First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Cell Phone*

Your Age*

How long have you been at your present address?*

Will you allow a volunteer to visit your home?*

Are you planning to move in the next 6 months?*

Do you own or rent your home?*

Apartment number (if applicable)

If you rent or live with relatives, please list the name and phone number of the owner/landlord

Name and age of others living in the household: *

Please list all of your current pets. Include name, type of pet, age, and if they are spayed/neutered. *

Please list any previous pets. Include name, type of pet, age, and what happened to them. *

Do you have a vet? *

May we contact your veterinarian?

Current veterinarian name and phone number, and name account is under.*

List THREE references, including name and phone number for each. At least two of the references must be unrelated to you.*

Have you or any family member of your household ever been accused (formally or informally) of abusing, harming, or neglecting an animal?*

Who will care for the foster cat?*

Where will you keep the foster?*

How many hours per day will the foster cat be alone?*

Do you plan to integrate your foster cat into your household with your current animals?*

Do you have a spare bedroom/bathroom/study/etc to house your foster cat until it gets acclimated to you, your household, and/or your resident pets?*

Do you understand and agree that the foster cat *must be kept indoors*?*

Do you understand and agree that as a foster parent you will be primarily responsible for providing pet sitting to your foster when you travel?*

Please describe the pet sittings arrangements you will make for your fosters if you are away for an extended period of time. *

Do you understand and agree that the rescue will pay any necessary vet work while the cat is in your care, but that the care *must be pre-authorized* unless a medical emergency?*

Do you understand and agree that your foster parenting responsibilities include picking up your new kitties and transporting them (always in a carrier!) to vet appointments?*

Do you understand and agree that should you find a person who is interested in adopting your foster cat, that person must go through the formal adoption application and review process?*

Do you understand and agree that you may only release your foster cat to a person who you have been advised by the rescue is an approved adoption applicant?*

What are your foster preferences?

How many cats/kittens are you interested in fostering at one time? *

If you are interested in fostering pregnant or nursing moms, do you have previous experience? Please explain.

Questions/Comments?

I certify that neither I, nor any other person residing in my home, have ever been convicted of animal cruelty, neglect, or abandonment and I hereby attest that all of the information contained in this document is accurate. Further, I agree to allow a representative of the rescue to verify this information through telephone contact, including but not limited to, previous/current vet records and landlord approval. (Required by NJ State law)*