Δ CompanyThis field is for validation purposes and should be left unchanged.Foster ApplicationYour Name(Required)Cell Phone(Required)Home PhoneWork PhoneYour Email(Required) Address(Required)Street AddressCity, State & Zip(Required)Are You 18 Or Older (Must Be 18 Or Older To Apply)(Required) Yes No Why do you want to become a volunteer foster parent?(Required)Please list any other foster or rescue programs that you're part of (including feral cats):(Required)If you have any experience medicating animals, please describe:(Required)Please give a brief description of your experience with very young, injured, ill or undersocialized animals:(Required)Please indicate which cats you are interested in fostering (check all that apply):(Required) Orphaned/weaned kittens Nursing cats with litter Pregnant cats Cats or kittens with a "cold" Cats with behavior problems Senior cats Injured cats Self-sufficient cats Any cats Describe the area where the cats/kittens will be kept:(Required)Please indicate the amount of time per day you have to dedicate to fostering. For example, how many hours/day will the cat(s) be alone on a regular basis?(Required)Please list experience with cat health including familiarity with cat illnesses or diseases:(Required)Your current petsDo you currently have other pets (y/n):(Required)Pet 1 name, species & breedPet 1 age & sexPet 1 date & type of last vaccinationPet 2 name, species & breedPet 2 age & sexPet 2 date & type of last vaccinationPet 3 name, species & breedPet 3 age & sexPet 3 date & type of last vaccinationPet 4 name, species & breedPet 4 age & sexPet 4 date & type of last vaccinationPlease indicate any medical issues the above pets have or have had:ReferencesPlease provide your veterinarian's name & phone number:(Required)Please provide the names & phone numbers of two personal references:(Required)Electronic signature (first & last name)(Required)Consent(Required) By checking this box I certify that the above information is true & correct. I understand that HCH has the right to deny any application. I authorize HCH to call the references and veterinary practice I have listed.I UNDERSTAND AND AGREE TO THE ABOVE TERMS. I UNDERSTAND THAT IF I KNOWINGLY FAIL TO COMPLY WITH THE ABOVE TERMS, OR IN ANY WAY PUT THE ANIMAL IN A SITUATION WHICH ENDANGERS HIS OR HER HEALTH, HAPPY CATS HAVEN MAY TAKE APPROPRIATE ACTION, INCLUDING LEGAL ACTION, TO TAKE THE PET FROM MY POSSESSION. * Check Here If You Accept These Terms.
