ANIMAL CARE LEAGUE FELINE FOSTER CARE VOLUNTEER APPLICATION GENERAL INFORMATION (Please print neatly!) Name ___________________________________________________________ Address _________________________________________________________ City/State/Zip _____________________________________________________ Phone (home) ________________________ (cell) ______________________ E-mail ___________________________________________________________ Occupation ___________________________ BACKGROUND INFORMATION Are you at least 21 years of age? _____ Yes Do you own or rent your residence? ______Full-time _______Part-time _____ No _____ Own _____ Rent Are there children in your household? _____Yes _____No If yes, names and ages of children __________________________________________________ Do you have a separate room or area of the home for Foster Kittens/Cats? _____ Yes _____ No Are you available on an emergency basis? _____ Yes _____No PET INFORMATION How many pets do you currently have in your household?_________ Number of: cats _____ hamsters/gerbils _____ dogs _____ rabbits _____ birds _____ reptiles _____ other _________________ If you have cats or dogs, are they: Spayed/Neutered? _____ Yes _____ No Up to date on vaccinations? _____ Yes _____ No In reasonably good health? _____ Yes _____ No If you have cats, are they: _____ Strictly Indoors _____ Indoor/ Outdoor _____ Strictly Outdoors TYPE OF KITTENS/CATS YOU WOULD LIKE TO FOSTER Pregnant or nursing mothers _____ Yes _____ No Bottle-feeding kittens (under six weeks old) _____ Yes _____ No Older kittens (over six weeks old) _____ Yes _____ No Sick or injured cats/kittens _____ Yes _____ No Adult cats _____ Yes _____ No Shy or scared cats/kittens _____ Yes _____ No EXPERIENCE Can you: Give oral medications _____ Yes _____ No _____ Willing to learn Give topical medications _____ Yes _____ No _____ Willing to learn Bottle-feed & “potty” kittens _____ Yes _____ No _____ Willing to learn Take an animals’ temperature _____ Yes _____ No _____ Willing to learn Please describe any experience you have taking care of animals: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ In consideration of my participation in the activities of the Animal Care League, I do hereby agree to hold free from any and all liability the Animal Care League, and its respective officers, employees and administrators, waive and release and forever discharge any and all rights and claims for damages which may hereafter accrue to me arising out of or connected with my participation in any of the activities or duties of the Animal Care League. I hereby do declare myself to be physically sound, having medical approval to participate in the activities of the Animal Care League. I understand the cats/kittens or any other animals, are the property of the Animal Care League. Any activity concerning these animals, including veterinary care, must be cleared through appropriate Animal Care League staff. A list of staff members and their phone numbers has been provided to me. Foster Volunteer Signature _______________________________________ Printed Name __________________________________________________ Date __________________