Stafford SPCA

Monday, February 06, 2012

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Animal Foster Interest

Please complete and submit the form below. Every field with a red asterisk (*) must be completed in order for the form to be submitted. If required fields are skipped or not completed, the form will not submit.

Full Name *

Address *

City *

State *

Zip Code *

Home Phone *

Work Phone *

Cell Phone *

Age *

Employer *

Email *

I'm interested in fostering (hold ctrl to select more than one group): *

I have veterinary and/or learned skills allwing me to care for special needs: Yes No

I can accomodate: *

I am willing to foster regardles of breed Yes No

If no, which breeds:

I have fostered rescue animals before Yes No

I currently have ___ anmials in my home. *

I have children under age 15 in my home. Yes No

I own my home * Yes No

I have permission (in writing) from my landlord to have animals * Yes No

* Please note that the Stafford SCPA reserves the right to have Staff and/or Volunteers conduct and maintain house visits to ensure the safety and well-being of the fostered animal.

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