Home At Last Animal Sanctuary
PO Box 144
Salvisa, Ky 40372

Welcome to the Home At Last foster program. We are happy that you are considering fostering a cat for us. The following information is requested so that we can make the best temporary placements possible for both the cat and you.

In order to be considered as a foster parent you must:

• Be 21 years of age or older.
• Have identification showing your present address.
• Have the knowledge and consent of your landlord.
• Be willing to spend the time necessary to provide proper care for the cat.

Completion of this application does not guarantee adoption of a Home At Last animal.

Name of Applicant: Phone:

Street Address: City:

State: Zip:

Will this be your first companion cat? Yes No

What kind(s) of companion animals have you had?

Which do you still have?

Have they been spayed or neutered? Yes No

What happened to the ones you no longer have?

Will your present animals adjust to a new cat in the house? Yes No N/A

How many adults are there in your household?
How many children?
Children's ages:

Does any household member have an allergy to cats? Yes No

How many hours will the cat be alone during the day?

Do you live in? House Apartment Mobile Home Other

Do you: Own Rent your home?

If you rent, may we contact the owner to obtain permission for this cat to live in your home?
Yes No

Owner's name and phone number:

Where in the house will the cat live? Free-roaming throughout Two Rooms

One Room

What are your feelings about cats getting on the kitchen counters and furniture?

What methods would you use to alter undesirable behavior in this cat?

Who is your veterinarian?
Veterinarian's city or town:

Please list a non-family personal reference (with phone number):

Maximum length of foster care: 3 month 6 months 12 months

Are you willing to have a representative from Home At Last conduct a home visit?

Yes No

Agreement (if HAL approves above application):

This cat will be a house cat Agree

This cat will not be declawed Agree

This cat will be kept up-to-date on vaccinations Agree

I will be responsible for feeding and basic medical care. Home At Last shall be responsible for spay/neuter charges and any major medical bills that may arise. Home At Last will administer vaccinations if the cat is brought to the sanctuary for this procedure. Agree

I will allow potential adopters to visit the cat in my home, allow home visits from Home At Last’s Representatives, and allow representatives to take the cat to adoption days if distance is not a factor. Agree

This cat is non-transferable, and will stay in the above home until Home At Last finds a permanent home for him/her. Agree

Only Home At Last and its representatives will make a decision regarding permanent placement of this cat. Agree

Home At Last Reserves the right to reclaim this cat at any time. Agree

If, in the future, I would like to adopt this cat as my own companion, Home At Last will waive the normal adoption fee (pending adoption approval).

I have agreed to the above and understand that if this foster situation does not work out for any reason, the cat will be returned to Home At Last Representatives.

By sending this form I certify that the information provided above is true and correct.