FOSTER Application
First Name:
*
Last Name:
*
Address:
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City:
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State:
*
Zip Code:
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Cell Phone:
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Home Phone:
Work Phone:
*
Email Address:
*
Name of Employer
*
Do you own or Lease your Home:
Own
Lease
Are you allowed to have pets?
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N/A
Yes
No
How long have you lived at your current residence?
*
Do you agree to take a dog that weighs at least 30 lbs?
*
No
Yes
What are their breeds:
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The name of the vet your dogs see:
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What is your vets phone number:
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Do you have cats and if so what are their names?
*
Are ALL of your pets current on vaccinations:
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What ages of puppies or dogs are you comfortable fostering:
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Are all of your pets neutered?
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Do any of your dogs have issues with same sex dogs?
*
List the names of your dogs:
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Are you dogs current on heartworm prevention:
*
Describe your ideal foster dog:
*
If you have children in the home, please list their ages:
Do you have a fenced in yard?
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If so, what kind and how tall?
What days and times are best for your in-home orientation:
*
Is there any additional information you would like to share with us?
How did you hear about us?
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ADR Website
Google
Facebook
Twitter
Instagram
Friend/Family
Event
Other