Skagit County Foster Home Application Foster Care Data Sheet Name ___________________________________________ Address ___________________________________________ City, State, Zip ___________________________________________ Work Phone ___________________________________________ Home Phone ___________________________________________ Cell Phone ___________________________________________ e-Mail ___________________________________________ Facilities Available (check all applicable) None Box stall Box stall w/run Foaling stall Open pasture Pasture with run-in shed Paddock no shelter Turn-out isolated Turn-out in herd Paddock w/shelter Acreage Available (check all applicable) Total Acreage: Number of Acres in Pasture Number of horses currently owned or boarded _______ _______ _______ Riding/Exercise Facilities Indoor/covered arena Trails Outdoor arena Round pen Racetrack Pasture area Fencing Mesh Hot Wire or tape New Zealand Other (describe ____________________________ Board or Round pole I can comfortably foster (check all applicable) Babies Stallions Pregnant mares Geriatric Special needs (e.g. medical care) Off the track racehorses Hard to handle Wild/Untrained Easy keepers only Vices (cribbing, weaving, etc.) My comfortable duration of foster care is: 1 week 1 month 3 months unlimited 3 horses Max ___ I am willing to foster: 1 horse 2 horses I have the ability/am willing to quarantine a horse separate from other horses: Yes No The level of foster care I am comfortable providing is: Full care Limited care Hay Grain Worming Vaccinations Farrier Basic Vet care Other comments/requirements: ______________________________________________________ ______________________________________________________ ______________________________________________________ Supplements Basic ground training Mucking/grooming