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2. Disclaimer:  Review of this application can take up to 7(seven) business days.  Please email animalshelter@pendercountync.gov if you have any questions.

4. Name*
5. Date of Birth*
   Date of Birth
7. Address*
8. City*
10. State*
11. Zip Code*
13. Phone Number*
14. Email Address*

16. Household Disclaimer:  We are not responsible for any pet fees required by your landlord/insurance.  We are not responsible for any damages that could occur by the animal you are fostering.

18. Are you allowed to have animals where you reside?*
    -- Select One --YesNo
19. How many hours a day will the pet be left alone (no human supervision)?*
    -- Select One --1-5 hours5-10 hours>10 hoursNever
20. Where will the foster pet be kept?*
    -- Select One --Inside OnlyMostly InsideMostly OutsideOutside Only
22. Do you have a fenced yard?*
    -- Select One --YesNo
23. If YES, please describe.
25. Foster Preferences: Please indicate what types of animals you are willing to foster (circle all that apply).*

    1. All
    2. Behavioral Dogs
    3. Behavioral Cats
    4. Behavioral Livestock
    5. Special Needs

    1. Bottle Baby Kittens
    2. Bottle Baby Puppies
    3. Bottle Baby Livestock
    4. URI Felines

    1. URI Canines
    2. Heartworm Dogs
    3. Pocket Pets
    4. Birds (domestic)

    1. Poultry (chicken/ducks)
    2. Livestock (Small - goats/pigs)
    3. Livestock (Large - cattle/horses)
    4. Other
27. If OTHER, please specify.
29. How long can you foster?*
    -- Select One --<1 month<3 months<6 monthsUntil Adopted
31. Do you have children?*
    -- Select One --YesNo
32. If YES, what age(s)?
34. Do you have pets?*
    -- Select One --YesNo
35. If YES, how many?
36. Are they spayed or neutered?
38. Who is your current vet?
40. Have you fostered pets previously for another agency?*
    -- Select One --YesNo
42. If YES, what is the name of the agency?
44. Now is your time to shine!!! Tell us why you want to save lives and foster for PCAS.*
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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

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