Your name: |
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Are you over 18 years of age? |
Yes
No |
Home phone: |
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Work phone: |
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Cell Phone: |
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Address: |
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Apt #: |
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City: |
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State: |
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Zip: |
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Email address: |
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Referred by: |
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Emergency Contact person: |
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Phone number: |
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Other people living in your home and their ages: |
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Do you live in: |
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Do you: |
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If renting, do you have approval from your landlord to have animals? |
Yes
No |
Landlord's name: |
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Landlord's Phone number: |
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Is your yard: |
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Do you have a fenced yard? |
Yes
No |
How High? |
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Type of fence: |
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Where will the animal be kept during the day? |
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Where will the animal be kept at night? |
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If the animal will be kept outside, what type of shelter will be provided? |
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What accommodations will their be for hot/cold weather? |
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Is anyone in your house allergic to animals? |
Yes
No |
Who will be primarily responsible for the care of the animal? |
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Have you ever had a pet before? |
Yes
No |
Other pets you have owned: |
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List any other pets you current have (breed, age, sex) |
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Have ALL your pets been spayed or neutered? |
Yes
No |
If not, why? |
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Are they current on their shots? |
Yes
No |
Do they get along with dogs? |
Yes
No |
Do they get along with cats? |
Yes
No |
Have you ever adopted from a humane group or shelter? |
Yes
No |
If yes, from what group? |
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Have you ever sold, given away or gotten rid of a pet? |
Yes
No |
If yes, please describe the situation: |
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Have you had a pet die because of age, illness or accident? |
Yes
No |
If yes, please describe the situation: |
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Will your foster animal: |
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If other, please explain and be specific. |
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Are you familiar with the use of a dog crate to train and/or confine your dog when you are not there? |
Yes
No |
Are you willing to crate train? |
Yes
No |
Have you ever taken an obedience course with a pet? |
Yes
No |
Will the animal be walked daily? |
Yes
No |
Exercised in a fenced yard? |
Yes
No |
Allowed to run free? |
Yes
No |
Are you aware that animals may be very active and shed all year long? |
Yes
No |
Do ALL members of your household want to foster? |
Yes
No |
What is your household activity level? |
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What is your occupation? |
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How many hours a day are you gone from your home? |
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What do you like the LEAST about having a cat or dog in your home? |
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How soon would you like to start fostering? |
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How often or how long will you be able to foster? |
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What kind of animals would you be able to foster? (Puppies, kittens, adult cats, adult dogs, male, female, sick animals, nursing mothers, etc.) |
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Size of animal you are willing to foster
(choose all that apply): |
Small
Medium
Large
Extra Large |
Are you willing to let a Central Oklahoma Humane Society representative visit the animals in your home? |
Yes
No |
Name of your veterinarian: |
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Clinic Name: |
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Clinic address: |
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Phone number of your veterinarian: |
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May we call your veterinarian? |
Yes
No |
Can a prospective adopter call and/or email you regarding your foster animal? |
Yes
No |
| As a foster parent you will be required to sign a foster agreement contract. This includes the requirements of care and procedures for Central Oklahoma Humane Society fosters. This is only a foster application to help us get to know you and your home. We will contact you about your application within a week of receipt. |
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