Foster Application Form

You are not old enough to adopt, please have a parent fill out the application , or try again after you are 21 + Thank you.
E-mail*
example@example.com
Phone Number - Cellular*

Area CodePhone Number
Phone Number - Home

Area CodePhone Number

How long have you lived at this current address?*
Do you live in a:*
Do you:*

OwnRentLive with ParentsOther
Give the name and contact information of the owner of the house
If you rent, have you asked your landlord about brining a new cat home?

Not yetNoNo, but pets are allowedYes, the policy allows it

How many adults live with you?*
How many children live with you?*
Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*
Please describe your employment status, including where you work.

Are all members of your Family agreeable to Adopting a Cat?*

YesNoIts a surprise
Does Anyone in your Household have Allergies to Animals?*

YesNo

Have you ever owned a pet?*

YesNo
Have you ever owned a cat/dog?*

Cat onlyDog onlyBothNone
List the type of pets you've owned before and where they are now?*
Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, Status, UTD Vaccines, FEVL/FIV Results)*

What would happen to the cat should something happen to you or your job or your housing situation?*

Do you plan on declawing the cat?*

YesNoMaybe, if the cat damages furniture or scratches someoneI will clip the cats nails and provide a scratching postOther

What would you do if the cat scratches your furniture?*
What would you do if your cat starts to have accidents outside of the litter box?*

References

Please provide 2 reliable references. Do not include family members that live in the same residence.
Reference #1: Full Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relation to applicant(s):*

By sending this electronically, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture my application. I certify that the above information is correct, and I understand that the information will be verified. I agree to have BRICK CITY KITTIES RESCUE complete reference call checks and conduct a home visit inspection to be able to approve my adoption application. I agree that if I'm unable to keep the cat(s) anymore that I will return the cat(s) to BRICK CITY KITTIES RESCUE and try to give BRICK CITY KITTIES RESCUE a 72 HOUR period to try and find another suitable foster for the cat(s).
Date*

MonthDayYear
Your name*
Signature*

Clear
Should be Empty:

BCKR Adoption Application