First Name*

Last Name*

Address*

City*

State/Province*

Zip/Postal Code*
 - 

Email*

Home Phone*

Cell Phone*

Alt Email*

Text/Pager Email*

Name of cat to Adopt*

Pet Ownership History & Living Arrangements

Is your spouse or domestic partner on board with this adoption?*
Choose one: Yes No N?A

Your Spouse's Name*

Your Spouse's Phone Number*

What are your breed preferences?*

I agree to assure that my foster dogs/cats are seen by my vet of choice for: a. Spay/Neuter b. Immunizations c. Deworm/Deflea prevention d. Blood work as requested by vet e. Microchip Initial Here:*

What age is best suited for your family?
Choose one: Under 6 Months 6 months - 1 year 1 - 3 years 3 - 7 years Over 7 years

Do you have children? If yes, please list their ages. *

Who will be responsible for pet's daily care?*

Why do you want to adopt or foster this pet?*

No foster pet is ever to be left outdoors unsupervised. Dogs must wear identification tags at all times. Initial Here:*

I agree to hold Three Sisters Pet Rescue/Ohio Hound Rescue harmless for any personal injury or property damage caused by my foster pet while he/she is in my care. Initial Here:*