Cat Foster Application

·	Be 18 years of age
·	Have the knowledge and consent of all adults living in your household
·	Have verifiable identification
·	Understand that LMAR has the right to deny your application
·	Agree to a home visit BEFORE and DURING the time when you might foster a pet from LMAR

In order to be considered to be a foster home for LMAR pets, you must:

So that we may be assured that the relationship between the fostered pet and you, the fostering family will be a good one, we would like you to provide us with the following information.

This form should take approximately 10-20 minutes to complete. Thank you for your cooperation.

NOTE:. In order to process this application, ALL fields that apply to you MUST be completed.

Name:

Street Address:

City:

State:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

Email Address:

How long have you lived at the above address?

Previous address (if less than 5 years)

City:

State:

Zip Code:

Employer:

Occupation:

 

Please indicate where you live:

If you rent, do you have the landlord's permission to foster a dog?

Yes

No

Landlord's Name:

Landlord's Phone:

Please tell us about what kind of dog you would like to foster

Please list the age preference for a cat you might foster:

Are you willing to foster a special medical needs cat?

Are you willing to foster a cat with history of neglect or abuse and needs extra TLC?

How long are you willing to foster a cat?

Please list any cat breeds you would not foster:

How many cats would you be willing to foster at one time?

Do you have any other preferences or restrictions?

Why do you want to foster a cat?

 

 

Other Family Members

How many people are currently living at this residence?

Men:            number?

Girls:           number?

Boys:          number?

ages:

ages:

ages:

ages:

Women:     number?

name(s):

name(s):

name(s):

name(s):

Are the people in your home experienced with cats?

List animals you currently own or that are in your care/house and those you have owned in the past five years, if you need more room list in comment box below:

If other,  what

Name:

Inside

Dog

Cat

Other

Male

Female

Spay/Neuter

Gender:

Yes

No

Housed

Outside

Both

How long owned

Dog

Cat

Other

Name:

If other,  what

Gender:

Male

Female

Spay/Neuter

Yes

No

Inside

Outside

Housed

Both

How long owned

Dog

Cat

Other

Name:

If other,  what

Gender:

Male

Female

Spay/Neuter

Yes

No

Inside

Outside

Housed

Both

How long owned

Dog

Cat

Other

Name:

If other,  what

Gender:

Male

Female

Spay/Neuter

Yes

No

Inside

Outside

Housed

Both

How long owned

Dog

Cat

Other

Name:

If other,  what

Gender:

Male

Female

Spay/Neuter

Yes

No

Inside

Outside

Housed

Both

How long owned

Vet's Name:

Under whose name are the veterinarian hospital records?

Vet's phone number:

Are your current pets up-to-date with their vaccinations?

Vet's Address:

What best describes the main caregiver?

Where does your current cat stay when home alone during the day?

If other,  where:

Where will your foster cat stay when home alone during the day?

If other,  where:

Where do current pets sleep at night?

If other,  where:

If other,  where:

The undersigned applicant hereby grants Lost Mittens Animal Rescue permission to confirm any information provided in this application with any appropriate third party source, including landlords, veterinarians, etc. The information obtained will be held in confidence and used only by Lost Mittens Animal Rescue for purposes of this adoption application.

I certify that all the information on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected. I also understand that this adoption application is the sole property of Lost Mittens Animal Rescue.

It is specifically understood that the Lost Mittens Animal Rescue reserves the right to deny any adoption application at its own discretion.

Typing your name below will serve as legal signature.
By signing below, I am attesting to the truthfulness of my answers. Falsification of any of the above information will be grounds for disallowing the adoption of rescue dog and possible removal of said dog from my home. Applicant must be 18 years of age or older. We reserve the right to refuse any applicant.

Signature:

Date:

Driver's License#:

Thank You! You wil be notified by Email

Where will the foster cat sleep at night?

Pick One Apartment House Condo/Townhouse Mobile Home years months years months years months years months years months Pick One Retired Stay at home parent Employed Part/Full time College Student Child/Adolescent Pick One Ourside Inside in basement In the garage Inside free run of house Inside in one room of house Inside in crate Other Pick One Ourside Inside in basement In the garage Inside free run of house Inside in one room of house Inside in crate Other Pick One Outside In the garage Inside free run of house Inside one room of home Inside crate In my bed Other Pick One Outside In the garage Inside free run of house Inside one room of home Inside crate In my bed Other