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2. 
4. FOSTER APPLICANT INFORMATION
6. First Name*
7. Last Name*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Email*
16. Phone*
20. Where would the animal(s) be housed?*

    1. Within Home - Free-roaming
    2. Within Home - Crate
    3. Backyard
    4. Outside Kennels
    5. Other
21. Is your yard fenced? *

    1. Yes
    2. No
23. How long will the animal(s) be left unattended during the day? Please Explain.*
24. Species of animal that you foster:*

    1. Dog
    2. Cat
    3. Other
26. What type of conditions do you provide foster care for? *

    1. Behavior
    2. Medical Rehabilitation
    3. Training

    1. Socialization
    2. Heartworm Treatment
    3. Neonates
30. ANIMAL CARE REFERENCE
32. Veterinarian Office*
33. Veterinarian*
35. Address*
37. City*
38. State*
39. Zip Code*
41. Email*
42. Phone*
46. Are you able to pick up an animal within 24 hours of being notified it is ready?*

    1. Yes
    2. No
48. Please read and agree to the following:*

    I understand that Schertz Animal Services works with each animal to evaluate their temperament. Schertz Animal Services does not guarantee the temperament of any animal, as they do not have any behavioral history on most animals.

    1. I understand
50. Please read and agree to the following:*

    I understand that I am responsible for immediately notifying Schertz Animal Services should an animal in my care need further medical attention.

    1. I understand
52. Electronic Signature of Applicant*
53. Date*
    Date
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55. 1. Receive an email copy of this form.
56. Email address

    This field is not part of the form submission.

57. Submit

* indicates a required field