Foster Care Application

Name

Home Phone

Street

Work Phone

City, State, Zip

E-mail Address

Do you have children? (If yes, please list their ages.)

Y

N

Do you rent or own a house, apartment or mobile home?

If you rent, what is your landlord’s name and phone number?

Are you employed and if so, how many hours do you spend working?

Do you have pets?

Y

N

If yes, please list each pet and indicate if they are male or female:

Have all of your pets been spayed or neutered?

Y

N

Do your cats/dogs have current vaccinations for the following:

Distemper

Y

N

Feline leukemia tested

Y

N

Rabies

Y

N

Leukemia vaccinated

Y

N

Please list the veterinarian(s) that care for your pets:

Have you ever cared for young kittens, young puppies or an injured animal?

Y

N

If yes, please explain:

Do you have an area in your home which can be used to confine foster pets?

Y

N

What type of foster care are you able to provide? Please check the boxes that apply:

Bottle-Fed Kittens

Weaned Kittens

Adult Cats --Male or Female

Cats Requiring Medical Treatments

Cats Requiring Socialization

Number of foster cats/kittens you can care for at one time:

Have your ever received pre-exposure rabies vaccines?

Y

N

Y

N

Y

N

If yes, please explain:

I understand the above questions and give the Purr-fect Cat Shelter permission to contact my veterinarian, and/or landlord to verify said statements. I understand misrepresentation or omission of facts called for is cause for application denial.

Signature

Date