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Foster Application
Foster Application
lpd-admin
2020-07-01T14:13:16-06:00
"
*
" indicates required fields
Foster Person's Name
*
First
Last
Phone
*
Email
*
Foster Person's Age
*
Residence Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mailing Address
*
Same as Residence Address
Different Address
Mailing Address
Residence Type
House
Apartment
Trailer
Other
Do you own or rent
*
Own
Rent
If you rent, provide name and phone number if landlord
Employer
Home Phone
Work Phone
Cell Phone
Why do you want to foster?
*
Where will you keep the foster pet?
*
Indoors
Outdoors
Both
Do you have a yard?
*
Yes
No
Is the yard fenced?
Yes
No
How high is the fence?
If no fence, how will the foster pet get exercise and potty breaks?
Please list all cats and/or dogs that presently live with you
Species
Breed
Sex
Age
Rabies Current?
License Current?
Add
Remove
Number and ages of everyone in your household
Child
Age of child
Add
Remove
Is everyone in your household aware that you are considering fostering?
*
Yes
No
If no, please explain
Is anyone in the home allergic to pets?
*
Yes
No
Where will the pet be while you are away for a few hours?
*
Where will the pet be while you are home?
*
Who will be responsible for feeding, housetraining and obedience?
*
Is anyone home during the day?
Yes
No
Where will the pet sleep?
How will you handle:
Household accidents?
*
Fence Jumping?
*
Growling/Showing Teeth?
*
Biting?
*
Chewing
*
Being too active?
*
Incompatibility with other pets?
*
Illness in foster pet?
*
Foster Person's Signature
I verify that I have answered the above questions truthfully and accurately.
Reset signature
Signature locked. Reset to sign again
Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.
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