Wilco Pets LOGO

Name: Street: City: State: Zip: Telephone: Work Phone: Cellular Phone: Email Address: Occupation: Employer: Household Information: Own Your Home Rent Your Home Your lease allows dogs/cats Cats only Both Number of Children in your home: Ages of children: Ages and frequency of visiting children: Describe area where foster animal(s) will be cared for: Do you or any members of your family have allergies to pets?: Yes No Do you presently own any pets?: Yes No List the number of dogs and the number of cats that you have.: Please list the breeds: Ages of your animals: Are they ALL neutered/spayed?: Yes No Name/Telephone of your Vet: If you do not have any pets, what is your experience with animals?: Do you work during the day?: Yes No How much time can you devote to foster care during the daytime?: How much time can you devote to foster care during the evenings?: How many days/weeks can you foster an animal?: What are your care arrangements when you are not home?: What animal(s) would you be willing to foster?: Mother cat with Kittens Pregnant cat Litter of orpahned kittens Injured or ill cat/kitten Mother dog with puppies Pregnant dog Litter of orphaned puppies Injured or ill dog/puppy Have you fostered for any other facility?: Yes No If so, where?: When?: How did you hear about the WCRAS Foster Care Program?: