First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Work Phone
x

Cell Phone*

Alt Email

What is your age?*
Choose one: 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65-74 years old 75 years or older

Name and Address of Employer:

Type of Dwelling:*

Do you*

If Renting: Please indicate landlord contact information

Household Setting

Describe your Homes Activity Level*

Please List all People Living in the Household (Include Name, Relationship, Gender and Age)*

Does Anyone in your Household have Allergies to Animals?*

Would you be willing to have a Humane Animal Rescue Partners of WA volunteer call your veterinarian for a reference check? (Please authorize vet to speak with us)*

Are all members of your Family agreeable to Fostering a Cat?*

Please List any Pets you have Living or Deceased (Please include Name, Breed, Age, Altered, Sexes, UTD Vaccines, Heartworm, Living/Deceased)*

Would you be willing to have a Humane Animal Rescue Partners of WA volunteer call your veterinarian for a reference check? (Please authorize vet to speak with us)*

Who is your current or most recent veterinarian? Please provide their NAME and PHONE NUMBER: PLEASE MAKE SURE YOU CALL YOUR VET TO GIVE PERMISSION TO RELEASE INFORMATION AS MANY WILL NOT GIVE US A REFERENCE W/OUT YOUR CALL, AND WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION*

Veterinarian Name, Address, City, State, and Phone number*

I understand that I need to contact my veterinarian and let them know that they have my permission to give Humane Animal Rescue Partners of WA any needed information relative to the adoption process. And that by not doing so will slow down the process.

Do you have a preference in sex of foster?*

Are you willing to foster a cat of any age?*

If not, what age would you consider?

Please describe the type of cat you are willing to foster (Please include breed, coat length, personality traits, energy level, hypoallergenic) We always want to make sure we have the best fit for our foster homes.*

Are you willing to take your foster cat to vet appointments at a convenient time for you?*

If No please explain:

Are you willing and able to medicate your foster, even it is just a worming preventative?*

We cannot guarantee a cat to be litter box trained, are you equipped to train with love and patience? *

Have you had any experience with an emotionally or physically neglected or abused cat?*

If Yes please explain

Are you willing to use a crate for a cat if recommended?*

How many hours in a day would the foster be left alone?*

By submitting this form, I acknowledge that I have completely read this questionnaire and comprehend it fully. I understand that applying does not ensure approval and that untruthful answers or failure to comply with the requirements of this application can result in the forfeiture of any Humane Animal Rescue Partners of WA animal fostered by me. I certify that the above information is correct, and I understand that the information will be verified. I understand that by submitting this form electronically, I agree to release and covenant to hold harmless Humane Animal Rescue Partners of WA and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster cat. I accept full responsibility for the cat(s) actions at all times, and release Humane Animal Rescue Partners of WA from any liabilities or damages that may be incurred because of fostering such cat(s). I agree to have Humane Animal Rescue Partners of WA complete reference call checks and conduct a home visit inspection to be able to approve my foster application. I agree that if I'm unable to foster the cat(s) anymore that I will return the cat(s) to Humane Animal Rescue Partners of WA and try to give Humane Animal Rescue Partners of WA a 2 week period to try and find another suitable foster for the cat(s).*
Choose one: I agree