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Don't BULLY Me Rescue
"Saving Texas Death Row Pits"
PO Box 5481
Lago Vista, Texas 78645
Email: Contact Page
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| Full Name * |
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| Address * |
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| City * |
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| State * |
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| ZIP * |
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| Home Phone * |
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| Cell Phone |
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| Email * |
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| What is your experience level as a pet owner? * |
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| I am willing to foster * |
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| Age * |
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| Sex * |
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| Origin * |
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| Condition * |
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| Other Condition |
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| Have you ever administered medication to a cat or dog? * |
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| If YES, are you comfortable doing this? |
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| Have you ever trimmed a cat's or dog's nails? * |
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| If YES, are you comfortable doing this? |
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| Describe any special experience you have had with cats/dogs and kittens/pups: I am familiar with: |
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| If special needs is checked please describe |
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| I have veterinarian/nursing or medical experience: * |
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| If yes, describe |
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Describe your home: |
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| Are there other animals in your home? * |
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If NO, when was the last time you had any animals, what type, how many, and where are they now? |
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| Dogs? How Many/Age(s) |
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| Cats? How Many/Age(s) |
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| Rabbits? How Many/Age(s) |
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| Ferrets? How Many/Age(s) |
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| Other? What/How Many/Age(s) |
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| Are all animals up to date with their shots? * |
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| Vet's Name/Phone number: |
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| Do all animals see the same veterinarian? * |
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| Number of family members in the home: * |
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| Men * |
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| Women * |
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| Children * |
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| Children's Ages |
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| Have your children been around pets? * |
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| Do you rent or own? * |
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| Is residence a home, apartment, condo, mobile home, other? * |
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If you rent please provide your Landlord’s name and phone #: |
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| Landlord Name |
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| Landlord Phone |
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Fostering Expectations and Responsibilities
I understand and agree that: |
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| I understand and agree that: * |
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Foster Parents |
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| Signed * |
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| Date * |
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Foster Coordinator
Signed
Date
Don’t BULLY Me Rescue USE ONLY
Date Received
Date Approved
FAAS Initials
Foster Start Date
Date Denied
FAAS Initias
Reason
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