster home for Tuba City Humane Society. Name* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have pets of your own?*YesNoType of Pet, Age, Breed, GenderSpayed or NeuteredYesNoMore Pets?YesNoType of Pet, Age, Breed, GenderSpayed or NeuteredYesNoAny other info about your pets (please tell us about ALL pets in your household)Living Situation*Own my own homeRent my homeOwn townhome/CondoRent townhome/CondoRent apartmentIf renting, do you have permission to have pets?YesNoLandlord name and phone numberNames of other adults in the home and their relationship to youDo you have children at home? If so, please list name and agesIs anyone in your home allergic to animals? If yes, please explainWhy do you want to foster for Tuba City Humane Society?Where will your foster animal sleep?How many hours a day will your foster animal be alone?Animals that have just been rescued from the Rez often need at least two weeks of quarantine from other animals. Would you be able to keep your foster separate? If so, how?Have you had a puppy or dog in your home diagnosed with Parvo?*YesNoIf yes, how long ago?Please describe your previous experience with dogs (or cats)*Preferred type of animal to foster (please choose all that apply)*PuppyKittenAdult dog, male onlyAdult dog, female onlyAdult dog of either genderAdult catPregnant momma dogMomma dog and litter of puppiesMomma cat and litter of kittensMedical foster - mange or other issuesWhatever is neededOther info about preferred animal to fosterBy typing your name below, you are electronically signing this document that you have read through and answered all questions above truthfully and accurately.*PhoneThis field is for validation purposes and should be left unchanged.