One reference must be a veterinarian. Other references may include neighbors or co-workers. For each reference, please include the following: Name, Relationship and Phone number (with area code)
By initialing below I acknowledge that the information contained in this form is true and accurate to the best of my knowledge, and I understand that any misrepresentations of fact may result in the removal of the foster pet from my home.
The Rimrock Humane Society reserves the right to refuse any applicant!