Boarding Application Please answer each question as thoroughly as possible so we can help your pets foster get to know your animal a little better so they can best care for your pet. Please enable JavaScript in your browser to complete this form. - Step 1 of 3Name *FirstLastAddress *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Emergency Contact Name *FirstLastEmergency Contact Phone *Where did you hear about PAWsitive Recovery?Where are you going to treatment? *What is your annual income? *Do you have medicaid? *YesNoPhone number of where you will be staying *Address of where you will be staying *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeApproximately how long will you be going to treatment? *Do you have someone helping you get into recovery or treatment?YesNoName of person helping you get into recovery or treatment *FirstLastPhone number of person helping you get into recovery or treatment *NextAbout Your PetWhat is the name of your pet(s)? *Breed of pet(s) *Wait is your pets age? *Photo of pet(s) * Click or drag files to this area to upload. You can upload up to 3 files. Is your pet current on their vaccinations? *YesNoUpload most recent vaccination records * Click or drag files to this area to upload. You can upload up to 3 files. Do we have permission to vaccinate your pet if needed? *YesNoWho is your veterinarian?Veterinarian's addressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you give us permission to speak to your veterinarian?YesNoWhat commands does your pet know? Check each that applies.Name RecognitionLeave it or NoWatch me or LoookDown or Lie DownTake itDrop itSit-StayHeelWaitAre your pets spayed or neutered? *YesNoIs your pet good with dogs? *YesNoIs your pet good with cats? *YesNoIs your pet good with children? *YesNoHas your dog been in any dog fights in the last year? *YesNoI do not have a dogDo any of your current pets have any behavioral issues? *YesNoIf yes, please explain *Have you worked with any animal professionals? (Trainer, pet-sitter, behaviorist) *YesNoDo you give us permission to speak to these professionals about this application? *YesNoDo any of your current pets have any illnesses? *YesNoIf yes, please explain *What is your pets favorite thing to do? *Brand of food your pet is on: *What is their feeding schedule? *Potty habits: *Describe the activities participated in by those in your household and describe which activities the pet(s) participates in with you (e.g. lifestyle, hobbies, sports, traveling) *How often are you away from home overnight? How often is your pet left unattended? *Do you have a completely fenced in yard? *YesNoDo you have dog/cat door leading outside? *YesNoWhere is your pet kept during the day? *How long is you pet left alone during the day? *Where does the animal sleep? *Do you have or can you provide your own kennel? *YesNoWhat type of exercise does your pet get at home? *Is there anything else we should know about your pet?Please write a short BIO about anything you want to share about your animal or yourself! What's your story? (You can remain anonymous.) We use this information to create a "Call to Foster" to network your pet and match your animal with the right foster parent. *NextIf accepted into the program, you have 24 hours to make a commitment. If you change your mind, don't show up, or cancel your appointment, you will lose your place in line, and your pet will not be admitted to the program. ATTN SOBER LIVING CLIENTS: To be eligible for SPCA International's PAWsitive Recovery program, you will be required to schedule and participate in weekly meetings with a Certified Peer Recovery Coach or Therapist. Additionally, you will be required to sign a Release of Information (ROI) form. This allows SPCA International to discuss your progress, provide support for your recovery plan, and confirm your active participation in treatment as you work towards sobriety. I understand that if I leave treatment early or if my treatment plan is extended or changes at any time, I must notify SPCA International immediately or my animal will be considered abandoned.I understand that SPCA International reserves the right to discontinue their support if it is determined that you are not adhering to the terms outlined in the agreements you have signed. It is crucial to comply with these agreements in order to continue receiving assistance from the program.Name *FirstLastGDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry.Submit