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Foster Application
Personal Information
*
Indicates required field
Name
*
First
Last
Email
*
Phone Number
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Preferred Method of Contact
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Email
Phone
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Foster Pet Information
I would like to foster (check all that apply):
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Adult Dog
Puppy Under 6 Months of Age
Adult Cat
Kitten Under 6 Months of Age
I can foster the following activity levels (check all that apply):
*
Low
Medium
High
I can foster the following sizes (check all that apply):
*
Small (under 25 lbs)
Medium (25 lbs - 59 lbs)
Large (60 lbs - 95 lbs)
Extra Large (95+ lbs)
Please detail any restrictions you may have (i.e. allergies, cats, small children, rented property that doesn't allow bully breeds, etc.)
*
Special Circumstances (check any that apply)
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I can help potty train my foster
I can administer orall medication
I can administer topical medication
I am willing to foster a dog with separation anxiety
I am willing to foster a dog that is possessive with food
I am willing to foster a dog with a bite history
History & Home
Do you have any pets today?
*
Yes
No
Current Veterinarian
*
Vet's Phone Number
*
Pet Name(s)
*
Note
:
We
will
reach out to your veterinarian to ensure your current pets are up-to-date on Rabies and Distemper vaccinations, fixed, and in general good health. Please call your veterinarian and authorize them to release information to The Green Ark upon request.
Do you rent your home?
*
Yes
No
Current Landlord
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Landlord's Phone Number
*
Do you have landlord permission to have pets in your home?
*
Yes
No
Note
: We
will
reach out to your landlord to ensure foster pets are allowed in your rented property.
Have you or any member of your household been convicted of animal cruelty, including abuse or neglect?
*
Yes
No
Personal Reference
Personal Reference
*
First
Last
Reference's Phone Number
*
Closing
Anything else you'd like us to know?
*
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