Your Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Best way to reach you *

Home Phone

Cell Phone

Email

What is your work status? *

Employed full-time

Employed part-time

Self-employed

Unemployed

Retired

Student

Other (please explain):

No Driver's License

Do You *

Own

Rent

Do you have permission from your landlord to foster a cat?

Yes

No

Is a pet deposit required?

Yes

No

If yes, has the deposit been paid?

Yes

No

Rental Property Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Landlord Phone

(###)

###

####

How long are you willing to foster a kitten or cat? *

Week

Month

As long as needed

Other:

What type of kitten or cat are you interested in fostering? *

Please check all that apply

Kitten (6 weeks to 6 months)

Kitten (6 months to 1 year)

Litter of kittens

Nursing kittens(s) & mom cat

Bottle fed kitten(s)

Special needs kitten/cat

Young adult cat (1-3 years)

Adult cat (3+ years)

Senior cat (7+ years)

Are you willing to work with a foster cat on litter box issues should the need arise? *

Yes

No (please explain):

Are you willing to transport the cat for any necessary veterinary care? *

Note: Almost Home Cat Rescue MKE covers medical expenses for all foster animals. With the obvious exception of a life threatening medical emergency, if you should decide to take your foster animal to a different vet for convenience or any other reason, Almost Home Cat Rescue MKE will not be able to cover the cost of the visit.

Yes

No (please explain):

Gender

Male

Female

Neutered/Spayed?

Yes

No

Gender

Male

Female

Neutered/Spayed?

Yes

No

Gender

Male

Female

Neutered/Spayed?

Yes

No

Gender

Male

Female

Neutered/Spayed?

Yes

No

Are your current pets up to date on vaccines?

Yes

No

Reference 1 *

First Name

Last Name

Phone *

(###)

###

####

Reference 2 *

First Name

Last Name

Phone *

(###)

###

####

Reference 3 *

First Name

Last Name

Phone *

(###)

###

####

Name *

First Name

Last Name

Date *

MM

DD

YYYY