CHEW ANIMAL CLINIC - FOSTER APPLICATION

CHEW ANIMAL CLINIC - FOSTER APPLICATION
If you decide (and are approved) to adopt, the adoption fee will be $750. This adoption fee will cover the following:

Doctor Exams
3 rounds of DHPP
2 rounds of Leptospirosis
Bordetella (around
Rabies
Mirochip
Deworming (3 times)
Sterlization

--------------
The remaining adoption fee will go to our Compassion Fund
Are you wanting to foster 3 or 6 puppies (due to age, we are keeping them in groups of 3 or 6)
NAME

First NameLast Name
ARE YOU OVER 21 YEARS OF AGE?
ADDRESS

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
HOW LONG AT THIS ADDRESS?
Upload pictures of your back yard, including the fence line

Browse Files

Cancelof
DAYTIME PHONE

Area CodePhone Number
EVENING PHONE

Area CodePhone Number
OWN YOUR HOME?
RENT? (if yes, you must have landlord approval)
IS YOUR YARD FENCED?
Is a member of your household at home during the day?
WHERE WILL HE SPEND THE DAY?
WHERE WILL HE SPEND THE NIGHT?
WHAT ANIMALS DO YOU OWN NOW?
ARE THEY SPAYED OR NEUTERED?
IF NO, PLEASE EXPLAIN:
IF YOU OWN OTHER DOGS OR CATS ARE THEY CURRENT ON VACCINATIONS?
ARE THERE CHILDREN IN THE FAMILY?
IF YES, WHAT ARE THEIR AGES?
BY TYPING MY FULL NAME BELOW, I AFFIRM THAT ALL INFORMATION ABOVE IS TRUE.
TYPE FULL NAME HERE
Should be Empty: