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Animal Services Foster Application
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Animal Services Foster Application
Applicant Information
First Name*
*
Last Name*
*
Email
*
Email
form field Email
is not in correct form
Street Address
*
Apartment #
City, State, Zip
*
Primary Phone
*
Phone
form field Primary Phone
must be in the format: (000) 000-0000
What type of animal would you like to foster?
*
Value is not selected
-- Select one --
Cat
Dog
Both
Cat
*
Cat
Underage kittens needing bottle feeding
Litter of kittens without a mother cat that can eat solid food
Litter of kittens with a mother cat
Cats with medical needs
Fospice (cats that have been diagnosed with terminal illness)
Dog
*
Dog
Underage puppies without a mother dog
Puppies with a mother dog
Behavioral fosters (dogs that need additional training or socialization prior to being adoptable)
Medical fosters
Fospice (dogs that have been diagnosed with terminal illness)
Are there any weight or size restrictions the foster has either in the housing or ability to care for a dog
*
Tell us your interest in and experience with the type of animal you are interested in fostering
*
Please upload an image of your government issued photo ID (driver’s license, passport, or permanent resident card.)
*
Form field Please upload an image of your government issued photo ID (driver’s license, passport, or permanent resident card.) has
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E-Signature
I declare under penalty of perjury under the laws of the State of California, that the above information is true and correct. I understand that this information is kept confidential. I also declare that I have not been convicted within the last five (5) years by any court of law for any violation of this chapter or any other law relating to animals, public nuisance caused by animals, or cruelty to animals in this or any other state.
E-Signature
*
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Email Address:
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