First Name*
Last Name*
Address
City
State/Province
Zip/Postal Code -
Email*
Home Phone
Work Phone x
Cell Phone
Alt Email
Occupation*
Please list your date of birth. *
Do you own or rent your home?* Choose one: Rent Own
If you rent, please enter your landlord's name and phone number. (If you do not list a contact number, your application may be denied.) If you do not rent, please put N/A. *
If you rent, have you received the approval of your landlord to have a pet? Choose one: Yes No
How many people reside in your household? If you have children, please list their ages. *
How many other pets have you owned in the past 5 years? Please list the type of pet and their age. If they are no longer in your care please list why. (If you had to rehome them, please list why and what happened. If they passed away, please explain how they passed.)*
Do you have a room available to isolate your new foster?
List and describe your current pets. (Species, age, breed, sex)*
Have you ever given up a pet? If yes, please explain*
List at least one reference (who is not a family member or your veterinarian). Please list their relationship to you.*
Please list a good contact number for your personal reference. *
Please list all Veterinarian Clinics you have used. This should include current and past Veterinarian Clinics. (Note: If you have moved, we will need you to provide your previous Veterinarian's name and phone number. Please note that not providing the requested information may result in delays in processing your application or your application being denied.)*
Please list the phone numbers for all the Veterinarian Clinics you have listed above.*
Have you ever owned a Maine Coon before?* Choose one: Yes No
Have you ever worked with a cat with behavioral problems, medical needs, or special needs before?*
Problems you are not willing to work with? *
Will the animal be kept inside or outside?* Choose one: Inside Only Outside Only Inside and Outside
How much time will the animal spend alone during the day?*
How do you feel about declawing a cat? Explain.*
Where will the animal be kept when you are home?*
Where will the animal be kept when you are not home?*
Where will the animal sleep?*
How long are you willing to foster for a specific cat(s)?*
Who in the household will care for the pet?*
How did you hear about us?*
Do you agree to allow MCR perform a home check?* Choose one: Yes No
I certify that the information entered on this application is true and you have answered all questions fully. Enter your name and date.*
