I, the undersigned, being the responsible spokesperson for my household:

1. Agree to "foster" animals until adopted into an acceptable home. Fostering responsibilities include providing fresh water, food, shelter, and providing transportation to and from adoptions and veterinary visits. No foster shall be tied up with rope, chained, put on a run or confined in an inadequate pen facility.

2. Have received the pet's health record, ID tag, and adoption forms and been instructed and understand the application of each.

3. Have received a copy of the HSFC's foster home policies dated March 2005 and agree to comply to ALL CONDITIONS.

4. Release the HSFC from liability of any kind, except for the pre-authorized veterinary expenditures while fostering animals.

5. If I decide to adopt the animal I agree to reimburse the full price of all veterinary treatment that is included in the adoption fee and will not take advantage of the veterinarians discount to the Humane Society.

6. No foster may adopt out an animal to a home that does not meet the Humane Society of Forsyth County minimal requirements.

Name:

Address:

Home Phone:  Work/Other Phone:

Signature:          Date:

Signature:          Date:

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