Cat Foster Application

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First Name*
Last Name*
Age Range*
eMail Address*
eMail Address Confirm eMail Address
Street Address*
Suite | Apt or Unit Number
City*
State/Province*
ZIP*
Country*
Home Phone Number
Cell Phone Number*
Preferred Method of Contact
- eMail
- Home Phone
- Cell Phone
Employment & Schooling
- Are You Employed?*
  - Yes
  - No
  - Retired
- Full or Part Time?*
- Are You In School?*
  - Yes
  - No
- Full or Part Time?*
- How Did You Hear About Us?*
- What Is Your Friend's Name?*
- Which Organization?*
- Please Describe*

Below are three areas for information on other members of your family. Please include all other adults, children and pets living in your home by clicking on the designated button.
Are There Other Adults In The Home?*
- Yes
- No

Add Adults

First Name	Last Name	Age Range	Actions

There are no Adults.

Add Children

Name	Age	Actions

There are no Children.

Add Cats

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There are no Cats.

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There are no Pets.

Would You Consider:
Select all that apply.
Fostering a Pregnant/Nursing Cat?*
Fostering Bottle Babies*
A Cat That Needs Medications?*
- Fostering a Cat That Has Special Needs?
- Fostering kittens not old enough to be at the humane society?
When Will You Be Ready To Foster?*
Is There Anything Else You Would Like to Let Us Know?
I am interested in receiving pet related services and products
- Yes
- No
Authorization
Authorization:*
All cats placed through Scruffy Tails Humane Society will be up to date on current vaccinations and flea prevention, microchipped, and will already be spayed or neutered or will have an appointment for spay or neuter at a later date as enforced by Scruffy Tails Humane Society I understand that all information on my Foster Application will be kept confidential; I understand that I will be volunteering at my own risk and that the rescue humane society, its Board of Directors, other volunteers/fosters, employees and affiliates, cannot assume any responsibility for any liability for any accident, injury or health problem which may arise from any volunteer work I perform for the rescue humane society. I agree that all the work I do is on a volunteer basis and I am not eligible to receive any monetary payment or reward. I understand and agree *
- I agree
Phone
This field is for validation purposes and should be left unchanged.

Employment & Schooling