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

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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?*

YESNO
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

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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?*

YESNO
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?*

YESNO
IF NO, PLEASE EXPLAIN:*
IF YOU OWN OTHER DOGS OR CATS ARE THEY CURRENT ON VACCINATIONS?*

YESNO
ARE THERE CHILDREN IN THE FAMILY?*

YESNO
IF YES, WHAT ARE THEIR AGES?*
BY TYPING MY FULL NAME BELOW, I AFFIRM THAT ALL INFORMATION ABOVE IS TRUE. *
TYPE FULL NAME HERE
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