5302 DeSiard St Monroe
, LA
71203
,
info@rivercitiescats.org
(318) 343-3031
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Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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Home Phone
Cell Phone
Email
*
Do you own or rent your home?
*
Own
Rent
Do you currently live in a
*
House
Apartment
Condo
Mobile Home
Other
House Other
Please list what type of house you live in
If you rent (or lease to own)please list the name and phone # of landlord, manager, and/or President of any homeowner, condo, or other similar associations, apartment, or park manager:
Landlord Name
First
Last
Landlord Phone
What types of pets do you currently have in your household?
*
Name Dog/Cat Male/Female Spayed/Neutered Last vaccination? How long owned?
What other pets have you owned in the past? What happened to them?
*
Have you ever surrendered an animal to a shelter or animal control facitily?
*
Yes
No
If yes, please describe the circumstances:
Who is your Veterinarian or Vet Clinic?
*
How many adults live in the household?
*
How many children live in the household?
*
Age(s) of children?
Does anyone in your household have know allergies to animals?
*
Yes
No
If yes, please explain:
Fostering Preferences
Do you prefer?
*
Nursing Mom with kittens
Orphan nursing kittens
Kittens eating on their own
Will you foster a cat/kitten that has medical problems?
*
Yes
No
Will you agree to bathe/groom a foster?
*
Yes
No
Other preferences?
Fostering Experience
Have you ever fostered an animal before? What kind and for what group?
*
Occupation
If you do work outside the home, what hours do you work?
*
Do you have the time to offer these needy cats/kittens the extra attention and love required for their adjustment prior to adoption?
*
Yes
No
Where will the cats/kittens be kept when you are not home?
*
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