Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
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                    (###) 
                   
                
                
                  
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              Email
              
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              Please list all members in your home and the age of each person:
              
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              Please describe who will taking care of the fostered animals and how:
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please list all animals in your home, the breed, age, sex, and date of last rabies vaccination:
              
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              Name of Vet Clinic you take your animals to:
              
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               Vet's Phone#: 
              
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                    (###) 
                   
                
                
                  
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              If needed, do you have approval to foster pets in your home?
              
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              Describe where you will be keeping the foster animals including how you will be separating them from your animals if necessary.
              
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              Approximately how long, on an average day, will foster animals be left alone in the home (without people to monitor eating, behavior, and elimination?)
              
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              Please describe any previous experience you have with caring for animals:
              
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              Are you currently or have you previously fostered for any other humane society organization? If so, which one?
              
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              My household is able to foster the following cats or kittens: (check all that apply)
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              My household is able to foster the following dogs or puppies: (check all that apply)
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Is there anything else you would like to share about yourself or your experience?