FOSTER APPLICATION

First Name

Last Name

Phone

Employer/Occupation

Address

City

State / Province / Region

Postal / Zip Code

First Name (Joint Applicant) (optional)

Last Name (Joint Applicant) (optional)

Email (optional)

Phone (optional)

Employer/Occupation

Type of dwelling:

House

Apartment

Other

If other please explain

Do you own or rent?

Own

Rent

If renting, provide Name & Phone # for your Landlord.

Are you willing to follow instructions & guidelines from the rescue while the foster dog is in your care?

Yes

Are you willing to drive the foster dog to our vet when medical treatment is needed?

Yes

Other

Are you willing to drive the foster dog to meet potential adoptive families?

Yes

Other

Is there a time limit on how long the foster dog can stay in your home?

Yes

If yes, explain the length of time and the reason:

How many children reside in the residence?

Names & Ages of ALL residents-including applicant(s) and Relationship to all residents. (self, spouse, children, siblings, parent, roommate, etc.)

Is anyone in your home allergic to animals?

Yes

If Yes, What animals?

Do you have other dogs at this time?

Yes

Do you have cats at this time?

Yes

Are all of your pets spayed or neutered?

Yes

If you have an un-altered pet, please explain why:

Please list the name, type of pet, breed, gender, & age of all of the pets in your home: (If none, list N/A)

Have you ever had to rehome a pet?

Yes

If you have had to rehome a pet, please describe the circumstances:

If you have owned pets in the past and do not now, what happened to them?

Have you owned a Boston Terrier before?

Yes

If not, have you done research on Boston Terriers?

Yes

Do you have a gender preference?

No preference

Male

Female

If you have a gender preference, please explain why:

What age ranges would you foster? Select all that apply.

Puppy: under 1yr

Young: 1-4yrs

Adult: 5-8yrs

Senior: 9+yrs

Other

What energy level/activity level do you prefer the foster dog to be?

Full of energy-needs lots of activity

Low energy- couch potato

Moderate energy-plays then hangs out

Other-Describe

If Other-Describe

What kinds of medical issues are you willing to work with?

Allergies

Mobility difficulties

Seizures

Skin Problems

Blind

Incontinence

Arthritis

Deaf

Other-Describe

If Other-Describe

Have you ever trained a dog before?

Yes

If yes, please describe the training methods that you have used & are familiar with:

Does your home have a dog door?

Yes

Does your home have a fenced yard?

Yes

If you do not have a yard, please explain how you will allow the foster dog to exercise and relieve itself:

How many hours per day on average will the foster dog be left alone?

Where will the foster dog be kept when nobody is home?

Where will you keep the foster dog during the day?

Where will you keep the foster dog at night?

Would you take a foster dog that is NOT house broken?

Yes

How would you handle housebreaking accidents?

Crate

Leave Outside

Training

Return the dog

Dog Door

Other-Describe

If Other-Describe

Do you have a crate or exercise pen (x-pen)?

Yes

Are you familiar with crate training?

Yes

Would the foster dog be allowed on the furniture?

Yes

Do you have a swimming pool?

Yes

If yes, does your pool have a safety fence?

Yes

Alarm

What brand of food do you plan to feed the foster dog?

Have you ever fostered a dog before?

Yes

If yes, for which organization did you foster?

Are you still volunteering for that organization?

Yes

If no, why not?

Are you considering adding another dog to your family in the near future?

Yes

Do you understand that the foster home does not get 1st choice to adopt the foster dog, other applicants will also be considered?

Yes

Do you give permission for us to contact your Veterinarian?

Yes

N/A

I, (please print your whole name in box below), hereby give permission for any veterinarian providing service to me/my animals to release medical information on any/all of my animals to the Southern Nevada Boston Terrier Rescue.

Veterinary clinic name & phone #: List N/A if no current vet.

Please tell us more about yourself and why you want to foster a dog with the SNBTR:

Please Type Your Full Name In The Box Below

Today's Date

SNBTR Foster Application

Adopted

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