| First Name* |
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| Last Name* |
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| Address 1* |
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| Address 2 |
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| City* |
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| State* |
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| Zip Code* |
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| Email* |
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| Home Phone* |
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| Cell Phone |
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| Best time of day to reach you |
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| Your age |
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| Spouse/Partner Name |
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| Spouse/Partner Age |
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Does your or your spouse/partner's job require frequent out of town travel? |
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Do you have children? |
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Are you expecting a child? |
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How many children are living at home? |
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Names and ages of all children included above |
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Besides the people covered above, are there others residing in your home? |
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Names of other residents |
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Relationship of other residents |
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Do all other residents in the household
want to foster a dog, and particularly
a bully breed? |
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If no, please explain |
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Is anyone living in your home allergic to animals? |
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Do you own or rent* |
Own
Rent
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Please describe the type of dwelling |
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If you rent, provide the name and phone number of your landlord |
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If you live in a condo, apartment, or mobile home park, provide the name of the facility |
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I have checked with my landlord/facility/homeowners association and confirmed that:
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Please describe your neighborhood |
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Does your home have a yard? |
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If yes, does fencing completely enclose the yard? |
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If your yard is fenced, describe materials and height |
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Does your yard have a kennel area?
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If your plans for exercise include dog parks or doggy daycare, please realize that we do not allow them for reasons we are happy to discuss with you. |
| Would you like more information as to why we do not allow dog parks or doggy day care?
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Some insurance companies may cancel your homeowner’s insurance if you own a bully breed, including American Stafforshire Terriers, American Pit Bull Terriers, Pit bulls, American Bulldogs, Stafforshire Bull Terriers, and mixes of these breeds. It is your responsibility to check with your agent and ensure that fostering a bully breed will not adversely affect your policy.
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| I have confirmed that |
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Are you aware of Breed Specific Legislation (BSL)? |
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Do you have other pets at this time? |
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If yes, are they outdoor or indoor? |
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| Describe your pets in detail including species, gender, breed, age, and altered/unaltered |
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Are your dogs current on all vaccinations or titer counter tested? |
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Have you ever owned a bully breed before? |
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| If yes, what breed? |
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If not, describe any experience you have had with any bully breeds |
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Describe where the dog will stay when you are at home |
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Describe where the dog will stay when you are away |
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What type of dog experience do you have?
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| Other |
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Do you have any special skills?
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| Other |
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Have you fostered or volunteered for any
other organization? If so, give the name
of the group and the dates you were a foster/volunteer. |
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Preferred sex of foster dog |
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Preferred age of foster dog |
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Any other restrictions for foster dogs |
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| Please provide any other information that is helpful in evaluating your home for fostering |
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| Provide a reference here and all contact information |
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