Foster Application

First Name

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Last Name

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Address

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City

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State

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Zip Code

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Home Phone Number

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Cell Phone Number

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Email Address

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How long have you been at this residence?

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List the names and ages of all members of your household.

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Does everyone in your family agree to foster pets?

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Please list pets currently in your household, type of animal, age and temperament.

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Are all of your current pets spayed and neutered?

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Are all of your current pets up to date on their vaccinations?

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Do you own or rent your home?

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Does your home have a fence?

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What age of pet do you prefer?

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Do you prefer a specific gender of pet to foster?

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Are you willing to foster a pet with minor health or behavioral concerns?

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Is there a specific pet you are interested in fostering?

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Do you have experience with the age and breed of pet you are applying to foster?

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Any other comments?

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May we contact your veterinarian for a reference?

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Do you give permission for a volunteer to do a home visit?

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Name of the Vet Clinic you use:

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Vet phone number:

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You must understand that:
1. Animals are different from human beings in their responses to human actions.
2. The actions of animals can be unpredictable.
3. Animals should be closely supervised when they are with children.
4. An animal's behavior may change after the animal leaves the shelter.
5. The Humane Society makes no claims as to the temperament, health, or mental disposition of any animal put up for foster.

Under penalty of law I swear/affirm that these answers are true and correct to the best of my knowledge. By typing my name below, I certify that all above information will be found true and any misrepresentation of any facts on my behalf may result in denial of foster. I acknowledge & understand completely that all pets up for foster are the sole property of the Humane Society of the Ozarks. I understand that filling out this application does not guarantee me a pet. I understand the placement of the animals is at the discretion of the Humane Society of the Ozarks, I authorize investigation of all statements I have provided on this application. I also understand an authorized representative of the Humane Society of the Ozarks may contact me in the future to follow up on the success of this foster.

E-Signature (type full name)

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