{"id":1880,"date":"2014-02-16T22:20:08","date_gmt":"2014-02-16T12:20:08","guid":{"rendered":"http:\/\/basenjibreednetwork.org.au\/?page_id=1880"},"modified":"2015-07-22T18:30:34","modified_gmt":"2015-07-22T08:30:34","slug":"foster-application","status":"publish","type":"page","link":"https:\/\/www.basenjibreednetwork.org.au\/?page_id=1880","title":{"rendered":"Foster Application"},"content":{"rendered":"<div class=\"span6\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1879-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1879\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1880#wpcf7-f1879-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1879\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.2\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1879-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<p><b>A foster carer must be 18 years and over<\/b><br \/>\nSubject: <span class=\"wpcf7-form-control-wrap\" data-name=\"subject\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Basenji Foster Application\" value=\"\" type=\"text\" name=\"subject\" \/><\/span><br \/>\n<b>Personal Details:<\/b><br \/>\nTitle (required)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"title\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"title\" value=\"Mr\" \/><span class=\"wpcf7-list-item-label\">Mr<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"title\" value=\"Mrs\" \/><span class=\"wpcf7-list-item-label\">Mrs<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"title\" value=\"Ms\" \/><span class=\"wpcf7-list-item-label\">Ms<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"title\" value=\"Miss\" \/><span class=\"wpcf7-list-item-label\">Miss<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"title\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/span><\/span><\/span><br \/>\nFirst Name (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"firstname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"firstname\" \/><\/span><br \/>\nLast Name (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"lastname\"><input size=\"30\" maxlength=\"30\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lastname\" \/><\/span><br \/>\nAddress line (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"addresslIne\"><input size=\"30\" maxlength=\"30\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"addresslIne\" \/><\/span><br \/>\nSuburb-city (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"suburb-city\"><input size=\"30\" maxlength=\"30\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"suburb-city\" \/><\/span><br \/>\nPost Code (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"postcode\"><input size=\"10\" maxlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"postcode\" \/><\/span><br \/>\nState (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"state\"><input size=\"10\" maxlength=\"10\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"state\" \/><\/span><br \/>\nPhone or Mobile (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"15\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone\" \/><\/span><br \/>\nYour Email (required) <span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span><br \/>\nBest time to call: <span class=\"wpcf7-form-control-wrap\" data-name=\"bestCall\"><input size=\"30\" maxlength=\"30\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"bestCall\" \/><\/span>\n<\/p>\n<p><b>About You and Your Family<\/b><br \/>\nAge: <span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"age\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"18-25\">18-25<\/option><option value=\"26-36\">26-36<\/option><option value=\"37-46\">37-46<\/option><option value=\"47-56\">47-56<\/option><option value=\"57-66\">57-66<\/option><option value=\"67-76\">67-76<\/option><option value=\"Over 76\">Over 76<\/option><\/select><\/span><br \/>\nYour Occupation:<span class=\"wpcf7-form-control-wrap\" data-name=\"occupat\"><input size=\"30\" maxlength=\"30\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"occupat\" \/><\/span><br \/>\nHow many other adults are living in the household: <span class=\"wpcf7-form-control-wrap\" data-name=\"adultsno\"><input size=\"5\" maxlength=\"5\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adultsno\" \/><\/span><br \/>\nHow many children are living in the household: <span class=\"wpcf7-form-control-wrap\" data-name=\"childno\"><input size=\"5\" maxlength=\"5\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"childno\" \/><\/span><br \/>\nAges(s): <span class=\"wpcf7-form-control-wrap\" data-name=\"childage\"><input size=\"25\" maxlength=\"25\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"childage\" \/><\/span><br \/>\nAre you expecting a child or planning a family: <span class=\"wpcf7-form-control-wrap\" data-name=\"family\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"family\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"family\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\nDo children regularly visit your home <span class=\"wpcf7-form-control-wrap\" data-name=\"visitors\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"visitors\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"visitors\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\nIs your home: <span class=\"wpcf7-form-control-wrap\" data-name=\"typehome\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"typehome\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"House Yard\">House Yard<\/option><option value=\"Apartment\/Unit\">Apartment\/Unit<\/option><option value=\"Town House\">Town House<\/option><option value=\"Caravan\">Caravan<\/option><option value=\"House Acreage\">House Acreage<\/option><option value=\"Other\">Other<\/option><\/select><\/span><br \/>\nIf renting does your landlord allow dogs: <span class=\"wpcf7-form-control-wrap\" data-name=\"landLord\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"landLord\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"landLord\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"landLord\" value=\"Not Sure\" \/><span class=\"wpcf7-list-item-label\">Not Sure<\/span><\/span><\/span><\/span><br \/>\nYour Neighborhood is:<span class=\"wpcf7-form-control-wrap\" data-name=\"neigh\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"neigh\" value=\"Inner City\" \/><span class=\"wpcf7-list-item-label\">Inner City<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"neigh\" value=\"Suburban\" \/><span class=\"wpcf7-list-item-label\">Suburban<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"neigh\" value=\"Rural\" \/><span class=\"wpcf7-list-item-label\">Rural<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"neigh\" value=\"Remote\" \/><span class=\"wpcf7-list-item-label\">Remote<\/span><\/span><\/span><\/span><br \/>\nDescribe your yard and fence:<span class=\"wpcf7-form-control-wrap\" data-name=\"fence\"><textarea cols=\"40\" rows=\"6\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"fence\"><\/textarea><\/span><br \/>\nDo you currently own dogs <span class=\"wpcf7-form-control-wrap\" data-name=\"dognum\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"dognum\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"dognum\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\nPlease list all other dogs in your household, names, age, sex, breed and how long you have owned them: <span class=\"wpcf7-form-control-wrap\" data-name=\"dogdesc\"><textarea cols=\"40\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"dogdesc\"><\/textarea><\/span><br \/>\nDo you have other animals?: <span class=\"wpcf7-form-control-wrap\" data-name=\"critters\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"critters\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"critters\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\nPlease list details on other animals:<span class=\"wpcf7-form-control-wrap\" data-name=\"otheranim\"><textarea cols=\"40\" rows=\"5\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"otheranim\"><\/textarea><\/span><br \/>\nDo you use crating for sleeping or containing your dogs:<span class=\"wpcf7-form-control-wrap\" data-name=\"crate\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"crate\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"crate\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span>\n<\/p>\n<p><b>Your Veterinarian Contact Details<\/b><br \/>\nName of veterinary practice or hospital: <span class=\"wpcf7-form-control-wrap\" data-name=\"vetpractice\"><input size=\"25\" maxlength=\"25\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vetpractice\" \/><\/span><br \/>\nName of your regular Veterinarian:<span class=\"wpcf7-form-control-wrap\" data-name=\"vetname\"><input size=\"20\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vetname\" \/><\/span><br \/>\nCity\/State\/Postcode:<span class=\"wpcf7-form-control-wrap\" data-name=\"vetpost\"><input size=\"20\" maxlength=\"20\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vetpost\" \/><\/span><br \/>\nPhone:<span class=\"wpcf7-form-control-wrap\" data-name=\"vetphone\"><input size=\"15\" maxlength=\"15\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vetphone\" \/><\/span>\n<\/p>\n<p><b>Your Basenji Knowledge<\/b><br \/>\nHave you owned a Basenji:<span class=\"wpcf7-form-control-wrap\" data-name=\"mybasenji\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"mybasenji\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"mybasenji\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\nIf yes, please provide some information on your past Basenjis:<span class=\"wpcf7-form-control-wrap\" data-name=\"Infopast\"><textarea cols=\"40\" rows=\"6\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"Infopast\"><\/textarea><\/span><br \/>\nHave you foster Basenjis before:<span class=\"wpcf7-form-control-wrap\" data-name=\"foster\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"foster\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"foster\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/span><\/span><\/span><br \/>\nIf yes, please give details: <span class=\"wpcf7-form-control-wrap\" data-name=\"pastfoster\"><textarea cols=\"40\" rows=\"6\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"pastfoster\"><\/textarea><\/span>\n<\/p>\n<p><b>About the Basenji You Will Foster<\/b><br \/>\nGender: <span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/span><span class=\"wpcf7-list-item\"><input type=\"radio\" name=\"gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"gender\" value=\"Either\" \/><span class=\"wpcf7-list-item-label\">Either<\/span><\/span><\/span><\/span><br \/>\nAge: <span class=\"wpcf7-form-control-wrap\" data-name=\"fosterage\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"fosterage\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"Puppy\">Puppy<\/option><option value=\"1 to 4 yrs\">1 to 4 yrs<\/option><option value=\"5 to 8 yrs\">5 to 8 yrs<\/option><option value=\"Older than 8 yrs\">Older than 8 yrs<\/option><option value=\"Any age\">Any age<\/option><\/select><\/span><br \/>\nWhere will the Basenji sleep: <span class=\"wpcf7-form-control-wrap\" data-name=\"sleep\"><input size=\"25\" maxlength=\"25\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"sleep\" \/><\/span><br \/>\nWho will be the primary care giver:<span class=\"wpcf7-form-control-wrap\" data-name=\"care\"><input size=\"15\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"care\" \/><\/span><br \/>\nHow long will the Basenji be alone during the day: <span class=\"wpcf7-form-control-wrap\" data-name=\"absent\"><input size=\"8\" maxlength=\"8\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"absent\" \/><\/span>\n<\/p>\n<p>Is there anything else to say:<span class=\"wpcf7-form-control-wrap\" data-name=\"comment\"><textarea cols=\"40\" rows=\"6\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"comment\"><\/textarea><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":152,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/page-right-column.php","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1880","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/pages\/1880","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1880"}],"version-history":[{"count":10,"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/pages\/1880\/revisions"}],"predecessor-version":[{"id":2745,"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/pages\/1880\/revisions\/2745"}],"up":[{"embeddable":true,"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=\/wp\/v2\/pages\/152"}],"wp:attachment":[{"href":"https:\/\/www.basenjibreednetwork.org.au\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1880"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}