Form

Full Name:*
E Mail Address:*
City & State:*
Are you 18 Years Old?*

Yes No
First Names and Ages of All Household Members:*
Do you Own or Rent?*

Own Rent
Landlord's Name and Number:
Does everyone in the household agree with doing foster care?*

Yes No
If No, who objects and why?
List an user names you use on cummunity sites such as GooseMoose, RatForum, MySpace, etc.*
Please list all of your current pets with species, age, sex, and if they are spayed or neutered.*
Have you ever surrendered an animal to a shelter, resuce, pound etc?*

Yes No
If yes please explain:
Please list the pets you have had in the past 5 years but no longer have and why:*
Who is your Vet? Please include clinic name, doctor's name and phone number.*
What type of Food will you be feeding? Please be spedific including brand names.*
What Type of Bedding will you be Using? Please be specific including brand names.*
What Cage will you be using? Be specific including brand name, dimmensions, and a photo would be ideal.*
How much out of cage time will the foster rats get and where?*
Where in the house with the foster animals be kept?
Do you currently breed or have you ever bred any animals? If yes please explain.*
Do any household members smoke inside your home?*

Yes No
Are there any special circumstances or limitations to your ability to do foster care such as time, money, space, driving ability, or physical condition?
Why do you want to do foster care?*
Are you interested in fostering:*

Males Females No Preference
Check all that you are interested or able to foster:*

Sick Injured Pregnant Orphaned Elderly Socializing Medicating
If you have any experience in any of the catagories above, please describe here:
Remarks:
Should be Empty: