709.739.0077
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Foster Application
Foster Application
Heavenly Creatures, Inc. P.O. Box 882, Station C, St. John's, NL, A1C 1C4 709.739.0077
This foster application is
designed to help Heavenly Creatures find the most suitable foster homes for the animals in our care and we reserve the right to accept or refuse foster applicants.
Name of Applicant (s):
Telephone number (s):
Telephone number (s):
Email
Full Address:
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Driver’s License #:
Expiry:
Address on license:
Second Piece of ID
Please check all that apply:
Work outside the home
Work at home
Attend school
Retired
Other
Place of Employment (if working outside the home):
Work Tel:
Have all members of your household consented to fostering
Yes
No
Have you or any other person living in your household ever been convicted of cruelty to or neglect of animals or had an animal confiscated under an adoption contract?
Yes
No
Who will be primarily responsible for the care of the pet?
Are You Renting?
Yes
No
If so, we need your landlord’s permission. Contact name + Tel #:
What type of animal are you interested in fostering (i.e. cat or dog)?
How many hours will the foster pet be left alone most days?
Please enter a number from
0
to
24
.
Would you accept a foster pet who has been abused?
Yes
No
Do you require a foster pet who is friendly with small children?
Yes
No
Do you require a foster pet who is friendly with cats?
Yes
No
Do you require a foster pet who is friendly with dogs?
Yes
No
Would you accept a foster pet who has a physical handicap?
Yes
No
Would you accept a foster pet who requires socialization?
Yes
No
Would you accept a foster pet that requires short-term medical treatment for a disorder or disease (e.g. an infection)?
Yes
No
Would you accept a foster pet that requires long-term medical treatment for a disorder or disease (e.g. diabetes)?
Yes
No
Do you have children?
Yes
No
If so, what age(s)?
Do you, or anyone living with you, have any history of allergies to cats or dogs?
Yes
No
If you answered yes, please describe:
Do you own pets
Yes
No
Do you own other pets?
Yes
No
If yes, describe (type, age, breed, and whether spayed/neutered):
What is your pet history? Please list any pets you’ve owned and what happened to them.
DECLARATION:
I certify that the information I have given is true and that any misrepresentations of facts may result in the foster parent(s) losing the privilege of fostering a pet from Heavenly Creatures Inc., the voiding of the foster contract and entitlement of Heavenly Creatures Inc. to legal remedies, including reclaiming the animal and/or damages.
The confidentiality and privacy of your personal information found within this application form are assured. Please sign below as proof that you have read and accept the above statements.
Applicant Signature(s):
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Applicant Signature(s):
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Date:
*
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