Austin Siamese Rescue

FOSTER PARENT APPLICATION

Date: Received:

Name: Phone (H):

Address: Phone (W):

Cell Phone:

City:

State: Zipcode:

Nearest Large City

E-Mail:

Past Pets - Small Animal: Yes No

Current Pets (name/number/type/ages):

Children (number/ages):

Are your dogs/cats up to date on Vaccines? Spayed/Neutered: If not, why not:

Cats at home: Have they been tested for Feline Leukemia and FIV? Yes No

Results

Do cat outside:

Vets Name and Address:

Vets Phone:

Vets Fax:

Home Situation: Own/Rent*? How many years at this house:

If renting, attach letter from landlord indicating pets are allowed. Or provide landlord’s name and contact information.

Average # of hours a day someone is home:

If you travel for business, how do you plan to provide for cat when away from home, provide name if possible:

Kennel: Sitter: Family/Friend:

Have you ever given up an animal before, and if so, why?

Previous experience with Siamese Cats:

Why do you want to foster a Siamese?

What can you offer as a foster environment (tell us if you have isolation capabilities, multiple rooms, expect all cats to be underfoot, use play pens, can offer us mother & newborn kitten care)?

Do you have experience with sick or injured cats? Yes No How many years?

Do you maintain a Cat First Aid Kit now? Yes No What do you keep in your kit?

Two References (Not Related):

NamePhoneE-Mail (preferred)

1. _

2.

3.

***If you do not currently have a veterinarian reference, please give us a third personal reference

Age desired: Sex desired: Points Desired:

Any particular Siamese on the list that you are interested in fostering?

How many foster cats would you expect to care for at one time (foster capacity)?______

Why?

Do you have transportation is available to/from Vet? Yes No

Would you pick up or drop off/ship at closest major airport provided we do all the paperwork, pay the fees, and make all the arrangements?

Airport Name(s):

Would you be willing to communicate with approved adopters we refer and provide feedback to the Director?

I certify the above to be true and compete to the best of my knowledge.

Email Signature: Date:

(Applicants must be at least 18 years of age)

Please either fax, mail or e-mail to the address below:

Fax – 512-261-6618 (problems call – 512-261-6395)

Email –

Your application will be reference checked, and you will be interviewed. You will receive a copy of the current version of the Foster First Aid Kit Memo and Foster Parent Guidelines as soon as they are available. Thanks for wanting to help lost and lonely Meezers to be socialized and kept safe until we find their forever homes.

Austin Siamese Rescue

PO Box 13474

Austin, TX 78711

512-261-6395

512-261-6618 (fax)