Foster Application

Full Name

First NameLast Name

Age

E-mail

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Do you live in a:

Do you:

If Renting: Please indicate landlord contact information

Household Setting

Describe the Activity Level in your Home

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)

Does Anyone in your Household have Allergies to Animals?

Are all members of your Family agreeable to Fostering?

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sex, UTD Vaccines, Heartworm, Living/Deceased)

Would you be willing to have a Feral Cats Count Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

Veterinarian Name

First NameLast Name

Phone Number

Area CodePhone Number

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

If No please explain

Are you willing and able to medicate your foster if needed?

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

What type of volunteer work are you interested in?

How many days/hours would you be available to volunteer?

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 Feral Cats Count animal 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 covenant to hold harmless Feral Cats Count and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the fosters.

I accept full responsibility for the cat(s) actions at all times, and release Feral Cats Count from any liabilities or damages that may be incurred because of fostering such cat(s).

I agree to have Feral Cats Count complete reference call checks and conduct a home visit inspection to be able to approve my foster application.

I agree that if I'm unable to foster the cat(s) anymore that I will return the cat(s) to Feral Cats Count and try to give Feral Cats Count a 2 week period to try and find another suitable foster for the cat(s).

Signature

By typing/signing my name above, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Feral Cats Count Foster/Volunteer Application