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If fostering, how long will the pet spend alone each day?

Do you object to our visiting your home or calling you in the future? Yes No

How many pets have you had in the last 10 years?
Note: If you have more than three, please list them in the Additional Comments section below.

Dogs Names

Breeds

Cats Names

Other Names

If not still with you, what has happened to them?

Do you presently own any pets?
Note: If you have more than three, please list them in the Additional Comments section below.

Dogs Names

Breeds

Cats Names

Other Names

Are your pets spayed and neutered? Yes No

Are all your pets current on their vaccinations? Yes No

Are all your pets current on their heartworm preventative? Yes No

Who is your veterinarian?    Phone Number:

Are your pets kept inside or outside? Inside Outside

Where will your foster stay when you are not at home (at work etc.)?

Where will your foster sleep?

List the ages of all people in your home:

If you have children, have they been around pets? Yes No

What animal behavior would you be unwilling to work with?

Cat Fostering

Are you willing to keep your foster cat indoors at all times? Yes No

Dog Fostering

Do you have a fenced yard? Yes No

Are you willing and able to leash walk your dog? Yes No

Will this be an inside or outside dog? Inside Outside

Additional Comments:


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