Rainbow Animal Rescue

Roanoke Rapids and Halifax, North Carolina

Foster Application Form J5.1php

This form is for people who would like to look after a pet until we find it a permanent home. If you would like to adopt a pet of your own click here to use the Adoption Application Form

We require you to live in the area of Roanoke Rapids or Halifax, NC.

NOTE: Foster animals may mess on your floor, chew your furniture, make a noise and require attention! If this is a problem for you then maybe you are not suited to fostering.

ALTERNATIVE FORM - If you are having problems with this form try using our alternative form by clicking here
This is an adoption form so where it says 'In which animal are you interested' enter Foster then the pet type E.g. Foster dog and cat.

Fill in the boxes below to prove you are a real person!

Please fill in the boxes above as indicated. This is to prevent bots from sending us spam. If you do not do this the form will not be sent.

Please fill in as many boxes below as you can. Press the tab key to move to the next box.

Click on the Submit button at the bottom of the page when ready to send.

Select ALL the pets you are able to foster (click button):

Dog Puppy Cat Kitten

Todays date:

Your name:

Address Street:

City:

State:

Zip:

Contact Email address (required):

Home phone:

Work phone:

Cell phone:

Best time to call:

Employer:

Veterinarian's name:

Veterinarian's phone:

Personal Reference name and phone:

Your age:

Your spouse's age:

What type of accomodation do you live in (click button):

House Condo Apartment Mobile Home

Do you own or rent:

Who will be primary caregiver of animal?

Working hours of adults in home:

Size of yard:

Description of fencing around your property (height, construction):

List people living in house, and ages of children.

Current pets living in the house (name, type, age).

Current pets living outside and their ages (name, type, age).

Which current pets have been spayed or neutered?

Do children visit your home?

Where will pet be kept during the day?

Where will pet be kept at night?

Where will pet be kept when family is home?

Where will pet be kept when no one is home?

How many hours will the pet be left alone each day?

Will you accept a home visit?

List any characteristics of an animal that would not fit with your family or lifestyle.

Additional comments

This application form is for pets at Rainbow Animal Rescue, North Eastern North Carolina

If a 'there are missing fields' error is displayed, note the field that is missing then click on the back button on your browser and edit the form.

 

ALTERNATIVE ADOPTION FORM - If you are having problems with this form try using our alternative form by clicking here. This is an adoption form so where it says 'In which animal are you interested' enter Foster then the pet type E.g. Foster dog and cat.