Foster Family Form - Les Aristopattes

Last Name*
First name*
How old are you ?*
Email*
Phone number*
Your address*
Address City Province Postal Code
How many cats do you currently have ?*
When did they last received their vaccines ?
Are they spayed/neutered ?
- Yes
- No
How many dogs do you currently have ?*
When did they last received their vaccines ?
Are they spayed/neutered ?
- Yes
- No
Have you ever had pets in the past ?*
- Yes
- No
What kind ?*
Have you ever been a foster family for another organization or shelter ?*
- Yes
- No
Are you a foster family for another organization or shelter at the moment ?
- Yes
- No
Are you available to foster in emergencies (last minute) ?*
- Yes
- No
Can you go to Montreal or Laval for medical appointments ?*
- Montreal
- Laval
- None
Are you available for appointments in the week*
- Yes
- No
** it could be possible to drop the pet off the morning and get it the evening **
Do you have a car ?*
- Yes
- No
Are you possibly interested in adopting ?*
- Yes
- No
- Maybe
Would you like to be a foster family for the humanitarian program ? These animals do not belong to us and there is no possibility of adoption.*
- Yes
- No
Do you have children ?*
- Yes
- No
How old are they ?
Does anybody in your house smoke ?*
- Yes
- No
Does anybody in your house has allergies ?*
- Yes
- No
Please specify*
Housing Type*
- Apartment
- House
- Condo
Do you have a fenced yard ?*
- Yes
- No
What kind of animal can you welcome in your home ?*
- Dog - miniature to small breed
- Dog - medium to big breed
- Dog - giant breed
- Cat
- Orphan kitten - more than 10 weeks old ( socialization, basic learning: you must have an adult cat)
- Orphan kitten - 3 to 6 weeks old (bottle feeding and / or soft food, lots of cleaning, stimulation for needs, increased monitoring: you must have an adult cat)
- Orphan kitten - 0 to 3 weeks old (bottle feeding every 2 to 4 hours, stimulation for the needs, increased surveillance: you must have an adult cat)
- Orphan puppy - more than 10 weeks old (socialization, training of cleanliness and bases: you must have an adult dog)
- Orphan puppy - 6 to 10 weeks old (socialization, cleanliness training and bases: you must have an adult dog)
- Orphan puppy - 3 to 6 weeks old (bottle feeding and / or soft food, lots of cleaning, stimulation for the needs, increased surveillance: you must have an adult dog)
- Orphan puppy - 0 to 3 weeks old (bottle feeding every 2 to 4 hours, stimulation for the needs, increased surveillance: you must have an adult dog)
- Pregnant cat (calving will be done at home so you must be ready to take care of 4 kittens on average for 3 months)
- Pregnant dog (calving will be done at home so you must be ready to take care of 6 pups on average for 3 months)
Have you ever given treatments at home ?*
- Yes
- No
Which of the following ?*
- Observation
- Isolation (you must have a closed room that other animals cannot access)
- Administration of drugs by mouth
- Application of creams or ointments
- Simple wound (watch for signs of infection, keep clean)
- Simple post-operative care (caging, gradual recovery of physical exercise, observation of general condition)
- Masses, cysts, abscesses (general condition monitoring, Elizabethan collar, possible flow)
- Dermatological problems such as: Demodex, dermatitis, allergies (shampoo, topical medications, specialized food)
- Postoperative orthopedic surgery (strict caged rest, wound monitoring, physiotherapy, strap support during outings)
- Mild to moderate malnutrition (strict specialty food, meals at fixed times and amounts, judgment of the population on outings)
- Complex wound (hydrotherapy, bandage changes, flow)
- Ocular problem (important monitoring, frequent flow, cleaning, eye drops with variable frequency)
- Feedings
- Strict quarantine (no outings for 14 to 21 days, no contact with anyone other than your immediate family, wearing gloves possible)
- Cases of cruelty or negligence (multiple conditions possible, strict diet, judgment of the population on outings)
What kind of treatment are you willing to give at home ?*
- Observation
- Isolation (you must have a closed room that other animals cannot access)
- Administration of drugs by mouth
- Application of creams or ointments
- Simple wound (watch for signs of infection, keep clean)
- Simple post-operative care (caging, gradual recovery of physical exercise, observation of general condition)
- Masses, cysts, abscesses (general condition monitoring, Elizabethan collar, possible flow)
- Dermatological problems such as: Demodex, dermatitis, allergies (shampoo, topical medications, specialized food)
- Postoperative orthopedic surgery (strict caged rest, wound monitoring, physiotherapy, strap support during outings)
- Mild to moderate malnutrition (strict specialty food, meals at fixed times and amounts, judgment of the population on outings)
- Complex wound (hydrotherapy, bandage changes, flow)
- Ocular problem (important monitoring, frequent flow, cleaning, eye drops with variable frequency)
- Feedings
- Strict quarantine (no outings for 14 to 21 days, no contact with anyone other than your immediate family, wearing gloves possible)
- Cases of cruelty or negligence (multiple conditions possible, strict diet, judgment of the population on outings)
How much time per day are you out of the house ?*
- More than 12 hours
- From 8 up to 12 hours
- From 4 up to 8 hours
- From 2 up to 4 hours
- Less than 2 hours
- Never : work from home, maternity leave, sick leave, retirement, no job
Can you take care of*
- A friendly animal, without behavioral problem
- A friendly animal with mild behavioral problems
- A friendly animal, with several behavioral problems but easily manageable (mild to moderate anxiety, uncleanliness, light resource protection)
- A friendly animal, with several behavioral problems and difficult to manage (severe anxiety, destruction, protection of serious resources)
- A wild or non-socialized animal (stray animal, puppy mill, cruelty, etc.)
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