Foster Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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What type of dog(s) would you like to foster? *

(Check all that apply!)

Small (Under 25lbs)

Medium (25-50lbs)

Large (Over 50lbs)

Puppy (Under a year)

Adult

Senior (8 years and older)

Are there any children in the house? *

Please select all that apply.

No Children

Under 5 years

5-9 years

10-13 years

14 years old and older

I *

Rent

Own

Is your yard fenced? *

Yes

No

Do you currently have other pets?

Yes

No

Name of Reference #1

First Name

Last Name

Phone of Reference #1

(###)

###

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Name of Reference #2

First Name

Last Name

Phone of Reference #2

(###)

###

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