Foster Care Application

1. Contact Information














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Question - Required - Type of animal(s) you are interested in fostering. Please check all that apply.


Question - Required - Do you live in a:





















I certify that the above information is true, and that I have read the information regarding the requirements and responsibilities of being a foster parent, and feel capable of performing these duties.

I understand that there may be expenses involved in fostering, and will abide by the guidelines set forth by the Nebraska Humane Society for reimbursement of certain expenses. I further understand that there is a danger inherent in handling animals, and that I agree to hold harmless and indemnify Nebraska Humane Society from any injuries or loss sustained by me or others, which may be caused by the animals(s) I am fostering.


Question - Required - Date:

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