Name *

First Name

Last Name

Dwelling *

What type of dwelling with the foster animal be living in?

Apartment

House

Acerage

Other

Children *

There are children in my household

There are no children in my household

Are you presently employed? *

Yes, I am presently employed

No, I am not presently employed

If you are presently employed, which of the following applies to you:

Full Time

Part Time

Casual

Animals wanting to foster:

I will foster adult cats

I will foster kittens

Do you have any current pets? *

Yes, I currently have one or more pets

No, I do not currently have any pets

If you do currently have one or more pets, are they:

De-sexed

Vaccinated (up to date)

Flea-ed and wormed (up to date)

Are you comfortable with having kittens inside at all times?

Yes, I am comfortable having kittens inside at all times

No, I am not comfortable having kittens inside at all times

Transportation *

Are you able to transport your foster animal to and from our veterinary clinic for assessments and veterinary checks?

Yes, I am able to transport foster animal/s to and from our veterinary clinic for assessments and veterinary checks

No, I am not able to transport foster animal/s to and from our veterinary clinic for assessments and veterinary checks

Declaration

By submitting this questionnaire, you agree that ALL the information you have provided is correct. You understand that providing untruthful answers or failure to comply with the requirements of this application can result in the refusal of this adoption.

Yes, I understand that by submitting this questionnaire, I agree that ALL the information I have provided is correct

No, I don't understand that by submitting this questionnaire, I agree that ALL the information I have provided is correct