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Your Email
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| Type of animal you wish to foster
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Cat
Dog
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Your First Name
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Your Last Name
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Street Address
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City
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State
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ZIP Code
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Township/Borough
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Home Phone #
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Work Phone #
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Cell Phone #
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Description of Residence: (Press Ctrl and click on all that apply.)
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| Do you live with your parents?
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Yes
No
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Do you have a fenced in yard?
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Yes
No
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Do you own or rent your home?
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Own
Rent
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Landlord's
NAME & ADDRESS:
(If you don't rent your home, type "none")
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Landlord's
PHONE NUMBER:
(If you don't rent your home, type "none")
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Names & ages of everyone residing in household (INCLUDING YOURSELF):
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Have you ever owned a pet before?
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Yes No
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you answered Yes to the previous question,
please
list all of your pets (living & deceased) within the past 5 years.
If a pet is deceased please indicate "deceased" next to it's name
along with the approximate date of death. (If you have never had pets,
type "none") * |
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Are your current pets spayed/neutered?
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Yes
No
Not Applicable
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Are your current pets up to date on vaccines?
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Yes
No
Not Applicable
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| Is your dog on heartworm preventative?
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Yes
No
Not Applicable
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| Has your cat been tested for
FeLuk/FIV? *
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Yes
No
Not Applicable
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Where do you keep your current pets?
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Inside
Outside
Both
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If you answered Both to the previous question, please explain: |
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Where do you intend to keep this pet?
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Inside
Outside
Both
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If you answered Both to the previous question, please explain: |
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Where will this animal sleep? (Press Ctrl and click on all that apply.)
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| How long will this pet be alone
each day (crated or otherwise unattended)?
* |
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Have you ever given a pet up for adoption?
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Yes
No
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| If you answered Yes to the previous question,
please explain why and where the pet is now: |
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| Under what circumstances do you feel
it is appropriate to give up a pet?
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Do you currently have or have you recently had any cats or kittens which have Feline Leukemia, Feline Aids or Distemper Virus OR any dogs or puppies with the Parvo or Carona Virus?
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Yes No
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If you answered Yes to the previous question, how do you intend to keep this pet separated from the infected pet(s)?
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Do you have any family members with allergies or other health conditions that may impact
your ability to foster an animal?
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Yes
No
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If you answered Yes to the previous question, please explain.
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| For all current & deceased pets (within
past 5 years), please provide the
NAME & ADDRESS
of your Veterinarian.
(If you have never had pets, type "none")
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| For all current & deceased pets (within
past 5 years), please provide the PHONE
NUMBER of your Veterinarian.
(If you have never had pets, type "none")
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| Please provide the
NAME & ADDRESS
of
the Veterinarian you plan to take this pet to.
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| Please provide the
PHONE NUMBER of
the Veterinarian you plan to take this pet to.
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Please give the
NAME, PHONE/EMAIL & RELATIONSHIP
of 2 character witnesses who do not live with you. (At least one of them must be a non-family member.)
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Briefly explain why you would be a good foster home for an animal.
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By submitting this application, you are consenting to allow a Furry Friends Network Representative to contact your veterinarian to obtain pet
history and medical information.
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I Agree
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I certify that all information in this application is true. Furthermore, I understand that if the information contained herein is found to be false, my application will be voided and any pending adoption refused.
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I Agree
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After pressing
"Submit", you will return to www.furryfriendsnetwork.com.
Thank you!
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