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Foster Home Application
(foster homes needed in:
 Connecticut, Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont) 

About You:
Name with Home Area code: eg: Jane Doe (123) 
 		 E-mail:  (name@domain.com)  
Home Telephone:  (include area code)    
Work Telephone:  (include area code)     
FAX:  (include area code)                          
cell telephone:  (include area code)          
Address:   

City/Town:    State/Prov.:   Zip Code:
Occupation:        How long employed with current employer?
Spouse/Significant Other's Name:     
Spouse/Significant Other's Occupation:   
  How long employed with current employer?
List any Humane Societies, Organizations, Breed or Training Clubs you are associated with:     
How did you hear about Boxer Rescue?
Are you currently working with any other Boxer Rescues? 
If yes, please provide the name, phone number and email address so we may collaborate our efforts:

About Your Home:
Do you live in: 
Do you own or rent your home?
If you rent, name and address of landlord                                                

How long at current address (years/months)

Are you planning on moving within the next year?
If yes, please explain
Is your yard fenced in securely for a dog?
       If yes, is dog yard: 
         Please provide specific measurements
Do you have a cable or kennel run?
If yes, please provide describe cable run or provide specific kennel
run measurements:

If no to fenced yard, cable or kennel run, how will
exercise/toilet be handled?

Do your neighbors have pets? This includes people next door,
across the street and in your immediate surroundings such as
your block.

If yes, please provide information as to type including whether it is
 a cat or dog, breed, size, temperament, if it is an outside or inside
 dog, etc.

Which best describes your home?
    If other, please explain

What are the requirements of dog ownership in your community?
 (i.e., licensing, rabies, leash laws, and number of dogs you may
 legally have)

How many adults in house?
   Please list names and ages of each adult in your home:

Any children in the home?
    Please list names and ages of each child in your home:

Is there anyone in your home with animal related allergies? If so,
please explain:

Is there anyone in your home with a disability or special needs
that we should be made aware of their condition?

About Your Other Pets:

Do you own any other dogs? 

Are they spayed or neutered?

If not, why?

Any other pets/livestock?

List names, breed, age  and
 sex  of each of your  current
 pets (cats, dogs, etc.): Pet #1
Pet #2

How many dogs have you owned in the last 5 years?
  

What happened to your last dog?
Please explain circumstances for above and please provide 
specifics, including name of dog, breed, and any other pertinent
 specifics:


If your last dog was given away, please indicate the name and
address of the person to whom the dog now belongs:

Are all of your animals (dogs
 and cats) current on all
  vaccinations?
If not, why?

Are all of your animals (dogs
 and cats) on heartworm
preventative?
What type? (please be specific)

About Boxers:
 Have you owned/fostered a Boxer before? 
 How have you educated yourself about the Boxer breed? Please be specific

Can you foster:  

Would you foster a boxer
 mix?

Did you see a particular dog/dogs on the website that you would be interested in fostering?
If yes, which one:  

About Medical Concerns:

Would you consider a special needs dog, such as one that requires daily medication or one that is deaf?

 Would you consider fostering a dog with a disability?

 Would you consider fostering more than one dog?

About Living Environment:

19.  Where will dog spend most of each day?

If indoors:
Please provide specifics on your answer provided above:
 


If outdoors:
Please provide specifics on your answer provided above:
 

Who will be in charge of the daily care of the dog?

Who will care for your pet
 during vacations?

If you don't usually use a crate, will you be willing to use one if you get a dog that is used to being crated?
 

Is someone home at all times or will the dog need to be alone for a portion of the day?

If someone takes dog out during day, is it:
 

Please explain your choice above and please be specific by describing your work hours, etc.:

What will you do if your dog is destructive while left alone?

20. Where will dog sleep? (Please check all that apply)
 Crate  Dog Bed  Family Member's Bed 
 Basement  Garage  Fenced Yard  
 Outside Shelter  Kennel  Dog House

Please provide specifics as to dog's sleeping environment to  support your answers above:

About Exercise and Discipline:

21.  How would you exercise the dog?

22. What is your definition of disciplining a dog?  Please provide examples:

Have you ever obedience trained a dog before?
 

What are your thoughts on Obedience training?

List the types of behavior problems you consider NOT acceptable:

About Food and Expenses:

Do you agree to provide food and toys to a foster dog?

What kind of dog food would you feed the dog?
If other (please be specific):

Please indicate brand name you will feed the dog:

What would the dog's eating schedule be?

 Who is your veterinarian:

Vet's Address

Vet's Telephone (include area code)

If no regular vet, would you like a referral?
Miscellaneous:

Do you agree to the following:
Return dog to Boxer Rescue if you can no longer keep or care for dog at any time in the future?

Allow Boxer Rescue agent to visit your home prior to adoption?

Why would you like to foster for boxer rescue?

Please provide 3 personal references (not related to you):
Name             Telephone Number (include area code)          Relationship to applicant

Years acquainted

Name             Telephone Number (include area code)          Relationship to applicant

Years acquainted

Name             Telephone Number (include area code)          Relationship to applicant Years acquainted

Any other information that you think might help us:

Your Signature

Today's Date          

When you click on the buttons below, you are stating your agreement and compliance to our application process.

By checking this box, you have indicated that this is a valid and legal substitution for your written signature on this legal document titled "Boxer Rescue Foster Application".

By checking this box, you are stating that you are financially and physically able to care for this dog.

By checking this box, you understand that if the information contained herein is found to be false, your application can be refused or dog shall be relinquished to Boxer Rescue.

By checking this box, you understand that should you foster for Adopt A Boxer Rescue, the cost of caring for foster dogs is non-refundable.

Please hit submit only once...

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Adopt A Boxer Rescue is a non-profit, charitable 501(c) (3) organization