Montgomery County Humane Society


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County Animal Shelter

240.773.5960

14645 Rothgeb Drive

Rockville, MD 20850

Hours to Visit

With the Animals

Monday - Friday

12 noon - 7pm

Closed Wednesdays

Sat & Sun:12 noon-5 pm

Business Hours

Monday - Friday

10am - 7pm

Closed Wednesdays

Sat & Sun: 10am - 5pm

Directions

MCHS Private Rescue

240.453.9401

607 S. Stonestreet Ave.

Rockville, MD 20850

Hours to Visit

With the Animals

Monday - Friday

12 noon - 7pm

Closed Wednesdays

Sat & Sun: 12 noon-5pm

Directions

Foster Parent Form

Date
First Name
Last Name
Street Address
City
State , Zip
Email
Home Phone
Work Phone
Landlords Phone
Do you live:	With your Parents Own Rent
Type of Residence:	House Townhouse Apt
Check any Category of interest
Adult Dogs:	injured sick healthy
	nursing mother and pups
Size limit:
Adult Cats:	injured sick healthy
	nursing mother and kittens
	Reptiles Rabbits Birds Ferrets
	Small mammals ( guinea pigs, hamsters, gerbils etc...)
Veterinarian:
Vet Phone:
Any other Pets in your home:
Are these pets Licensed in Montgomery County:	Yes No
Please list previous pets:
Are your pets currently vaccinated against:	Distemper Rabies Bordatella
Have your cats tested (neg.) for FeLV/FIV:	Yes No
Number of people in household:
number of children:
Ages of children:
Do you have a fenced front yard?	Yes No
Height of fence:	ft
Are you willing to give this animal time to adapt to your home?	Yes No
Do you understand this animal may not be housebroken?	Yes No
Tell us why you want to join the foster program:

14645 Rothgeb Drive | Rockville, MD 20850 | Main Number: (240) 773-5960
Programs & Services: (240) 773-5054 | Emergency Services (24/7): (240) 773-5900 | Fax: (301) 279-1998