PAL Foster Application

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Protective Animal League (PAL)

FOSTER  APPLICATION

This application is to assist in finding matching fosters for PAL pets.  PAL may refuse placement of an animal for any reason.  Please provide all information as requested below so that we can complete the process as quickly as possible. When submitting this application, you give permission for PAL to examine and verify the information that you provide.  All forms are property of PAL.

 

Personal Information

First Name:           Last Name:      D.O.B.:       

Address:            Apt. #

City:            State:     Zip Code:           

Home Phone:            Cell Phone Number:     

Email  Address:

Employment Information

Employer:     

Address:

Work Phone:

Spouse, Significant Other or Roommate

Name:

Relationship:

Employer:

Work Number:


What type of pet would you like to foster?       

What gender would you like to foster?       

What size of pet would you like to foster?       

Is there a specific age group you are interested in foster?       

If yes, please specify...


Household Information

What do you live in?            If Other:     

Do you have a fenced yard?       

How long at current address?        years    months    

Do you own your home?       

Do you plan to move within the next 12 months?       

   If yes, where?

If you rent-

     Amount of Pet Deposit   

     Is the pet deposit perpet or household?

     Is there a size/weight limit?     If yes, what is the limit?

     Name of Complex or Landlord:     

     Phone Number:

Number of Adults in Household:            

Number of Children in Household:            Ages:

Do all adults in the household consent to fostering?               

Are you or other adults in the household, a student?       

Do you or other adults in the household travel frequently?            

If yes, how often?

Does anyone living in the house have allergies to: Cats?            Dogs?       

Does anyone living in your house have asthma?       

How did you hear about PAL?

Pet Ownership History

Have you ever adopted or fostered from a humane group or shelter?       

If yes, who did you adopt or foster from?     

When?

Have any pets in your household been diagnosed with infectious diseases in the last 6 months?       

If yes, what disease/condition?

Name of your veterinarian/clinic, only if you have pets of your own:   

Phone Number:   

Total Number of pets CURRENTLY owned:        Dogs           Cats    Other

Total number of pets in the last 5 years NOT CURRENTLY owned: 

 Dogs           Cats    Other

Please list ALL pets owned ***(or within the home)*** within the last

five years, please start with pets CURRENTLY owned.

1.  Pet Name:

    Type:     Breed:     Sex:     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now?     

    If no, what happened to it?

    Was/Is it spayed/neutered?

    If the pet was a cat, was/is it declawed?
 

2.   Pet Name:

    Type:     Breed:     Sex:     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now?     

    If no, what happened to it?

    Was/Is it spayed/neutered?

    If the pet was a cat, was/is it declawed?
 

3.  Pet Name:  

    Type:     Breed:     Sex:     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now?     

    If no, what happened to it?

    Was/Is it spayed/neutered?

    If the pet was a cat, was/is it declawed?
 

4.  Pet Name:  

    Type:     Breed:     Sex:     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now?     

    If no, what happened to it?

    Was/Is it spayed/neutered?

    If the pet was a cat, was/is it declawed?
 

5.  Pet Name:  

    Type:     Breed:     Sex:     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now?     

    If no, what happened to it?

    Was/Is it spayed/neutered?

    If the pet was a cat, was/is it declawed?
 



Any questions or comments please respond below:


I confirm that all of the information in this application is correct and complete to the best of my knowledge. By entering your name in the signature box below you are certifying the validity of this document.

Signature:     Date:

 

 

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Site Last modified: 07/02/08