Name:                                                                                                           Date                         

                                             (Please Print)

Address                                            City:                                        State:         Zip:                       

E Mail Address                                           _              _ Home Phone:                                                        Cell  or Home Phone: ________________________________ 

What type of Animal(s) do you have experience with?                                                                                              

Would you be able to: (CIRCLE all that apply)

Transport animals/ supplies:  day    evening            Make or receive phone calls:    day     evening

Assist on Saturday Adoption Days time:                            Work at County Fair in early August :__________

Experience with writing grants:_________Public Relations:____________Computer work:_______________        other skills:                                    ___________________________________                                           _____________________________________________________________________________________________

Do you have any animals of your own?     Yes     No        If so, what kind?                                                            ___________________________________________________   

What would you like to foster?                                                  How many? ______________________

Please specify any time of the year you can foster                              ___________________________

Name of your current Veterinarian:                                                                                              

Address:                                                                                       Phone:                   ________ 

In case of Emergency contact                                                       Phone                                  __

I understand that I shall be legally responsible for any animal(s) that I foster for Last Hope, Inc.  I shall collect payment of the adoption fee and will forward the adoption fees to the Last Hope, Inc, treasurer within 1 week.   Failure to collect said fee (i.e. giving the animal away, it becomes lost or stolen) will result in my becoming responsible for fully reimbursing Last Hope, Inc. for the adoption fee.  I further understand that should I decide to keep the foster animal, I will be required to pay Last Hope, Inc. the required adoption fee immediately.  I agree to either assist Last Hope Inc. in finding a home for the foster pet by coming to adoption days, or I will return a completed adoption application with the full amount of the adoption fee to Last Hope Inc. should I place the animal from my home. 

My first foster pet(s):  Description:                                                         Record Number:_________

I have a copy and have read the Last Hope Fostering guidelines.  I understand how the guidelines will relate to me as a foster home and my responsibilities as a Foster.

Signature:                                                                                             Date                              

Last Hope, Inc.
P.O. Box 114
Farmington, MN  55024-0114
651-463-8747