Animal Foster Application Form

Help rescue cats while they wait to find their forever homes!

Marlee's Misfits will supply appropriate medication, starter food and litter, and any additional necessary supplies.

Full Name*

First NameLast Name

DOB

Date

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Do you live in a:*

Phone Number - Cellular*

Area CodePhone Number

Employer

Current Residence*

OwnRentLive with parentsOther

If Renting: Please indicate landlord contact information

How long are you able to foster a cat?

Is there a particular cat you are interested in fostering?

Describe your household's activity level*

Busy/NoisyModerate comings/goingsQuiet with occasional guests

Please list all people living in the household (Include names and ages)*

Does anyone in your household have allergies to animals?*

YesNo

How many hours in a day would the foster be left alone?*

Please list any pets you have/have had in the past five (5) years to include name, species, age,sex, altered, shots up to date, and whether they are living.*

If applicable, have your current pet(s) been around cats before?

Would you be willing to have us contact your veterinarian for a reference check? (Please authorize vet to speak with us)*

YesNo

Veterinarian Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you have a separate room (such as an extra bedroom or den) where you could temporarily isolate or slowly introduce a foster cat to your home?*

YesNo

Are you willing to take your foster cat to vet appointments at a convenient time for you?*

YesNo

Are you willing to speak to potential adopters and schedule meet and greets?

Yes, I can have potential adopters visit the cat at my homeYes, but I prefer to meet at Mount PurrnonNo

Would you be willing to take any of the following:

Cat for temporary medical treatmentCat with a permanent medical issue; requires ongoing medicationCat with behavioral needs; shy; needs socializationCat with physical limitationNo, prefer healthy, social cats only

Have you had any experience with with senior or special needs cats?*

YesNo

If yes, please explain

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 of any Marlees Misfit cat fostered by me.

I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and to hold harmless Marlees Misfits and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster cat. I accept full responsibility for the cat(s) actions at all times and release Marlees Misfits from any liabilities or damages that may be incurred because of fostering such cat(s). I agree that if I'm unable to foster the cat(s) anymore, I will return the cat(s) to Marlees Misfits and will make every attempt to give them at least 3 days notice.

By submitting this application, I certify that neither I, nor any other person residing in my home, has even been convicted of animal cruelty, neglect or abandonment (required by Virginia state law).

Date*

MonthDayYear

Your name*

Signature

Co-Applicant name (if applicable)