First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone

Work Phone
x

Cell Phone

Which animals would you be interested in fostering? Select all that apply

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you own or rent your home*
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number

If you rent, have you received the approval of your landlord to have an animal
Choose one: Yes No

How many people reside in your household*

List all members of your household and their ages including yourself.*

Who in the household will care for the pet*

How much time will the animal spend alone during the day*

Where will the animal be kept when you are not home*

Have you ever given up a pet? If yes, please explain*

What traits are you looking for in a pet

Why are you interested in fostering at this time?

List any other animals that are currently living in the household. Please include type and age.

Which flea and heartworm prevention are you using for your current animals?

Are all animals in the home current on their vaccines?
Choose one: Yes No

Have all animals in your household been spayed/neutered?
Choose one: Yes No

List at least one reference (who is not a family member)*

Veterinarian's Name and Phone Number

Are you able to attend or drop off your foster animal(s) at our adoption events? Most events take place on the weekends at the Casselberry Petsmart.*
Choose one: Yes No

Are you able to attend or drop off your foster animal(s) at any necessary vet appointments? We try to schedule with the vet offices that are most convenient for our fosters.*
Choose one: Yes No

Additional Information:

How did you hear about us

I state and agree that I have at least a basic understanding of handling cats. I also understand that cats can bite, scratch, or otherwise cause me harm, even if the cats are known to have an even temperament. I understand that cats, especially ones that that have been rescued and possibly abused and/or traumatized, can get easily startled, scared, feel threatened and may cause me harm. I expressly assume the risk of any and all injuries or damages I might incur relating to my dealings with cats (or any other animal rescued by Cat Tail Corner Inc.) Please initial to accept*

I certify that the information entered on this applicant is true. Enter your name and date*