Buckeye Boxer Foster Application

BBR Foster Application


First Name:
Last Name:
Address:

City:
State:
Zip Code:
Telephone Number:
Cell Phone Number:
Email:
Date of Birth:

How many people reside in your home (including yourself)?
Are any of these people elderly? yes no
Are any of these people minor children? yes no
Are all members of the household in agreement regarding fostering a Boxer for BBR: yes no
Do you live in a:
Do you: Own Rent
Length of residency at present address: If less than 5 years, list previous address:

Would you be willing to house a boxer for a short period of time if necessary? yes no

If you rent, please provide name of landlord/management company:
Address: Phone Number:
* Please note: You will be required to provide a copy of your lease agreement prior to being able to foster a Boxer with BBR.

Do you have a fenced yard? yes no		Type of fence:	If other, please expain:
If no, please explain how you will contain your foster Boxer:

Where wil your foster be kept while you are at home? If other, please explain:
Where wil your foster be kept while you are away? If other, please explain:

Approximately how many hours per day will your foster routinely stay alone:
Are you planning any extended vacations (1 week or longer) in the near future that may interfere with your fostering a boxer for BBR? yes no
If yes, please list please give approximate dates of this vacation:

Do you currently own any pets? yes no
If yes, please provide the type of pet(s), breed(s), sex, altered or intact, age(s):
Have your current pets been socialized with other animals? yes no
Are your current pets dog friendly? yes no
Are your current pets up-to-date on their veterinary care? yes no

Please provide the following information for the veterinarian that has seen your pet(s):

	Name:
	Name of Clinic:
	Address:
	Telephone Number:
	Last Appointment:
	Reason for Visit:

If your foster Boxer urinates on the carpet (or other flooring) in front of you, what type of action will you take:
If the same occurs while you are out of the room, what type of action will you take:
If your foster Boxer destroys an item in your home in front of you, what action will you take;
If your foster Boxer destroys an item in your while you are out of the room, what action will you take;

Are you willing to foster (check all that apply):		Male	Female
		Puppy	1-2 Years
		3-4 Years	5+ Years
		Deaf Dog	Other Special Needs Dog

Please include any additional remarks or questions that you may have?