CAT FOSTER APPLICATION FORM

CAT FOSTER APPLICATION FORM

Up Manhattan Cat Rescue Positive Action For Neighborhood Cats
Name of applicant
Date of application

MonthDayYear
Date
Address

Street address

Street Address Line 2

CityState

Zip
Phone
Format: (000) 000-0000.
Email
example@example.com
How long have you lived at this address
Do you have any current pets? If so, what are their names, species, and sex?
YesNoNot Applicable
YesNoNot Applicable
Under 23 yrs23 to 55 yrs55 to 65 yrsOver 65 yrs
Short termLong termUnknown/TBA
YesNoTBA
YesNoTBA
Cats with Medical Issues (may required medication)Senior Cats (10 years and older)Bottle Babies (0-4 weeks - this requires 24/7 care)Kittens (4-8 weeks requiring medication)Nursing mother and kittensShy cats or kittens who require socialization
YesNoeCigarettes
If so indoors or out
YesNoUnsure/TBA
YesNoUnsure/TBA
How many cats can you foster at one time
Number of childen under 10 in your household
HouseApartment/CondoOther
OwnRent
YesNoCan we discuss this? Sensitive issue
Owner's name and phone number
What is your current occupation
YesNo
YesNo
If you go away for a few days or on a vacation who will take care of the cat
Please provide two references. Only one can be an immediate family member:
Reference 1 Name
Reference 1 Phone
Format: (000) 000-0000.
Reference 1 Email
example@example.com
Reference 2 Name
Reference 2 Phone
Format: (000) 000-0000.
Reference 2 Email
example@example.com
Thank you for considering giving a cat a foster home!
NYS Rescue Registry #579

www.upcatrescue.org

Email: info@upcatrescue.org
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