Cat Chance Foster Application Form

C A T C H A N C E

A P P L I C A T I O N F O R

F E L I N E F O S T E R H O M E
Date*
YYYY-MMM-DD (e.g., 2021-May-15)
Name of Cat You Wish to Foster*
If open to any cat, write "Any"
Colouration or Pattern
(e.g., brown tabby, calico, tortie, black, etc.)
Age of Cat
Specified in Available for Adoption Album
Age Range Considered
If open to any cat, write "Any"
A P P L I C A N T I N F O R M A T I O N
Applicant Name*

First NameLast Name
Email Address*
Primary Phone*

Area CodePhone Number
Secondary Phone

Area CodePhone Number
Applicant Address*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Applicant Date of Birth*
YYYY-MMM-DD (e.g., 1980-May-15)
Employment*

EmployedUnemployedRetiredStudentOther
Number of people in household*
#
Ages of children in household
#, #...
Is anyone in your household allergic to pets?*

YesNo
C O - A P P L I C A N T I N F O R M A T I O N
Name

First NameLast Name
Relationship
(e.g., daughter, partner, brother, etc.)
Email Address
example@example.com
Co-Applicant Phone

Area CodePhone Number
Co-Applicant Date of Birth
YYYY-MMM-DD (e.g., 1980-May-15)
Employment

EmployedUnemployedRetiredStudentOther
G E N E R A L I N F O R M A T I O N
Type of Residence*

HouseApartmentCondoMobile HomeFarm/BarnOther
If rental, are cats allowed?

YesNo
Complex Name
Manager/Landlord

First NameLast Name
Phone Number

Area CodePhone Number
Type of Street*

Very Busy RoadModerate TrafficSlight TrafficResidential AreaCountry RoadOther
Speed Limit
km/h
Where will the cat(s) live?*

Inside OnlyMostly InsideMostly OutsideOutside Only
Where will the cat(s) spend nights?*

Inside OnlyOutside Only
Will you allow the cat(s) to run loose?*

Yes, InsideYes, Outside
What area will be accessible to the cat(s) when you are at home?*

Indoors (entire space)Specific Area Indoors (room/crate)Outdoors (entire space)Specific Area Outdoors (shelter/barn)Other
What area will be accessible to the cat(s) when you are away from home?*

Indoors (entire space)Specific Area Indoors (room/crate)Outdoors (entire space)Specific Area Outdoors (shelter/barn)Other
How many hours per day will the cat(s) be alone?*
(e.g., #, range, infrequently, etc.)
What is the activity level in your home?*

Busy (visits from friends, meetings, children, parties at home)Noisy (TV, stereo, machinery, children playing, dogs barking)Moderate (normal comings and goings, occasional visits)Quiet (homebodies, few guests)Other
If you have to leave town, unexpectedly or planned, where would your foster cat stay?*
(e.g., at friend's house, at home with family member, cat sitter, pet boarder, etc.)
Circumstances may arise where Cat Chance may need to remove the foster cat from your home with little notice. Do you understand and agree to this?*

YesNo
Do you consider your cat(s) to be a part of your family?*

YesNo
P E T I N F O R M A T I O N
Have you had any pets in the last five years?*

YesNo
Are there other pets currently living in your household?*

YesNo
In order from youngest to oldest, please list your current pets
Pet name, type/breed, age
Do any of your pets have special requirements or take medication?
(e.g., blind, diabetic, Pica disorder, aggression, raw food diet, etc.)
Are these pets spayed/neutered?*

YesNoN/A
Where do these pets live?*

Indoors OnlyIndoors/OutdoorsOutdoors OnlyN/A
Please list any previous pets and the reasons they are no longer with you
Pet name, type/breed, age, reason (move, divorce, death)
Current Vet or Clinic
Name of Vet or Clinic (if none, write "N/A")
Vet Clinic Phone

Area CodePhone Number
C A T C H A N C E I N F O R M A T I O N
How did you hear about Cat Chance?*

Social Media (facebook, instagram, etc.)Buy-or-Sell Site (kijiji, etc.)Word of MouthFriend or Family MemberOther
Would you be interested in contributing more to Cat Chance's efforts?*

Yes, by donating cash or suppliesYes, by trapping community catsYes, by fostering community catsYes, by helping with social mediaYes, by driving cats to vet appointments/picking up donationsI would like more information about Cat Chance's effortsNo, thank you
P E R S O N A L R E F E R E N C E
Reference Name*

First NameLast Name
Relationship*
(e.g., family member, partner, neighbour, employer etc.)
Reference Phone*

Area CodePhone Number
Best Time to Contact
(e.g., evenings, weekends only, 9am-5pm on weekdays, etc.)
Have you ever been convicted of an animal-related crime, such as cruelty to animals, animal theft, or abandonment?*

YesNo
Comments
By clicking the submit button, you are signing off on the following:
- I agree to the Cat Chance Foster Application process, including personal reference and vet clinic check, home visit (virtual or in-person), and contract arrangements
- I agree to indemnify Cat Chance and hold harmless against any losses, lawsuits, claims, injury, or damages incurred by me or to any persons or property by my fostered cat
- I understand that Cat Chance will disclose the health and any known behaviour issues of the cat or kittens prior to fostering
- I verify all of the above information is true and accurate, I understand that Cat Chance reserves the right to reject any application with falsified information, and has the right to refuse any foster applicant
- I understand that any cat(s) I accept into my home as fosters belong to and are in the care of Cat Chance, and are to be returned if the need arises
Foster Applicant Signature*
Please insert signature or type initials
Signature

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Date*
YYYY-MMM-DD (i.e., 2021-May-15)
Thank you for completing this foster application!

This information will help us match you with the best cat for your household.
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