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Please provide your personal information:
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Please identify all dogs, cats or other animals that currently live in your home.
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(Maximum response 255 chars, approx. 5 rows of text)
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*23.
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*24.
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Please Note! All animals in your home MUST be vaccinated against rabies and distemper to qualify for this program. It is also highly recommended that all cats are vaccinated against Feline Leukemia and all dogs are vaccinated against Bordetella.
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*25.
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You will be required to provide proof of vaccinations. You can drop off copies at the Ozaukee Humane Society or have your veterinarian fax them to us at (262) 377-4811.
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Do you...
Please make 1 selections from the choices below.
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(Maximum response 255 chars, approx. 5 rows of text)
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(Maximum response 255 chars, approx. 5 rows of text)
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*34.
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*36.
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(Maximum response 255 chars, approx. 5 rows of text)
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Please check which types of dogs you would be
willing to foster (check all that apply).
Please make up to 6 selections from the choices below.
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Please check which types of cats you would be
willing to foster (check all that apply).
Please make up to 5 selections from the choices below.
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Please check which types of small animals you
would be willing to foster (check all that
apply).
Please make up to 8 selections from the choices below.
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*40.
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Please select which special needs animals you
would be willing to foster (check all that
apply).
Please make between 1 and 8 selections from the choices below.
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*41.
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Foster Home Care Waiver of Liability
In consideration of OHS accepting or denying my application for participation in the Foster Home Program, I agree to release and hold OHS harmless from and against any and all loss, damage, claims, liability, costs and expenses, of any nature whatsoever, including without limitation, attorney’s fees and disbursements.
I further agree to indemnify OHS for any of the foregoing asserted by any third party, including, but not limited to, other individuals residing at my home, to the extent that any of the foregoing arise from or are occasioned by my participation in the Foster Home Program.
I understand that when I care for OHS animals in my home, I am doing so strictly as a volunteer and in the spirit of volunteerism. Thus, I will not expect to make claim for wages in return for my services.
I agree that OHS may photograph my participation in this program, and I hereby release any such photographs to OHS for use in its programs, publications and purposes.
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*42.
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