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Foster dog adoption application

1. Applicant information

Field Is Required First

Field Is Required Last

Field Is Required Date of Birth:

Field Is Required Street 1:

Street 2:

Field Is Required City/Town:

Field Is Required State / Province:

Field Is Required ZIP / Postal Code:

Field Is Required Email:

Field Is Required Phone Number:

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2. Preferred Name

3. Field Is Required Is this the first application you have submitted for this type of animal?

4. Field Is Required Do you own or rent your home? If you rent or are not the owner of the home, please list the owner or landlord's contact information and the name of the apartment complex (Maximum response 255 chars, approx. 5 rows of text)

5. Field Is Required Does your home have a fenced in yard? If so, what type of fence and how high is it? (Maximum response 255 chars, approx. 5 rows of text)

6. Field Is Required How many adults live in your home? (Maximum response 255 chars, approx. 5 rows of text)

7. Field Is Required List the ages of any children with which the animal will have regular contact. How frequently will they be in contact? (Maximum response 255 chars, approx. 5 rows of text)

8. Field Is Required On an average day, how many hours at a time will the animal be left alone? (Maximum response 255 chars, approx. 5 rows of text)

9. Field Is Required Please list any cats, dogs, or other animals in the household. Include the type/breed of animal, age, sex, and whether or not they are spayed or neutered. (Maximum response 255 chars, approx. 5 rows of text)

10. Field Is Required Have you owned dogs in the past? If so, tell us about with what kinds of dogs (breed, size, age, etc.) you have experience. (Maximum response 255 chars, approx. 5 rows of text)

11. Field Is Required Why are you looking to add a new dog to your household? (Maximum response 255 chars, approx. 5 rows of text)

12. Field Is Required List up to three dogs with which you are interested. Please include their identification numbers. (Maximum response 255 chars, approx. 5 rows of text)

13. Field Is Required How did you hear about this animal? (Select one of the available choices or enter a different value.) How did you hear about this animal? Click this to indicate that you will select an existing value. Tab to next input." How did you hear about this animal? How did you hear about this animal? Click this to indicate that you will enter a new value. Tab to next input." How did you hear about this animal? Provide your answer here

If the dog or dogs in which you are interested have been adopted or have restrictions that your home does not meet, we will try to match you with a dog instead. The following information will help us find a dog that meets what you are looking for.

14. Field Is Required Provide the age range for the dog that you are searching for. (Maximum response 255 chars, approx. 5 rows of text)

15. Field Is Required Do you have a preference in gender? (Select one of the available choices or enter a different value.) Do you have a preference in gender? Click this to indicate that you will select an existing value. Tab to next input." Do you have a preference in gender? Do you have a preference in gender? Click this to indicate that you will enter a new value. Tab to next input." Do you have a preference in gender? Provide your answer here

16. Field Is Required Are you particular about the breed or size of dog? For example, if you are not interested in any pittie mixes, or would only like a small dog, please indicate so. (Maximum response 255 chars, approx. 5 rows of text)

17. Field Is Required Are you comfortable with dogs with longer fur or higher grooming needs or are you only interested in short-coated dogs? (Maximum response 255 chars, approx. 5 rows of text)

18. Field Is Required Describe the energy level of your ideal dog. If you want a dog to take on long runs every other day, or if you're more into short walks a couple of times a week, let us know! (Maximum response 255 chars, approx. 5 rows of text)

19. Field Is Required Describe how much training you are comfortable doing with your dog. If you are comfortable handling unruly dogs or dogs that might need a lot of training, let us know! (Maximum response 255 chars, approx. 5 rows of text)

Foster dog adoption application

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