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Full 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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Home Phone:*
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Cell Phone:
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Work Phone:
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Email Address:*
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How many adults are in the home?:*
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How many children are in th home?:*
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How old are the children?:
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How many pets are in the home?:*
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Please list type, breed and age of all pets in the home:
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Are all pets vaccinated?:*
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Are all pets spayed or neutered?:*
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Are all dogs and cats on heartworm and flea prevention?:*
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If yes what type?:
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Is your yard completely fenced?:*
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What type of fencing do you have?:
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How much time do dogs spend outside alone?:*
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Where do dogs stay when you are not home?:*
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How many hours per day do dogs spend alone?:*
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What is your feeding routine for dogs and cats?:*
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If you foster for SCR, would you need to have any of the following provide for you? (SCR will cover any cost of vet care, grooming etc while pet is in your care)
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Crate
Pet Food
Treats
Transportation to events
Transportation to vet or grooming appointments
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What experience do you have with working with animals?:*
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Are you will to work with any of the following special needs pets?
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Pets with medical issues
Pets with behavioral issues
Pets that are not housebroken
Pets needing socialization
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What type of pets do you prefer to foster? (check all that apply)
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Adult dogs
Large or medium breeds
Small breeds
Puppies
Pregnant dogs
Nursing dogs with puppies
Bottle-fed puppies
Cats
Kittens
Nursing cats with kittens
Bottle-fed kittens
Goats
Pigs
Birds including ducks and peacocks (mainly those too young to be outside)
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If you selected to foster farm animals, do you have a barn or shelter and what type?:
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If you selected to foster farm animals, how much green pasture do you have?:
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