Maine Coon Adoptions - Foster Home Application

MCA Foster Home Application

Thank you for your interest in fostering an MCA kitty! You enable us to save another homeless, abandoned, or abused kitty. Just complete this form and click the Send button. You can also print and mail the form and to the Director of MCA at elaineln@pacbell.net or Elaine Lyford-Nojima at 2527 Carmel St., Oakland, CA 94602.

Fields marked (*) are required.

Personal Contact Information

First Name(*): Last Name(*):

Name of Spouse/Partner (if applicable):

Occupation:

Address(*):

City(*): State(*): Zip(*):

One phone number is required.

Home Phone#:

Work Phone#:

Cell Phone#:

Best time to call:

Email:

Personal Reference (cannot be a family member)

Name(*):

Phone(*):

Best time to call:

Relationship(*): Co-worker Friend Other-Non-Relative

Veterinary Information

Do you have a regular veterinarian? Yes No

Veterinarian's name:

Clinic Name:

Phone:

If you do not have a regular veterinarian, please explain why?

Current Pets

How many other pets do you currently own?

Please fill out the sections below for each pet you currently own.
(List any additional pets in the field at the end of this form.)

Pet #1

#1 Pet's Name

Species/Breed

Age

Male Female

Is the pet altered? Yes No

Has your pet ever been with cats? Yes No

Behavior toward cats?

Pet #2

#2 Pet's Name

Species/Breed

Age

Male Female

Is the pet altered? Yes No

Has your pet ever been with cats? Yes No

Behavior toward cats?

Pet #3

#3 Pet's Name

Species/Breed

Age

Male Female

Is the pet altered? Yes No

Has your pet ever been with cats? Yes No

Behavior toward cats?

Human Household Members

How many adults and children live in this home?
Adults: Children:

Please list all household members including ages
(List any additional people in the field at the end of this form.)

1. Name: Age:

2. Name: Age:

3. Name: Age:

4. Name: Age:

5. Name: Age:

6. Name: Age:

Fostering Specifics

Have you ever owned a Maine Coon before? Yes No

If yes, please describe:

Have you ever worked with a cat with behavioral problems, medical needs, or special needs before?
Yes No

If yes, please describe:

Are you willing to work with a cat with behavioral problems, medical needs, or special needs?
Yes No

Problems you are willing to work with:
Inappropriate Elimination Spraying Scratching Furniture Aggression
Fearful/Overly Shy Medical Management

Please describe the space in which you would keep a foster cat, away from your other pets:

Do you agree to allow MCA to perform a Home Visit?
Yes No

If not, please explain:

Additional Information:

Please provide any additional information you think we should know: