Foster application
If you are interested in becoming a foster home for FLSAC, please fill out the foster application and return to: flsac@live.com
 

FLSAC -Foster Care Application

 

First Name:                                      Last Name:

 

Address:

 

Home Phone:

Cell Phone: 

Work Phone: 

 

Please mark when we can contact you at work #:

□ anytime □ emergency only

 

Email:______________________

(Email is the preferred method of contact)

 

 

 Household

 

Number of adults in household:

Number of children in household (<18):

Ages of Children:

 

Is anyone in household allergic to animals?

 

All members of household agreed to foster?

 

What roles do other family members expect to play in fostering ferrets?

 

Have you ever adopted a ferret from a shelter or rescue organization?

 

How did you learn about The Ferret Lovers Society of Atlantic Canada?

 

 

Type of Residence

 

Are you:

 

                        Single Family Home

                        Apartment/Condo/Townhouse

                        Mobile Home

                        Other:

 

 

                        Own

                        Rent

                        Live w/ Parents

                        Other:

 

If you rent please provide the following information:

 

Landlord’s Name:

 

Landlord’s Phone Number: 

 

Do you Work/School?

                         Work Full-Time… Employer:

                        Work Part-Time… Employer:

                        School Full-Time… School:

                        School Part-Time…School:

 

Do you currently have animal companions (If yes, fill out below)?

 

                        Yes □ No □

 

 

Have you ever had ferrets?

 

                        Yes  □ Do you still have them?

                        No   

 

 

 Additional comments:

 

 

Have you ever fostered animals for any other organizations?

If yes, what organizations? ______________________________________

When? _________________

Why did you stop?_______________________________________________________________

 

Animals in home: Approximate Dates of Vaccinations/Tests

Name

Breed

Age

Sex

Spay/

Neuter

Rabies

ADV

If ferret

Distemper

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thank you for your application!

 

Please fill out and email to:  flsac@live.com

 

Or mail to:

 

Tressie Dutchyn, Chair

The Ferret Lovers Society of Atlantic Canada

#1216, 36 Abbey Road

Halifax, NS

B3P 2M6