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Foster Application
Personal Information
E-Mail:*Valid e-mail is required
First Name:*
Last Name:*
Spouse/Partner/Housemate Name:
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
How long have you lived at your current address?*
If less than three years, please list previous address?
Marital Status:*
Gender:*
Date of Birth:
Phone:*
Alternate Phone:
How many children live in the home:*
Ages:
How many adults live in the home :*
Do all adults work outside the home:*
Yes No 
What is your work Schedule?*
Do you:*
Own your property
Rent your property
Live with your parents
Residnce Type:*
Home Townhouse Apartment Mobile Home 
Activity Level in the House:*
Quiet Active Hectic 
If renting, does lease allow for pets?
Yes No 
Please provide landlord`s name and telephone number:
If renting, please provide landlord`s name and telephone number:
Will you agree to a home visit? When is the best time for a visit
Does anyone Suffer From Allergies?*
Yes No 
Does everyone Agree to Fostering a pet?*
Yes No 
How often do you travel for business or pleasure?*
Have you ever fostered an animal before?*
Yes No 
If yes, with Whom and When?
Do you have a fenced in yard?*
Yes No 
Fence height?
Do you have a Porch?*
Yes
No
Do you have a Pet Door?*
Yes
No
Please tell us about your past experience with Animals?*
Do you currently own a pet?*
Yes No 
Please list all companion animals you currently have:include type of pet & age*
is your current pet(s) Spayed/Neutered?
Yes No 
Where will the Foster be Kept?*
Have you ever had to give up or find another home for a pet in the past?*
Yes No 
If yes, please explain?*
Why do you want to Foster?*
Who will take care of the Foster?*
Describe what type of pet you would like to foster (Adult, Large or small,Puppy or puppies)*
Current Veterinarian Name:*
Phone Number:*
Can We contact your vet?*
Yes
No
Name Your Pet is Listed under?*
Previous Vet(if with vet less than 2 years)*
I recognize that handling of animals always carries a risk of injury such as being scratched, bitten etc…. I accept this risk and*
Do you have health insurance?*
Yes
No
Have you ever been convicted of a crime or offense, which has not been expunged by the Court? **
Yes
No
If yes, give details of each conviction and disposition in this block. A conviction will
East Coast Paws N claws Rescue . supplies a foster care program for animals that are not immediately adoptable. I understand fully that this animal(s) is\are temporarily in my care and belong exclusively to the ECPC. I further understand that the purpose of this foster relationship is solely to provide care for this\these animal(s). Any determination made about this animal(s) must be approved by a designated ECPC. representative within the organization. I understand that when the animal(s) is ready to be available for adoption, I will bring it back to ECPC. for placement (all animals fostered by foster parents are the property of the ECPC. and will remain so until adopted). Any and all placements will be made through the ECPC. and are subject to the same guidelines as any other adoption, and all fees apply. Foster parents are encouraged to assist in the placement process of their foster animal(s). If you have any questions, please contact ECPC. I agree to these terms and conditions. *
Agree?*
No Yes 
*By clicking Submit you agree that you have answered all questions truthfully any false statement will void this application.
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