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Puppy Raising/Fostering Application
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Indicates required field
Name
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First
Last
Address
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City, State, Zip Code
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Email Address
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Phone Number
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Age
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Gender
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Employer/Occupation
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Other Members of Household (include name, relationship, and age)
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How long at present address? Do you own or rent?
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Do you have an enclosed yard?
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Yes
No
If not are you willing to adapt the yard to make it safe for a puppy?
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Yes
No
Do you understand Freedom Paws puppies cannot be off leash unless in an enclosed area?
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Yes
No
Please briefly describe your home, yard, and living environment:
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Will you be able to take the Freedom Paws puppy to your workplace?
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Yes
No
If you raise a Freedom Paws puppy, where do you plan to have it sleep at night?
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How much time per day are you able to spend socializing and working with the Freedom Paws puppy?
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Please list all dogs currently in your home (include breed, age, altered/unaltered, temperament)
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Please list the name and address of your veterinarian you have selected for the Freedom Paws puppy.
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What are your primary reasons for wanting to raise a Freedom Paws puppy.
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How did you hear about the Freedom Paws puppy raising program?
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Booth/Event
Friend
Puppy Raiser
Search Engine
Facebook
Other
Do you have experience working with people with disabilities?
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Yes
No
Please describe your feelings about returning the puppy to Freedom Paws for advanced training and then placement with a person with a disability?
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Is there anything else you would like us to know about you?
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Are you willing to raise any puppy, regardless of breed, color, or sex?
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Yes
No
Are you willing to pay for all veterinary care of the Freedom Paws puppy?
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Yes
No
Are you willing and able to pay for feeding and other basic care of the Freedom Paws puppy?
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Yes
No
Are you able and willing to pay for all transport expenses for the Freedom Paws puppy to and from the training center?
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Yes
No
If application is accepted, when will you be ready to raise a puppy?
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Please note at this time Freedom Paws is only accepting puppy raisers that will be willing to be financially responsible for the puppy.
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I agree
To the best of my knowledge, the above information is true and accurate, I agree to provide additional information upon request.By submitting this application electronically, I agree that the name on this application has the same effect as if I signed a hard copy of this application.
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I agree
Applicant Signature
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Date
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If you have not heard from us within 24 hours after submitting this application please check your Junk email, or try emailing us at applicants@freedompaws.org
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Option 1
Option 2
Option 3
Submit