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

For security reason please type "2468" in the field below before proceeding...

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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: - Spouse Significant Other Roommate

Employer:

Work Number:

What type of pet would you like to foster?         - Cat Dog Kitten Puppy Any

What gender would you like to foster?         - Male Female Any

What size of pet would you like to foster?         - Small Medium Large Ex-large Any

Is there a specific age group you are interested in foster?         - Yes No

If yes, please specify...

Household Information

What do you live in?         - House Apartment Mobile Home Condo Other     If Other:     

Do you have a fenced yard?         - Yes No

How long at current address?         years    months    

Do you own your home?         - Yes No

Do you plan to move within the next 12 months?         - Yes No

   If yes, where?

If you rent-

     Amount of Pet Deposit   

     Is the pet deposit perpet or household?

     Is there a size/weight limit? - Yes No     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?            - Yes No     

Are you or other adults in the household, a student?         - Yes No

Do you or other adults in the household travel frequently?         - Yes No     

If yes, how often?

Does anyone living in the house have allergies to: Cats?         - Yes No     Dogs?         - Yes No

Does anyone living in your house have asthma?         - Yes No

How did you hear about PAL?

Pet Ownership History

Have you ever adopted or fostered from a humane group or shelter?         - Yes No

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?         - Yes No

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.

    Type: - Cat Dog Other     Breed:     Sex: - M F     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now? - Yes No     

    If no, what happened to it?

    Was/Is it spayed/neutered? - Yes No

    If the pet was a cat, was/is it declawed? - Yes No
 

    Type: - Cat Dog Other     Breed:     Sex: - M F     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now? - Yes No     

    If no, what happened to it?

    Was/Is it spayed/neutered? - Yes No

    If the pet was a cat, was/is it declawed? - Yes No
 

    Type: - Cat Dog Other     Breed:     Sex: - M F     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now? - Yes No     

    If no, what happened to it?

    Was/Is it spayed/neutered? - Yes No

    If the pet was a cat, was/is it declawed? - Yes No
 

    Type: - Cat Dog Other     Breed:     Sex: - M F     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now? - Yes No     

    If no, what happened to it?

    Was/Is it spayed/neutered? - Yes No

    If the pet was a cat, was/is it declawed? - Yes No
 

    Type: - Cat Dog Other     Breed:     Sex: - M F     

    Age: yrs    Length of Ownership: yrs

    Do you own the pet now? - Yes No     

    If no, what happened to it?

    Was/Is it spayed/neutered? - Yes No

    If the pet was a cat, was/is it declawed? - Yes No
 

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: