Pet Foster Care Services - Application
Note: This information is only used to refine adoption matches.
Please provide the following confidential information:
Contact Name:		* Required
Note: A pet may react adversly to a particular person, at first, and may take an unforseen protective stance against someone. For example, a dog owned by a woman may react adversly towards strange men. Providing your gender enables the A/I Neural Network to disintermediate applicants to achive optimal matches. [Strictly Confidential]
Contact Gender:	Select...MaleFemaleLGBTQPrivateNo Answer[Confidential Information]	* Helpful
Type/Kind of Pet:	Select...DogCatSomething else...	*
Dog Breed:	Select...No PreferenceAffenpinscherAfghan HoundAiredale TerrierAkitaAlaskan MalamuteAmerican BulldogAmerican Eskimo DogAmerican FoxhoundAmerican Pit Bull TerrierAmerican Staffordshire TerrierAnatolian ShepherdAussiedoodleAustralian Cattle DogAustralian KelpieAustralian ShepherdAustralian TerrierBarbetBasenjiBasset HoundBeagleBearded CollieBeauceronBedlington TerrierBelgian MalinoisBelgian Sheepdog (Groenendael)BernedoodleBernese Mountain DogBichon FriseBiewer TerrierBloodhoundBluetick CoonhoundBoerboelBologneseBorder CollieBorder TerrierBorzoiBoston TerrierBouvier des FlandresBoxerBoykin SpanielBriardBrittanyBrussels GriffonBull TerrierBulldog (English Bulldog)BullmastiffCairn TerrierCane CorsoCardigan Welsh CorgiCarolina DogCatahoula Leopard DogCavalier King Charles SpanielCavapooChesapeake Bay RetrieverChihuahuaChinese CrestedChinese Shar-PeiChinookChiweenieChorkieChow ChowChug DogClumber SpanielCockapooCocker SpanielCollieCoton de TulearDachshundDalmatianDoberman PinscherDogo ArgentinoDogue de BordeauxDutch ShepherdEnglish Cocker SpanielEnglish SetterEnglish Springer SpanielEntlebucher Mountain DogFlat-Coated RetrieverFrench BulldogGerman PinscherGerman ShepherdGerman Shorthaired PointerGerman Wirehaired PointerGiant SchnauzerGolden RetrieverGoldendoodleGordon SetterGreat DaneGreat PyreneesGreater Swiss Mountain DogGreyhoundHarrierHavaneseIrish SetterIrish TerrierIrish Water SpanielIrish WolfhoundItalian GreyhoundJack Russell TerrierJapanese ChinKeeshondKerry Blue TerrierKomondorKuvaszLabradoodleLabrador RetrieverLagotto RomagnoloLakeland TerrierLancashire HeelerLeonbergerLhasa ApsoMalteseMaltipooManchester TerrierMastiffMiniature American ShepherdMiniature PinscherMiniature PoodleMiniature SchnauzerMorkieNeapolitan MastiffNederlandse KooikerhondjeNewfoundlandNorfolk TerrierNorwegian ElkhoundNorwich TerrierNova Scotia Duck Tolling RetrieverOld English SheepdogPapillonPekingesePembroke Welsh CorgiPharaoh HoundPlott HoundPointerPomeranianPomskyPortuguese Water DogPugPugglePuliPumiRat TerrierRedbone CoonhoundRhodesian RidgebackRottweilerRussell TerrierSaint BernardSalukiSamoyedSchipperkeScottish TerrierSheepadoodleShetland SheepdogShiba InuShih TzuSiberian HuskySilken WindhoundSilky TerrierSmooth Fox TerrierSpanish Water DogStaffordshire Bull TerrierStandard PoodleStandard SchnauzerSwedish VallhundTibetan MastiffTibetan SpanielTibetan TerrierToy PoodleTreeing Walker CoonhoundVizslaWeimaranerWelsh Springer SpanielWelsh TerrierWest Highland White TerrierWhippetXoloitzcuintliYorkshire TerrierSomething else...	*
Cat Breed:	Select...No PreferenceAbyssinianAmerican BobtailAmerican Bobtail ShorthairAmerican CurlAmerican ShorthairAmerican WirehairAustralian MistBalineseBengalBirmanBombayBritish LonghairBritish ShorthairBurmeseBurmillaChartreuxChausieCherubimCornish RexCymricDevon RexDonskoyEgyptian MauExotic ShorthairHavanaHighlanderHimalayanJapanese BobtailKhaomaneeKoratKurilian BobtailLaPermLykoiMaine CoonManxMinuetMunchkinNebelungNorwegian ForestOcicatOriental LonghairOriental ShorthairPersianPeterbaldPixiebobRagdollRussian BlueSavannahScottish FoldScottish StraightSelkirk RexSiameseSiberianSingapuraSnowshoeSomaliSphynxTennessee RexThaiTonkineseToygerTurkish AngoraTurkish VanSomething else...	*
Pet`s Gender:	Select...Male-NeuteredFemale-SpayedMale-IntactFemale-Intact	*
Size:	Select...SmallMediumLargeNo Preference	*
Colorings:	Select...MixedWhiteBlackGreyNo PreferenceEnter...	*
Age:	Select...NewbornBetween 1 and 5 YearsBetween 5 and 8 YearsBetween 8 and 10 YearsNot ImportantSomething else...	*
Some pets may already have a Microchip implemented. If this is the case, would you be willing to re-register and continue the tracking? Or, would you be willing to implement a microchip when there is none?
Microchip Option:	Select...Re-RegisterImplement New TrackerNot Needed	*
Plese indicate your intended/desired relationship.
Relation/Sevice:	Select...CompanionGuideGuardTherapyHuntingSomething else...	*
Friendliness:	Select...ChildAdolescenceAdultElderSomething else...	*
Training:	Select...HomeProfessionalObedienceK9Something else...	*
Plese indicate any particular behavior you would appriciate.
Behavior:	Select...PlayfulAffectionateCalmActiveN/A	*
Indicate if the pet currently lives with other companion pets. Please enter any additional information in the notes.
Companion:	Select...YesNo	*
Likes:	Select...WalksDog ParksCar RidesBeachN/ASee Notations...	*
Pets with the following issues will be cross-checked with your matches.
Dislikes:	Select...StrangersFireworksCar Rides (Nausea)N/ASee Notations...	*
Some pets may require medical treatments. Plese indicate your thought process in this regard.
Medical Issues:	Select...NoneWill AdministerSomething else...	*
Special Needs:	Select...Prothesis CareHygenic CareNoneSomething else...	*
Biting Issues:	Select...NonePlayfulCautionSomething else...	*
Barking:	Select...MinimalVocalVerboseSomething else...	*
Some pets grow attached to their toys. Concider keeping the toys or purchasing new ones.
Toys:	Select...TransferPurchaseNot a concern	*
Pets are placed for adoption for a variety of reasons. Concider your preference regarding these situations.
Reason:	Select...RescueAffordabilityRelocatingLease RestrictionsWidowedNot importantSomething else...	*
A pet may already be accostomed to a particular habitat and sleeping conditions. For example, a pet may be accostomed to sleeping in the owner`s bed, whereas, the new owner may not be amenable to this arrangement. This enables the A/I Neural Network to disintermediate these accomodations to achive optimal matches.
Pet Sleeping:	Select...Owner BedSeparate BedSeparate RoomCageSomething else...	*
Fenced Yard:	Select...YesNoSomething else...	*
Electronic Fence:	Select...InstalledWill ProvideNot Available	*
Housing:	Select...Domicile LivingTransfer existingWill ProvideN/A	*
Feeding:	Select...ContinueChangeSomething else...	*
Vetinary Visit:	Select...Recent ReceiptWill ScheduleIf Necessary	*
Vetinary Insurance:	Select...YesNoSomething else...	*
Address Line 1:		*
Address Line 2:		*
City:		*
State:		*
Zip Code:		*
Mobile Phone:		*
eMail Address:		*
This service provides a $25 Gift Card to the applicant for successful placements. Some providers, such as, Animal Care Facilities or Shelters request a donation or require a placement fee be paid. If this is the case, please indicate a maximum amount you are willing to provide. Note: If the requested amount is less - that lower amount is applied.
Fee:	Select...NoneEnter Amount...	*
Messaging:	Select...eMaileMail & TextService Call	*
Notations:		*
Submit your application.