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Canine Foster Care Form

Click here to download printable version.
Name
Address
City
State
Zip
Home Phone
Work Number
Date of Birth
(if under 18 years of age)

Which of the following would you be interested in fostering?

Puppies younger than 8 weeks old WITH mother dog
Puppies younger than 8 weeks old WITHOUT mother dog
Orphaned Puppies younger than 4 weeks of age (bottle feeding may apply)
Terminal dogs that are too old to be medically treated but need a temporary good home
Dogs that are receiving minor medical treatment that must be completed before adoption can occur

Where do you live?

House
Apartment
Trailer
Other
Do you rent or own?

Rent
Own

Does anyone in your home have allergies to dog hair or dander?

Yes (Please explain below)
No
Are the dogs in your household current on distemper and rabies vaccinations?

Yes
No
I own no other dogs

Where will your puppies or dogs be kept? (please explain)

135 Progress Drive Victoria Texas 77904
361-575-8573
Monday - Friday 10:00 a.m. - 5:00 p.m.   |   Saturday 12:00 p.m. - 5:00 p.m.   |   Sunday Closed

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