Foster Home Application

Please answer all questions to help us choose the type of cat that would be best placed in your care.

Name: Date of Birth: Partner: Date of Birth: Address: City: Home phone: Email: Your employer: Job description: Partners employer:

State:

Zip: Cell: Phone: How long? Phone:

Number of Children residing at address: Names and ages: If approved for a foster home, I agree to provide constant supervision of the cat with any child under the age of 12 years and will never leave them unattended together: Besides the above, is there anyone else residing in your home? Names and ages: Please describe your current living situation: *If renting, We require written consent stating that you are permitted to have a foster cat on the premises. Please include this consent with your completed application.* Name & phone number of Landlord: How long at this address? If less than 2 years, please list your previous address: Is everyone in your household in agreement on fostering a rescued cat? If no, who is not and why? Does anyone in your home have allergies?

If yes, please describe: Are their regular visitors to your home (human and animal) with whom your foster cat must get along with? Do you have a way to prevent the cat from getting outside? Do you have a room or area that can keep the foster cat away from all other animals in your household? Are you willing/able to take necessary precautions to keep germs from spreading from your foster to your own pets and vice versa?

FOSTER INFORMATION
** Cats vary greatly in temperament, personality and activity level. Please keep this in mind as you fill out this section **

Is someone home during the day? If no, where will the cat stay while you are gone? Who would care for the foster cat when you or your partner are not home? How many hours, on average, would the foster cat be alone? Please describe your daily/weekly life style? Where will your cat be kept most of the time? If you travel, what arrangements do you make for the care of your pets? Would you be willing to transport a foster cat to our veterinarian for appointments? Would you be willing to attend adoption events within 30 miles of your home or help with transporting your foster cat to such an event? What characteristics would you find desirable or undesirable in a foster cat? We will attempt to provide you with an honest evaluation of temperament on any pet we have to place, however, do you realize that often the complete history of a rescued animal may not be known and you may encounter some medical &/or behavioral problems? Are you willing to work with us on correcting these problems? What forms of discipline do you feel are appropriate for training or modifying behavior in a cat? Have you applied to foster or fostered for any other Rescue organizations in the past year? If so, which Group(s)? Have you ever owned/fostered a rescued cat before? If yes, where is that cat now? Would you accept a rescue cat that is: Older? Has been abused?

Declawed? Not declawed? Not reliable with children? Has behavioral issues? Partly or not housetrained? Have physical disabilities/handicaps? Do you prefer a male or female cat? Age range? Why do you want to foster a rescue cat? Are you able to foster more than one cat? If you foster a cat with kittens, are you able to monitor closely the health and needs of the babies as well as the condition of the mom cat? Are you able/willing to bottle feed the babies if necessary? How long would you be able to foster the cat? Under what circumstances would you return a foster cat? Are you willing to keep records on medical and behavioral histories while the cat is in your care? Are you willing to speak & meet with potential adopters to discuss the foster cats history while in your care?

OTHER PET INFORMATION Do you own dogs? Do you have other pets? Type (list breed, age, sex): Would your pets accept a new cat? Are your other pets current on all vaccinations? Are your other pets spayed/neutered? . Are your animals on heartworm preventative? What type? Veterinarian's Name & Phone Number List animals who are treated at the vet's office If applicable, approximate date of your current pet's last office visit: List the pets have you owned in the past ten years and what happened to them: How did you hear about Friends of Genesee County Animal Shelter? List any Humane Societies, Organizations, Breed or Training Clubs you are or have been associated with:

Please provide the name, address and phone number of three references (please call ahead to your vet to allow them to release information for a reference check. 1. 2. 3 Comments or Questions? Please feel free to include any information that you feel we should know about you, your family, and your experience with pets. Also include any concerns or questions you may have regarding fostering for our organization.

By signing this document: I/we understand that Friends of Genesee County Animal Shelter, Inc, hereinafter referred to as Friends, will be responsible for any medical or other approved expenses associated with the foster cat in my care. All routine medical treatment is to be scheduled at our veterinarian office in Flushing (Riverside). Any treatment elsewhere MUST be approved by a Board member. Note: If injuries occur or medical treatment is required as a result of negligence on the part of the foster home, the foster home will be held responsible for covering the costs of treatment. I/we understand that by signing this form I/we agree to release and covenant to hold harmless Friends, and its members from any claims, damages, costs, or actions incurred as a result of the foster care or actions of the foster cat. I/we will notify Friends immediately should the foster cat become lost, stolen or ill, or die. I/we agree to contact my Friends representative at least once per week to update her/him on the condition and well being of the foster cat. Friends strongly discourages and will not tolerate training or behavior modification through physical violence of any sort. We will not condone nor tolerate hitting, spanking or any other form of physical punishment. We employ and promote reward-based (positive) training methods.

All foster cats must wear a collar with the foster home telephone number and the telephone number of your Friends Representative at all times. These will be provided by Friends. The foster home agrees to provide quality food for the foster cat at his or her own expense unless otherwise arranged with your Friends Representative. Treats, toys, beds etc. are also the responsibilities of the foster home unless other arrangements are made. Friends reserves the right to perform unannounced visits to the foster home at any time. Friends reserves the right to remove the cat from your premises at any time, without justification or notification. Note: If Friends judges the foster cat to be in danger, this signed document releases Friends to remove the cat from said premises without warning. INITIAL ___________

The foster home understands that Friends cannot predict the behavior of any animal in any situation. Friends will provide any relevant information on the cats history and temperament that is known. This information may or may not be a reliable indicator of how the cat will behave in a new environment; including your home. I/we certify that the information provided on this form is true & correct, I/we am/are at least 21 years of age & that I/we will be solely responsible for the care and well being of any cat that I/we foster for Friends. I/we am/are also financially & physically able to care for this animal. I/we understand that proper food and supplies may be costly and I/we am/are able to meet these requirements. If this becomes a problem, I/we will notify our Friends Representative immediately for assistance. In signing this document I am granting permission for a Friends representative to contact all stated references & veterinarian(s). Home checks are made on a random basis following or prior to fostering. Any misrepresentation of the true facts in this application will invalidate the foster home agreement and will give Friends the right to immediately reclaim the foster. Your signature also indemnifies Friends, and representatives thereof, from any & all liabilities that may be occur due to fostering any rescues.

Signature

Signature

Date

We require a hard copy of your signature prior to fostering certifying the above information. Home Visit Completed by Friends Representative(s): Signature Space for comments: Date

(SENDING THIS APPLICATION BY EMAIL CONSTITUTES FOR AN ELECTRONIC SIGNATURE)