Form Center

2. First Name
3. Last Name
5. Address 1
6. Address 2
8. City
9. State
10. Zip
12. Phone Number*
13. Email Address*
15. Emergency Contact & Phone Number
17. Driver's License Number & State*
18. Own or rent home?*

    1. Own
    2. Rent
19. Name & Phone of Landlord*

    If no landlord put N/A

21. List all people living in the home. This includes name, age and relationship.*
23. Fenced yard?

    1. Yes
    2. No
24. Height & Type of Fence
26. List all pets in the home. Please include name, breed and age.*

    If no pets put N/A

28. All animals in the foster home must be altered and up to date on all vaccines. Please list the Veterinarian with phone number where vaccinations can be verified.
30. Please indicate type of fostering that you are interested in:*

    1. Space
    2. Medical
    3. Behavioral
    4. Underage
32. What type of animals are you willing to foster? *

    1. Dogs/puppies
    2. Cats/kittens
    3. Both

    *Note: Dogs/puppies are rare for the shelter to need fosters for. 

34. By signing this application you agree that all statements in this application are made based on personal knowledge and are made for purposes of my application to foster one or more animals through the Hutchinson Animal Shelter's foster care program.
    The Hutchinson Animal Shelter is a division of the Hutchinson Police Department. All potential foster homes must submit to a National Crime Information Center background check. Please provide the following information:
36. Date of Birth*
    Date of Birth
37. Gender*

    1. Male
    2. Female
38. Electronic Signature*
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field