| Name * |
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| E-mail Address * |
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| Home Phone Number * |
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| Cell Phone number * |
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| Address * |
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| City * |
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| Zip Code * |
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| How many adults are in your household, including yourself? * |
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| How many children (under 18)? Please list their ages... * |
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| Do you often have people visiting your home? * |
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| Do you have children visiting on a regular basis? * |
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| Who will be responsible for feeding, housebreaking, and general care? * |
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| Is every member of the family in agreement to foster a pet? * |
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| Is someone home during the day? * |
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| If yes, who? |
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| How many hours a day will this pet be alone during the day (on a regular basis)? * |
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| When I am home this pet will be kept? * |
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| When I am not home this pet will be kept? * |
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| Do you have a doggie door? * |
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| Where will this pet sleep (be specific)? * |
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| Do you live in a: * |
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| Do you own or rent? * |
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| Do you have a completely fenced yard? * |
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| If yes, what type of fencing? |
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| How tall is your fence? |
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| Is there any part of the yard the dog can get out? |
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| If you do not have a fenced yard how do you plan to keep this pet in your home? |
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| Do you have a pool on your personal property (not a community pool)? * |
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| If yes, is the pool permanently gated? |
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| Part of having a foster dog is helping to prepare it for a permanent home...is this a commitment and assistance to Love 4 Canines that you can provide? * |
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| Are you willing to foster a dog that requires housebreaking? * |
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| Please list all current pets (caged pets excluded), breed, size, and age. * |
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| If applicable, are your pets spayed/neutered? |
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| Are you willing to foster a dog that is older? * |
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| Are you willing to foster a dog that was abused or neglected? * |
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| Are you willing to foster a dog that has a physical handicap? * |
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| Are you willing to foster a dog that requires medication? * |
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| Would you consider fostering a pair of dogs that must be placed together? * |
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| Sex preference of your foster dog... * |
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| Age preference * |
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| Size preference * |
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| Would you be willing to foster a litter or puppies? * |
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| Do you have an area where you can isolate/quantine your new pet for two weeks to make sure it does not have kennel cough (if coming from the shelter)? * |
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