North Olympic Rabbit Rescue

Foster Care Application & Questionnaire

For Any Rabbit Or Other Animal In Our care

Date: ______

Name: ______

Address: ______

City: ______State: ______Zip Code: ______

Age: ______

Daytime Phone: ( ) - Evening Phone: ( ) -

E-Mail Address: ______

Have you fostered animals before? / Yes No
If yes, please explain.
Have you ever cared for an injured animal? / Yes No
If yes, please explain.
What types of animal(s) are you interested in fostering?
Please place an “X” next to the types of foster care you would be interested in providing.
q  / Socializing
Animals / q  / Bottle-Fed
Animals
q  / Sick/Recovering
Animals / q / Sick/Recovering Requiring
Medications
Would you be willing to administer medication to your foster animal if needed? Please place an “X” next to any that apply.
q  / Oral / q  / Topical
q  / Injection
How many animals would you be interested in fostering at one time?
What would be the maximum length of time (per foster animal) you would be willing to foster an animal?
Do you live in: / q  / House / q  / Apartment / q  / Condo / q  / Other: ______
Please list all members of your household below.
Name / M/F / Age
1. / ______/ ____ / ______
2. / ______/ ____ / ______
3. / ______/ ____ / ______
4. / ______/ ____ / ______
Does anyone in your household have allergies? / Yes No
If yes, please explain.
Has anyone in your household ever been convicted of domestic, child, or animal abuse? / Yes No
Do you have any pets? / Yes No
If yes, please complete the information below.
Name / Species / Breed / Age / Indoor, Outdoor
Or Both
1. / ______/ ______/ ______/ ______/ ______
2. / ______/ ______/ ______/ ______/ ______
3. / ______/ ______/ ______/ ______/ ______
4. / ______/ ______/ ______/ ______/ ______
Would you be able to foster animals separate from your own if necessary? / Yes No
Where do you plan to keep foster animals during their stay with you?
Are you employed? / Yes No
If yes, how many hours a week do you work?
Do you have any objections to a North Olympic Rabbit Rescue representative visiting your home? / Yes No
Please list two personal character references below.
Name / Address
Street, city, state, zip / Phone
(xxx)xxx-xxxx
1. / ______/ ______/ ______
2. / ______/ ______/ ______

Do you understand that fostering is NOT taking ownership of these animals, and that these animals are not your property: ______

Do you understand the adoption fee for the animals is the cost of spaying / neutering them, and that this operation has not been done yet? ______

Do you understand removing these animals from your address without prior notification and approval from N.O.R.R. Will constitute theft? ______

Do you understand introducing unaltered animals to each other may result in an unwanted litter, thus worsening the overpopulation problem? ______

Because of this reason and the cruel conditions animal overpopulation causes to the bulk animal populace, do you understand that we do not wish that these animals mate, and if you intentionally mate them it will be considered animal cruelty in the eyes of the this contract, and that this stipulation can be used against you in a court of law should you mate these animals? ______

Do you understand that these animals are not reserved for your adoption and may be adopted to a different person? ______

______

Signature Date