If this dog is no longer available before your application is complete, would you like our team to move forward with processing your application and assist you in matching to another dog?
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First Name *
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Last Name *
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Zip *
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Are you at least 18 years old? *
Phone # where we can contact you: *
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Email: *
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Rent or Own your home? *
Is your yard fenced? If yes, please describe type of fence and height. If no, please explain how you will exercise and potty the dog. *
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Do you have roommates or family members living with you? Please list all members of the household (include age) *
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Are you applying to Foster, Adopt or both? *
Please list ALL PETS in the home (include type, breed, age, sex) *
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Are all of your dogs up to date on vaccines? *
Will the dog come in contact with livestock (horses, cows, llamas, etc) or other animals (chickens, rabbits, etc)? If yes, please specify. *
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Vet Name *
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Vet Street Address *
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Vet City *
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Vet State *
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Louisiana
Maine
Maryland
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Michigan
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Ohio
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Utah
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Other
Vet Zip *
Your answer
Vet Phone # *
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Do you or anyone in your home have any allergies? *
Your answer
Have you ever owned a LARGE BREED dog? *
Your answer
Which of the following are you willing to foster (check all that apply): *
Required
If you are willing to foster behavior cases, please describe which behaviors you are prepared to work with or not work with.
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What type of experience (pet, training, showing, breeding, etc) do you have? *
Your answer
Have you volunteered or fostered for another rescue group? If so, list the names of the group(s), dates you were involved, and your overall experience with them. *
Your answer
PERSONAL REFERENCES
Please provide 3 personal references below.
1. Reference Name *
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1. Contact information (phone and/or email) *
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2. Reference Name *
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2. Contact information (phone and/or email) *
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3. Reference Name *
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3. Contact information (phone and/or email) *
Your answer
I certify that all answers and statements I have made on this application are true and accurate. *