VERDE VALLEY HUMANE SOCIETY
928.634.7387
1520 W. MINGUS AVE., COTTONWOOD, AZ 86326
MONDAY – SATURDAY 11AM-4PM
SUNDAY 10AM-2PM
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Personal Information
First Name
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Last Name
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Address
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Email
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Phone Number (Numbers Only)
Please enter numbers only. No - or .
Cell Phone
Please provide us with your cell phone or other means to reach you.
Home and Living Situations
What type of residence?
Own Home
Rent Home
Own Condo
Rent Condo
Own Townhouse
Rent Townhouse
Own Apartment
Rent Apartment
RV
Do you have a fenced yard?
Yes
No
Do you have an area inside your residence to confine your foster pets?
Yes
No
If yes to the above, please describe the area (i.e. extra bedroom, bathroom, gated off area, etc.) Textarea
How many adults live at your residence?
Select an option
1
2
3
More than 3
How many children live at your residence?
Select an option
1
2
3
More than 3
Do you have any pets that live at your residence?
Dog
Cat
I do not have any pets that live at my residence.
Any other types of pets (rabbit, bird, rat, hamster, guinea pig)?
How many dogs live at your residence?
Select an option
1
2
3
4
More than 4
Are your dogs spayed or neutered?
Yes
No
What breeds are your dogs?
Are your dog’s current on vaccinations, including Bordetella, within the last six months?
Yes
No
How many cats live at your residence?
Select an option
1
2
3
4
More than 4
Are your cats spayed or neutered?
Yes
No
Are your cat’s current on vaccinations?
Yes
No
Home and Living Situations
Have you ever fostered animals for VVHS or another organization?
Yes, VVHS
Yes, another organization
No
Are you comfortable giving medication to ill animals?
Yes
No
Different animals need to be fostered for different lengths of time. What do you feel would be the longest you would be willing to keep an animal(s) in your home?
What are you willing to foster?
Pregnant Cats
Mama cats with nursing kittens
Bottle fed kittens
Underage/orphaned kittens
Ill/Injured cat
Cat or kittens needing socialization
Pregnant dogs
Mama dogs with nursing pups
Bottle fed puppies
Underage/orphaned pups
Ill/Injured dog
Dog or puppies needing socialization
Would you be interested in our special foster programs?
Day Trippin’
Sleep Over
Owned Animals
What size dogs are you willing to foster?
Small (10 lbs. and under)
Medium (10-40 lbs.)
Large (40-80 lbs.)
Extra-large (80 lbs. and up)
Do you have a breed restriction at your residence? If so, which breeds?
Do you have experience dealing with dogs with behavioral problems? If yes, please explain
Conditions
Can you accept that some animals may not survive or may have to be humanely euthanized if they become seriously ill or display a dangerous temperament (this would be the worse-case scenario)?
Sadly, yes
Sorry, no
Do you understand that anyone interested in adopting your foster animal(s) including yourself, must go through the standard adoption process? Foster parents will have first right of adoption of the animal(s) they are fostering.
Yes
No
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