Foster care enquiry form

Name

Title

First Name *

Preferred Name

Last Name *

Contact number *

Email address *

Date of Birth

Preferred method of contact

Email

Phone

Address

Street address *

City / Suburb *

Postcode *

State *

Country *

Please confirm that you are 18 years of age or over *

Yes, I am 18 or over

Have you considered how you and your family will cope if a foster animal must be considered for euthanasia?

Do you have any health conditions or allergies that must be considered when taking on foster animals? *

Yes

No

e.g. you could be at a higher risk of infection if you have a compromised immune system

If so, please provide details:

Have you had a tetanus vaccination in the last 10 years?

Yes

No

Please provide us with any other additional information you can think of that may be relevant to volunteering at AWLSA as a foster carer

I understand that I'm required to undertake all the relevant training provided by AWL *

Yes

I understand that my application is subject to a successful property inspection. *

Yes

I understand that my application is subject to a successful National Police Check *

Yes