Kanawha-Charleston Humane Association

Name of Fosterer *

First Name

Last Name

KCHA and the above named individual agree that foster care will be provided for the following animal:

Name of animal *

Breed *

Shelter ID number *

Gender

As a foster care provider, I understand and agree to the following: (Please initial)

The above-described animal is under the care and protection of the Humane Officer of Kanawha County and/or Charleston, WV and KCHA. *

I will take physical custody of the above described animal. *

I will provide appropriate food, water, shelter and care for the above-described animal at my own cost. *

The Humane Officer, or designated employee of KCHA may visit the above-described animal with reasonable notice. *

If requested by KCHA, I will return the above-described animal to KCHA. *

If I am unable or unwilling to continue care for the above-described animal for any reason, I will return it to KCHA. *

I will not under ANY circumstances give away, rehome, or re-foster the above referenced animal without first returning the animal to KCHA and completing the appropriate paperwork. *

I agree not to sell, lease, give away, euthanize, or otherwise dispose of the above-described animal. *

I will not perform nor will I allow to be performed any elective surgery other than altering (spaying or neutering) to the above-described animal. *

I will provide route veterinary care for the above-referenced animal. *

If the above-referenced animal requires veterinary care for which I am unable to pay, I will return custody of this animal to KCHA immediately. *

I understand I will not receive any compensation or reimbursement for the care I provide to the above referenced animal. *

I will keep control of the above referenced animal at all times. While outdoors the animal will remain on a leash or in a carrier. *

I understand if this animal becomes available for adoption, and I am still the foster parent, I will have the right of first refusal to adopt the animal. *

I agree to foster the above described animal within the guidelines and parameters described above and further explained to me by KCHA staff. *