Application for membership in the host family program

Become a foster family

Please note that completing this form does not guarantee acceptance on our part. You may be contacted to obtain more information to complete your admission file. Thank you for your interest in us.

Fields with asterisk are required *

*Name:

*First name:

*Address:

*City:

*Postal Code:

*Phone number:

Day phone number:

Work phone number:

*Email address:

*Registration date:

Name of contact person:

Telephone number of contact person:

*Do you have experience as a host family?

Yes No

*Can you attend regular vet appointments at the SPCALL, during the day and on weekdays, with the animal you care for?

Yes No

If you currently have animals at home, please use the following space to identify, for each animal, the type of animal, the gender, if it’s been vaccinated and sterilized.

*Can you isolate the animal you foster from your own household pets?

Yes No

*Please identify the type of dwelling you currently live in.

Apartment Rented house
Homeowner Condominium owner

*Do you work at a site other than your house?

Yes No

*How many hours will the animal be left alone at the house?

*Do you have children living with you?

Yes No

*Please provide the names and phone numbers of two people we can contact for references :

Name	Phone number

Please add any other relevant information to support your application :

*Do you agree to receive news from the SPCA Laurentides-Labelle?

Yes No

I have read and understand the rules of commitment.