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2. Name*
3. Email Address*
5. Address*
7. City
8. State
9. Zip Code
11. Phone Number*
12. Best time to contact you

    1. Morning
    2. Afternoon
16. Do you live in a...? *

    1. House
    2. Apartment
    3. Mobile Home
    4. Townhouse
    5. Other
17. If you selected other, please explain:
18. Are your 18 or older?*

    1. Yes
    2. No
22. Do you have any type of wooden fence, electric fence, etc? If so, what kind*
24. If you rent, is there a restriction in your rental unit to owning a pet?
26. Are you fostering for any other organization at this time?*

    1. Yes
    2. No
27. If yes, for who and what kind of animal?
29. Do you have access to a vehicle for transportation of a foster pet?*

    1. Yes
    2. No
31. How many adults and children live in your household?*
33. How many other animals are in your household?*
34. How old are the other animals?
36. What sex are the other animals?*
37. Do you have a separate, well lit room, to keep the fostered animal away from any other pets or family?*

    1. Yes
    2. No
39. Where will the animal be when nobody is home?*
40. Where will the animal sleep?*
42. Does anyone in the household smoke?*

    1. Yes
    2. No
43. Current veterinarian
45. Have you ever been charged with a crime involving an animal? *

    1. Yes
    2. No
49. Have you had experience either fostering or raising kittens? If yes, please explain.
51. Have you had experience either fostering or raising puppies? If yes, please explain.
53. Do you have any animal care experience that may be useful as a foster?
55. Do you have experience administering medication to animals? If yes, please explain.
57. Do you have experience with senior dogs? If yes, please explain.
59. What are you interested in fostering?*

    Check all that apply.

    1. Cats
    2. Dogs
    3. Puppies
    4. Kittens
    5. Cats with kittens
    6. Orphaned kittens
    7. Orphaned puppies

    1. Senior Dogs
    2. Injured Dogs
    3. Injured Cats
    4. Pregnant Cats
    5. Pregnant Dogs
    6. Dogs with puppies
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61. 1. Receive an email copy of this form.
62. Email address

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63. Submit

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