First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
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Email*

Cell Phone*

Age of Applicant (MUST BE OVER 18)*

What is your current employment/occupation?*

Employer/Occupation of Applicant*

How many people reside in your household?*

In what type of home do you live?*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

Do you have a fenced yard?*

Do you own or rent your home?*

If rent, name of landlord or rental company (if own, put N/A):*

If rent, email address of landlord or rental company (if own, put N/A):*

If rent, phone number of landlord or rental company (if own, put N/A):*

Does your lease or homeowner's association restrict pet ownership?*

Do you live with parents?*

Do you live in college dormitory?*

Homeowner/Renter Insurance Company*

Approximately how many hours a day will the cat be alone?*

What animals currently live in your household? (Please list type of animal, sex, age and how long you have owned them)*

What pets have you had in the past? (Please list type of animal, how long owned and what happened to the pet)*

Have you fostered adult cats before?*

Have you fostered kittens before? If so, what age ranges?

What type of cats are you interested in fostering?

Do you have any time constraints for fostering?*

Do you have your own reliable transportation?*

Do you have a separate room available to quarantine foster animals for at least two weeks?*

Veterinarian's Name and Phone Number (please list your current vet first followed by any previous vets or vets that have vaccine records on file)*

List three references, relationship to you, how long you have known them, along with their contact number (please number them 1-2-3). Please make sure at least one reference is NOT a family member.*

How would you like us to contact you?

How did you hear about us?*

All the information I have provided is true and complete to the best of my knowledge. Should a cat be placed with me, it will reside in my home as a pet. I agree to provide humane care and maintenance such as food, water, litter, shelter, affection and veterinary care through the rescue. I agree to allow Ark of Redemption to retain my information for their records. I agree to release, discharge, indemnify and hold The Ark of Redemption harmless for any and all damage to my personal property while FOSTERING for The Ark of Redemption. I recognize that in handling animals at The Ark of Redemption in a FOSTER capacity, there exists a risk of injury or sickness, including personal injury or harm. On behalf of myself, my heirs, personal representatives and executors, I hereby release, discharge, indemnify, and hold harmless The Ark of Redemption and its agents from any and all claims, causes of actions or demands, of any nature or cause connected with my Foster Agreement. This might include connection with my visiting based on damages that may be incurred or sustained by me in any way. Such damages or injuries might include, but are not limited to animal bites, accidents, injuries, and personal property damage. *