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2. First Name
3. Last Name*
5. Address1
7. City*
8. State*
9. Zip*
11. Mailing address if different from above:
13. Email Address
15. Phone Number*
16. Cell
18. Driver License or ID #*
19. Date of Birth
21. 1. How many pets do you currently have? (Please list name, age and breed for each.)
23. 2. Do you currently have any foster pets?

    1. Yes

    1. No
24. If yes, how many and for which organization are you fostering?
26. 3. Are there any children in your household?

    1. Yes

    1. No
27. If yes, what are their ages?
29. 4. Are the pets within your home current on all vaccinations?

    1. Yes

    1. No
31. 5. Please explain any restrictions on your ability to foster (time limit, dog breeds, etc.).
33. 6. How many hours a day would your foster pet(s) be home alone?*

    1. Less than 2 hours
    2. 2-3 hours

    1. 4-8 hours
    2. 9+ hours
35. 7. Describe the noise level in your home (mark all that apply):

    1. Quiet

    1. Mid-Level

    1. Active/Loud
37. 8. Describe the physical activity in your home (mark all that apply):

    1. Low Activity

    1. Moderate

    1. Active/Athletic
39. 9. Do you have the ability to keep your personal pets and your foster animals separate for a quarantine period?

    1. Yes

    1. No
41. 10. What type of shelter pets are you interested in fostering? (mark all that apply):

    1. Kittens 0-4 weeks old*
    2. Kittens 4-8 weeks old
    3. Pregnant cat
    4. Cat with kittens
    5. Cat/kitten medical
    6. Adoptable cat/kitten
    7. Behavior/cat
    8. 24 hour emergency

    1. Puppies 0-4 weeks old*
    2. Puppies 4-8 weeks old
    3. Pregnant dog
    4. Dog with puppies
    5. Dog/puppy medical
    6. Adoptable dog/puppies
    7. Behavior/dog
    8. Other

    *Note: Young orphans who require bottle feeding and round-the-clock care.
43. TERMS OF AGREEMENT
    Sumter County Animal Services reserves the right to deny anyone the ability to foster an animal without explanation. Sumter County Animal Services reserves the right to assure the animal is matched with the best home for the foster and foster animal.
    
    I understand that Sumter County Animal Services reserves the right to reclaim any animals that I have in my possession for fostering purposes at any given time. By clicking submit below I agree to these terms.
45. Internal use only:
    Approved
    Rejected
    By
    Date
    
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47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

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