Foster Parent Application

Last Name

First Name

Address

City

Postal Code

Email Address

Phone (Home)

Phone (Mobile)

Number of adults in the family

Number of children in the family

Ages of children

Pets in household

If you have pets in the family, please provide the following information: type, age, are they spayed/neutered, last date of vaccination, vet clinic your animal(s) go to

Living Arrangements Living Arrangements Townhouse Apartment House Condo

Please describe your living arrangements and area of the home where the foster animal(s) will be staying.

Do you Do you Rent Own

If you rent, may we contact your landlord to verify that he/she has no objections to your participation in the foster program? Please provide your landlord’s name and phone number.

What is the reason you wish to foster an animal?

Have you had a tetanus booster in the last 10 years? Have you had a tetanus booster in the last 10 years? Yes No Unsure

Please check off which type of animal(s) you would like to foster: Please check off which type of animal(s) you would like to foster: Pregnant cats Pregnant dogs Orphan kittens requiring around the clock bottle feeding Orphan kittens eating on their own Puppies requiring bottle feeding Puppies requiring socialization Dogs with medical or behavioural problems Cats with medical or behavioural problems Small animals, birds, reptiles, ferrets Farm animals

Do you have any cages or equipment of your own that you plan to use? If so, what?

Indicate time span you prefer to foster: Indicate time span you prefer to foster: 2-3 weeks 6-8 weeks 3-4 months As long as necessary Other

Other fostering time span

Will any other family member(s) be involved in the daily care of your foster animal(s)? Please describe.

Please describe any experience you have relating to the type of animal you wish to foster.

Do you currently foster for any other organization? Have you in the past?

Number