You must have JavaScript enabled to use this form. First name Last name Birth date Language - Select -NederlandsFrançaisEnglish Occupation Addres (street, house number, postal code and locality) Phone number Email address Housing situation - Select -Living aloneLiving with spouseLiving with partnerLiving with familyCohousingOther Housing type - Select -HouseApartmentStudio apartmentOther Do you have a garden? - Select -YesNo Do you have a balcony or terrace? - Select -YesNo Do you currently have any pets? - Select -YesNo More information regarding your current pets Please provide us with some additional info (which animals, how many, sex, spayed, vaccinated, behaviour in the presence of other animals). Did you have pets in the past? - Select -YesNo More information regarding your past pets Please provide us with some additional information about your past pets (which animals, how many, etc.). Which animals and how many of them do you wish to accommodate? Where will the animal(s) reside most of the time? How often will the animal(s) be alone? What arrangements do you make for the animal if you are absent? What care will be provided for the animal(s) when you are away (e.g. on weekend trips or longer vacations)? What would you do should an animal show undesirable behaviour? Why do you wish to register as a foster family with GAIA? More information Please do not hesitate to provide any additional information you think would be useful. By submitting this form, I agree to the following elements. I agree to the following elements: GAIA's adoption service accommodates animals confided to it upon the death of their owner. We therefore select potential adopters more quickly who are: Willing to adopt a fearful animal and/or an animal that has suffered abuse; Willing to adopt an animal that needs specific veterinary care or treatment; Willing to pay for permanent and medical expenses necessary for the physical and mental well-being of the animal; Aware that neither the breed, age or colour of the animal can be chosen. Being aware that the animal may have a disability (deafness, blindness, amputation). This is of course mentioned beforehand. Submit form
