Your First Name:

Your Last Name:

Home Email Address:

Work Email Address:

Day Phone:

Night Phone:

Cell Phone:

Emergency Phone:

Postal Address:

City:

State:

ZIP:

You are interested in fostering (check all that apply) :

  adult

  pregnant female

  female with kittens

  orphan kittens who are eating on their own

  bottle fed kittens

  sick cats (usually well within 3 weeks,
      require syringe feeding and/or subQ fluids plus medications)

You can give (check all that apply) :

  oral liquid medications

  oral tablets in a reasonably cooperative cat

  SubQ fluids

  syringe feeding

If no to any items above, are you willing to learn?

  No

  Yes, and please list those here :

You have experience in these situations.
 
You do not need experience, we will teach you - this is for our use in determining which cat(s) best fit your experience thus far (Check all that apply) :

  bottle feeding orphans

  caring for young orphans under 5 weeks of age

  caring for orphans over 5 weeks of age

  caring for nursing mothers and their kittens

  caring for pregnant queens through birth and thereafter

  Medicating cats or dogs

  giving subQ fluids

  teaching kittens to eat on their own

  caring for sick cats

  practicing the hygiene required for multiple litters/adult cats

  recognizing when cats need vet care

I am willing to foster for (check one):

  one to six weeks

  one to sixteen weeks

  I can hold my foster cat(s) for as long as necessary until
      they are available for adoption, up to one year

I am in a position to contribute food and litter. PALS feeds only certain brands of food, costing about $.50 per can. Additionally we require a significant portion of the cat's or kittens' diet to be canned food. PALS contributes KMR formula and any prescription food that would possibly be necessary and under certain circumstances we provide food and litter as well :

  No

  Yes

Please list all current cats and indicate the dates of their last vaccines and whether or not they go outside at all, ever, under any circumstances (if they do it does not mean you cannot be approved to foster!) :

Please list all cats you have owned within the past 5 years and what happened to them. :

When is the earliest date you can accept a foster? :

Please list two personal references and phone numbers. It is best to give home, work and cell numbers if possible :