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CASPR Instructions: Copy and paste this application into an e-mail and send it to csprescue@sympatico.ca or mail to S. Palmay, RR#3, Mansfield, Ontario, L0N 1M0 Name: ______________________________ Street Address: ____________________ City/Prov. _________________________ Postal Code:____________ Phone: ______________ E-mail: ________________ What can you foster? Sick _____ Injured _______ Healthy _________ Nursing Mothers /pups _____________ Can you deal with behavioral/temperament problems? Yes _____ No _____ If Yes please explain. How many dogs can you foster at one time? _______ How long are you willing to take responsibility for this foster dog? ________________ Where do you live? Single family Home ______ Apartment _____ Mobile Home _____ Other _____ Do you rent or own your own home? __________________ Any covenants or restrictions that prevent you from having a pet? Yes _____ No _____ If yes please explain. Do you have a totally enclosed, secure yard? _______________ Describe the fence- height, wood or chain link and area size. ___________________ How do you plan on exercising the dog? ___________________________________ Can we contact your vet? Yes______ No _______ Vet Name: ____________________________ Vet Phone: _____________________________ I acknowledge that all the information contained on this form is true and correct. I understand that any misrepresentations of fact may result in the removal of the foster dog from my home. Agree: ___________ Do Not Agree: ___________ Signed: ____________________ Date: ______________ CASPR Representative: _______________________ Date: ____________. |