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Heartworm Foster to Adopt Application

  1. Housing

  2. Please list your landlord's name.

  3. Fencing*

    A fenced yard is recommended for dogs however it is not required.

  4. Do you understand that heartworm treatment dogs will need to be kept indoors with periods of limited activity?*

  5. Do you have the ability to accommodate these needs?*

  6. Have you ever been charged with animal cruelty/neglect? *

  7. Have you ever surrendered an animal to Iredell County Animal Services or any other animal shelter? *

  8. Agreement*

    I understand that if I am approved for fostering, I will be given a treatment schedule and instructions for my foster dog. I will also be required to sign a contract detailing my commitment to caring for a heartworm positive dog before I take my foster dog home. I also understand that once the duration of fostering during treatment is complete, that I will then become the adopter of the foster dog, accepting all responsibilities for both daily basic living needs and all veterinary care.

  9. Acknowledgement*

    I have read this Application in its entirety, and I agree that all statements contained in this document are made by me, and are truthful. I make this statement with the understanding that any false or misleading information I give may result in the declination of my foster application for this dog and any future fosters or adoptions through Iredell County Animal Services.

  10. Thank you!

    We appreciate your interest in being part of our Heartworm Foster to Adopt Program.

  11. Leave This Blank:

  12. This field is not part of the form submission.