List the name, phone number and relationship of 2 references and best time to call:

Is your yard fenced in?

Yes

How long at current residence? (If less than 6 months please provide previous address and reason for moving)

Do you plan on moving in the near future? (if yes, list possible locations and reason for moving)

If you are renting/leasing your current home you must provide a contact for your landlord/leasing agent.

Type of home:

House

Apartment

Condo

Townhouse

Mobile Home

Other

Address:

Phone:

Thank you for contacting us! If needed, you will hear back within 48-72 hours.

IF YOU ARE INTERESTED IN fostering ONE OF OUR ANIMALS PLEASE COMPLETE THE FOLLOWING APPLICATION AND SOMEONE WILL CONTACT YOU SOON.

Home Check:

Reference Check:

Foster Applicants Signature and Date:

Bullys Angels Representative Signature and Date:

Please list all other animals in the home. Specify breed, age, current on vaccinations, spayed/neutered.

Name and phone number of your current veterinarian:

Own

Rent

Name: *

Email: *

City, State & Zip:

I verify that everyone living in my home is in agreement to foster an animal at this time.

I verify that I am at least 18 years of age.

I understand that the information provided to Bullys Angels Animal Rescue is confidential.

Together we stand. United we save.

Board Approval:

Comments

Please list all residents and ages:

BULLYS ANGELS

DETROIT

If yes, describe fencing material.

Animal(s) Considered for Fostering:

BULLYS ANGELS @ 2013

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