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Are you willing to work on any problems with us?
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Yes
No
Foster Applicant Name:
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How many people live at residence:
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How many hours will the dog be left alone:
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If you are willing to foster a pregnant mother and puppies do you have a quiet warm area where the mother and the pups could be contained seperately?
Yes
No
Email
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Do You Own or Rent This Property:
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Own
Rent
Length of Time At Current Address:
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Would you be willing to foster an older dog as a long term foster?
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Yes
No
Type of House you reside in:
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Name:
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Date of Birth
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Do you have a fenced in yard and if so, what type:
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Can you foster until an adopter is found?
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Thank you for contacting us! If needed, you will hear back within 48-72 hours.
Are there any circumstances or additional information that you would like us to know about?
Vet Reference:
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Do you own a dog crate
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Yes
No
Preference of Male or Female
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Male
Female
No Preference
If you live with parents/roommate can you get permisson to foster an animal
Yes
No
N/a
Alternate Phone
We will attempt to provide you with an honest evaluation of the temperament of the dog we place in your foster care. Do you acknowledge that there are times when complete history of an animal may not be known and you may encounter some behavior problems with a fostered animal?
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Applicant Signature (List your name and date as an electronic signature) :
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Home Phone
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Date of Birth
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Do you own animals?, if so, what kind?
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Emergency contact relationship, address & phone
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Are you at least 18 years of age?
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Have you ever fostered before? If so, for whom and how long ago:
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Address
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Are you willing to foster a pregnant mother and keep until puppies are born and the puppies are old enough to be adopted? (This will require at least an 8-10 week commitment)
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Yes
No
Other Preferences (size, age, etc.):
Can you provide transportation to and from vet appointments, events or to kennel if needed?
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Yes
No
Would you be available as a short term foster in the case of holidays, weather or emergency situations?
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Yes
No
Please list all animals that live at residence:
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