Personal
reference: Name
Phone
Have
you ever fostered a cat before?
Yes
No
If
yes, for what organization?
How
long have you lived at this address?
years
months
Is
your residence a
House
Apartment
Condo
Other
Do
you
Rent / Lease
Own
If
you lease or rent, does
your agreement allow pets?
Yes
No
Lessor
Name
Lessor
Phone
How
many adults at this residence?
How many children?
Do
any other animals currently reside with you?
Yes
No
If
yes, how many of each?
Cat(s)
Dog(s)
Other
Species,
Breed and Description of each animal currently residing with you:
Do
your pets have current vaccinations?
Yes
No
Date
of last immunization
Are
all pets in the home spayed or neutered?
Yes
No
Veterinarian
How
quiet/busy is your home?
(scale from 1 = very quiet to 10 = loud, frequent guests, children)
If
you have your own pets, are they allowed:
Indoors Only
Outdoors Only
Indoors and Outdoors
If
allowed outdoors, please describe the circumstances:
Do
you have secure screens in your windows?
Yes
No
Who
will be the primary caretaker of the cat?
Will
you be available to transport the cat or kitten to our adoption
open
house every Saturday fom 10am to noon in Palo Alto?
Yes
No
If
not, will you be available to transport the cat to our adoption
open house
some Sat. mornings when an adopter is scheduled?
Yes
No
Will
you be amenable to having screened potential adopters meet the
cat
at your home, along with a SCN adoption coordinator?
Yes
No
Have
you ever lost a pet or had one die of accident or injury?
Yes
No
If
yes, explain
What
are the reasons you are interested in fostering a cat or kitten?
What
dates will you be available to foster?
to
Additional
Comments:
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