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Seniors For Seniors Application
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FOSTER APPLICATION
PlEASE NOTE: All animals are the legal property of Recycled Poms & Schipperkes. All dogs are placed in foster homes at our discretion. Recycled Poms & Schipperkes may refuse to foster to anyone without providing a specific reason.
See Website for more details about this program. https://recycledpoms.org
Name of dog in which you are interested:
*
Your answer
First & Last name
*
Your answer
Spouse's name or significant other
*
Your answer
Your Date of Birth:
*
Example: MM/DD/YYYY
Your answer
Street Address:
*
Your answer
City:
*
Your answer
State and Zip Code
*
Your answer
Email:
*
Your answer
Cell Number:
*
Your answer
Alternate Phone Numer:
Your answer
Employment status:
*
Part-time
Full-time
Retired
Unemployed
Work from home
Your current living arrangements:
*
(check all that apply)
own a home
renting a home
renting an apartment
live with family
live with friends
I have room mates
Other:
Required
If renting, does your lease allow pets?
*
Yes
No
Not sure
N/A
If renting, we will need confirmation of payment of Pet Deposit. Please provide the name of your rental manager's name and phone number
*Proof of pet deposit is required before the dog can be taken.
Your answer
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