What type of cat would you like to foster?
*
For example, adult cat, kitten.
Name
*
First Name
Last Name
Email Address
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Where do you live?
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House
Apartment
Mobile Home
Other
Do you own or rent your home?
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Own
Rent
Other
Do you have homeowner's insurance?
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Yes
No
If Yes, who is your insurance provider?
Home Phone
*
(###)
###
####
Cell Phone
(###)
###
####
Please list all people who reside in your house.
*
Who, besides you, resides in your home (name, age, relationship, and whether it is part or full-time)
Current Pets
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Please list your current animals (name, species, sex, breed, and age).
Are Current Pets Spayed/Neutered?
Yes
No
If they are not spayed/neutered, why not?
What pets have you owned in the last 5 years?
*
Please list all your animals you have owned in the last 5 years, not including current animals) (name, species, breed, sex, age and where they are now)
Veterinarian
Veterinarian used for your pet(s) (if you do not currently have pets, please list the vet used for your previous pets). List name of clinic, phone number, address, name(s) of pets treated here, and name the account is under. Some vets require you to release your records to Heartland; please call your vet and advise them a representative from Heartland will be calling to check on the vetting status of your pets.
Vet's Phone Number
(###)
###
####
Have you ever turned a pet into a shelter?
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Yes
No
If you have turned a pet into a shelter, please explain why.
Where will this pet be kept when home alone?
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Crate, specific room, free roam of the house, etc.
How long will your pet be left alone daily?
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1 to 2 hours
2 to 3 hours
4 to 6 hours
More than 6 hours
Who will be responsible for the care/training of this pet?
*
Where will your pet sleep at night?
*
Do you agree to allow a Heartland representative to perform a home visit before fostering?
*
A home visit is not required for all fostering, but may be requested at any point during fostering.
Yes
No
What behavior characteristics in a cat are important to you?
*
What are your goals for fostering this cat
*
What is the lifestyle you are expecting this cat to adapt to?
*
Heartland kitties are shown at adoption events (usually on Saturday's) and during week-long showings in the Petsmart adoption centers. What would your availability be to have your foster(s) attend these type of events?
*
How did you hear about us?
Please provide a personal reference:
*
This can be a friend, family member, employer or member of the clergy. Be sure to include name, address and phone number.