If you are a potential foster applying to save a time-stamped animal please note the name and species of animal here. You must also include the date and time of the animal’s timestamp and a link to the animal’s profile if available.

CONTACT INFORMATION

Full Name

Full Address (Street/City/State/Zip)

Phone Number

Phone Number Type

E-Mail

Date Of Birth

You must have a valid driver’s license or other government-issued photo ID to foster a pet.

ID Type

ID Number

How long have you lived at your current address?

Please provide your previous address if you have lived at your current address for less than 3 years

Household Information

Do you own your home?
yesno

If you rent please provide your landlord’s information including Name/Phone/E-Mail

Are pets allowed in your home?
yesno

Please list all adults’ full names that currently live in your home, including yourself

Please list the ages of any children living in your home, if none please note N/A

Is anyone in your household allergic to animals?
Very AllergicMildly AllergicNo AllergiesUnsure

Do all members of your household agree on fostering?
YesNo

Pet History

Do you currently have any pets?
YesNo

If yes please tell us about your current pets. Please include name, type of pet, age and how long you have cared for them.

Have you had any pets in the past ten years not noted above?
YesNo

If yes, please tell us about your past pets. Please include name, type of pet, age, and why they are no longer in your care

Have you ever? (Check All That Apply)
Given/Sold a pet to someoneGiven a pet to a shelterHad a pet runawayHad a pet die in your careHad to euthanize a pet

Every pet in your home must receive routine veterinary care and be up-to-date on all vaccines

Veterinary Practice Used (must list all practices and telephone numbers)

Name of person on file with veterinarian

Are your current pet(s) up to date on vaccines and spayed/neutered?
YesNoI don't have any pets

Are any pets in your home declawed? If yes, did they come into your care already declawed or were you responsible for the procedure?

Fostering Information

What types of animals are you interested in fostering?
Bottle Feeder KittensMomma cat and babiesWeaned kittensAdult catBottle Feeder PuppiesMomma dog and puppiesWeaned puppiesPuppyAdult dog

Have you ever fostered before?
YesNo

If yes, please list for which organizations and your experience in fostering animals.

Please elaborate on your experience level with pet care. Also note if you have any experience with pets that have behavioral issues including, but not limited to, human-directed aggression, animal-directed aggression, inappropriate elimination, separation anxiety, fears, phobias, compulsive behaviors and cognitive dysfunction

Are you able to bring an animal to Fishtown Animal Hospital for medical care as needed?
YesNo

Are you comfortable administering oral and topical medications to an animal as prescribed?
YesNo

Under what circumstances, if any, would you need to return the pet to Fishtails Animal Rescue? For example: new baby, becomes aggressive, litterbox issues, becomes allergic, etc…

Final Information

Please provide 2 personal references who are able to attest to you as a pet parents. Include name/phone/email

How did you hear about us?

Fosters must be local and willing to take the animal to all veterinary appointments Fishtown Animal Hospital (233 E Girard Avenue, Philadelphia) or any specialty office as needed located in Philadelphia.

By submitting this application:
I certify that I am fostering this pet for myself, and that I am permitted to have this pet in my home. The information I have provided on this application is true to the best of my knowledge. I understand that if I willfully provide false information, my application may be denied. I understand that I, as the foster, cannot adopt out or give the pet away. All potential interested adopters must go through Fishtails Animal Rescue. I understand that Fishtails Animal Rescue does not provide food, litter, etc. I understand that by filling out this application it does not guarantee Fishtails will take a pet into the organization.

I understand that in the instance of a foster to adopt agreement a decision must be made within one month. At that time this pet would need to be formally adopted.