| Date*: |
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Applicant Name:*
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Co-Applicant Name: |
| Relationship to Co-Applicant: |
Your Occupation: |
| Street Address 1*: |
Street Address 2: |
| City*: State*: ZIP*: |
Country: |
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Home Phone Number:*
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Work Phone Number: |
| Email Address:* |
How long have you lived at above address?* |
| Do you rent or own your home?:* |
Does your landlord/association permit cats?* |
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Are you twenty years of age or older?:*
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| Number of adults and number and ages of children in your family*: |
How many pets do you currently have? Please list species, breed, sex and age of each:*
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Are you or anyone in your family allergic to any animals? If yes, please list who and to what animals:*
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| Do you have transportation readily available for picking up rescues and/or visits to the vet? |
| Have you owned a Cornish Rex before? |
Will you allow a rescue agent to visit prior to approval? |
| If NO, please explain why you are interested in fostering this particular breed: |
| What other cat breeds do you have experience with? |
| Have you fostered a cat for any humane or rescue organization before? If yes, for whom and what breed(s)? |
| Do you have any special skills? (vet, groomer, vet tech, etc.)? |
| Are you willing to:
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| Are you familiar and comfortable with administering medications? |
| Do you have a separate area in your home to quarantine a new foster cat to keep it away from your other pets or foster cats? |
| Can you foster for a short-term, long term or either? |
| How did you find about us?: |
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Any additional information you feel you would like to share with the committee:
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