
Contact Information
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Please fill out the following form and click on the
submit button, or you can print out the form and mail it to PO box 9154,
Anaheim CA 92812
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| Name |
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| Email Address |
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| Address |
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| City, State, Zip |
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| Home Phone: |
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| Cell Phone |
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| Best time to Call: |
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| Do you own or rent? |
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| If Rent what is the "Pet Policy" |
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| Please List your current animals, sex, species, altered,
age? |
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| Are your pets current on vaccines Please List: |
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Name and Address of Present Vet
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| Do you have a fenced yard? Please describe: Size, fencing
material, height, length. |
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| Where will your foster babies be during the day? |
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| Where will your foster babies be during the night? |
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| How long can you foster an animal or litter? |
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| What would you be will to foster :Please check
all that apply. |
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Mother and puppies |
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Unweaned puppies |
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Injured or sick puppies |
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Weaning Puppies |
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Mother and Kittens |
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Unweaned Kittens |
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Injured or Sick Kittens |
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Weaning Kittens |
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Pregnant Animals |
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Ill, Orphaned and/or Injured Rodents/Rabbits |
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Orphan Livestock, Foals, Lambs, Pigs,
Goats etc.. |
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Ill, Orphaned and/or Injured Livestock |
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Please Describe what you would like to foster if different
from above.
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Anyone in house hold have allergies, if so how do they
manage?
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| How much time do you have to foster, days, Nights, 24 hours
(Please check all that apply) |
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Weekdays / Mon thur Fri (7am-5:30pm) |
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Weekend Days / Fri thur Sun (7am
- 5:30pm) |
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Weeknights / Mon thur Fri (5:30pm
- 12:00am) |
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Weekend nights / Fri thru Sun (5:30pm
- 12:00am) |
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24 hours |
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List your Schedule .........Other
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| What supplies do you have: Please List |
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| Please describe you skills that make you a good foster parent.
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| What are your weakness: and how have you improved or are
improving? |
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| Will you be able to give up the animal for adoption when
the time comes? |
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