Become a Foster Family

Registration Form

First name*

Last name*

Address*

City or town*

Postal code*

Telephone*

Cellphone

E-mail address*

Age*

Questionnaire

How did you first hear about Proanima?*

Do you have any experience with animals?*

Yes
No

If yes, what kind of experience?*

Where do you live?*

Specify :*

You are a :*

Tenant
Owner

If you are a tenant, do you have the right to have a pet?*

Yes
No

How many adults live in your home, including yourself?*

Ages:*

How many children live in your home?*

Ages:*

Does anyone in your household have allergies?*

Yes
No

Do you currently have any cats in your home?*

Yes
No

If yes, how many?*

Race :*

Are they spayed or neutered?*

Yes
No

Are they vaccinated?*

Yes
No

Do you currently have any dogs in your home?*

Yes
Non

If yes, how many?*

Race :*

Are they spayed or neutered?*

Yes
No

Are they vaccinated?”*

Yes
No

Do you have any other animals?*

Yes
No

If yes, which ones?*

Do you know how to administer solid or liquid medication to an animal?*

Yes
No

If we place an animal with you, how much time will it spend at home alone*

Would you be able to isolate the animal in a separate room?*

Yes
No

If yes, how much time?*

What type of animal would you like to foster?*

Specify :*

Do you plan to let your cat go outdoors?*

Yes
Non

Have you ever been a foster family before?*

Yes
Non

If yes, for what organization?*

Why do you want to become a foster family?*

Which family member(s) will take care of the animal?*

Have you ever given up a pet and left it at a shelter?*

Yes
No

If yes, for what reasons?*

When are you able to start taking care of an animal as a foster family?*

You are a*

Student
Employed
Other

Specify:*

Do you wish to tell us anything else about you and your household?*

Hidden

Date

* By submitting this application to serve as a foster family, you certify that the information provided herein is truthful and accurate. We reserve the right to reject any application, at our discretion.