First Name:
Last Name:
Address:
City:
Province:
Postal Code:
Email Address:
If you answered YES for above, please explain:
(A) Name(s) of other ADULTS in home (legal first and last):
(B) Name(s) of other ADULTS in home (legal first and last):
(C) Name(s) of other ADULTS in home (legal first and last):
(A) Phone Number:
(B) Phone Number:
(C) Phone Number:
(A) Email Address:
(B) Email Address:
(C) Email Address:
(A) Relationship: (choose)
-
Common Law
Spouse
Boyfriend
Fiance
Girlfriend
Partner
Landlord
Roommate
Friend
Neighbour
Child
Dependant
Guardian
Other Family
Parent
Sibling
(B) Relationship: (choose)
-
Common Law
Spouse
Boyfriend
Fiance
Girlfriend
Partner
Landlord
Roommate
Friend
Neighbour
Child
Dependant
Guardian
Other Family
Parent
Sibling
(C) Relationship: (choose)
-
Common Law
Spouse
Boyfriend
Fiance
Girlfriend
Partner
Landlord
Roommate
Friend
Neighbour
Child
Dependant
Guardian
Other Family
Parent
Sibling
If you answered yes, please explain what areas you have volunteered for and for how long:
What types of animals are you interested in fostering? (Please be specific)
Please indicate what experience you have in the health care and handling of animals. Be specific (i.e.; have taken a pet first aid course, nursed an animal with a particular illness, etc.)
Have you had any experience with animals other than cats and dogs? If so please be specific (i.e.; rodents, reptiles, birds, rabbits, ferrets, etc.)
Do you have pets of your own? If so, please state type, how many and their ages:
Are your current pets spayed/neutered? When were their last vaccinations given? (Note: proof may be requested)
Do you have any children at home? If so, how many and what are their ages?
Please explain where and how you plan to house your foster animals:
If you are human, leave this field blank.