EmailMe Form - Destiny's Hope Rescue Foster Form

Name *

First Last

Age *

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Do you live in a: *

Do you: *

Own

Rent

If Other:

If renting:
Please indicate landlord contact info

Household Setting:

Rural

Suburban

Urban

City

Describe the Activity Level in your Home

Busy/Noisy

Moderate Comings/Goings

Quiet with Occasional Guests

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

Does Anyone in your Household have Allergies to Animals?

Yes

No

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

Yes

No

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

Would you be willing to have a Destiny's Hope Cat Rescue Team Member call your veterinarian for a reference check? (Please authorize vet to speak with us)

Yes

No

Veterinarian Info

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

### - ### - ####

Email

Do you have a preference in the sex of foster? *

I don't care! I/We just wanna foster!

Male

Female

Are you willing to foster a Cat of any age?

Yes

No

If not, what age would you consider?

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

Yes

No

If No please explain

Are you willing and able to medicate your foster?

Yes

No

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

Yes

No

If Yes please explain:

By sending this electronically, 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 Destiny's Hope Cat Rescue 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 Destiny's Hope Cat Rescue and it's members from any claims, damages, costs, or actions incurred because of the care or actions of the foster felines.
I accept full responsibility for the feline(s) actions at all times, and release Destiny's Hope Cat Rescue from any liabilities or damages that may be incurred because of fostering such feline(s).
I agree to have Destiny's Hope Cat Rescue 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 feline(s) anymore that I will return the feline(s) to Destiny's Hope Cat Rescue and try to give Destiny's Hope Cat Rescue a 2 week period to try and find another suitable foster for the feline(s).

Date Time *

MM / DD / YYYY

Your Name

Co-Applicant name
(if applocable)