| Your Email* |
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| Verify your email* |
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| Type of animal you wish to foster* |
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| Your Name* |
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| Street Address* |
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| City* |
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| State* |
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| ZIP* |
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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* |
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| Do you live with your parents?* |
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| Do you have a fenced in yard?* |
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| Do you own or rent your home?* |
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Landlord's NAME, ADDRESS & PHONE (If you own your home but rent the lot, please include the NAME, ADDRESS, and PHONE for the lot owner.) |
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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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| Please list all of your pets (living & deceased) within the past 5 years. If a pet is deceased please indicate "deceased" next to its 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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| Are your current pets up to date on vaccines?* |
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| Is your dog on heartworm preventative?* |
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| Has your cat been tested for FeLuk/FIV?* |
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| Where do you keep your current pets?* |
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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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| If you answered Both inside and outside, 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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| 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 Corona Virus?* |
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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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| 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 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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