First Name*

Last Name*

Email*

Your First Name*

Your Last Name*

What is your birthdate?*

Your Spouse's Name

Your Spouse's Last Name

Is your spouse or domestic partner on board with fostering for Buckeye Basset Hound Rescue?*

Do you agree that you are applying to foster an animal only and agree that you will not keep the dog?*

Street Address*

Apt. # or Suite

City*

State*

Zip Code*

Phone Number

Have you ever fostered an animal for a rescue group before?*

If yes, what was the name of the rescue group?

Why do you want to foster?*

Do you have experience with basset hounds?*

Who will be responsible for pet's daily care? *

Have you considered the damage that a puppy/dog can do? (e.g. soiling, biting/scratching, chewing, etc.) *

Please inform your references that we may be contacting them and give them permission to speak with us.

Please provide two personal references with contact info (phone # & email): (PLEASE DO NOT LIST FAMILY MEMBERS OR OTHER RELATION AS A REFERENCE.)*

Number of adults in the household:*

Please describe the relationships and ages of the adults living in your home:*

Number of children in the household?*

Do you have children? If yes please list their names and ages:*

What type of area do you live in?*
Choose one: Rural Suburb Urban

Do you rent or own your home?

How long have you lived at this residence?*

If renting & pets are allowed, what is your landlord's name & number? (This may act as one personal reference):

Do you have a yard?*

Does your yard have an above ground fence with a latching gate?*

Do you have an in-ground pool or pond?*

If yes, is the pool/pond fenced separately?

Do you currently have any pets? *

Please list the name, breed/type, sex, age and whether altered or not of any pets living in your household:

Please inform your veterinarian that we may be contacting them and give them permission to speak with us.

Veterinarian Name/Business and phone number:*

Have you ever given up a pet?*

If yes, why?

Will your pet live inside the home or outside? Why? *

How many hours will the dog be left alone on a typical weekday?*

Please describe the location where the pet will be kept when no one is home.*

On a typical day, how much exercise will your pet get & how? *

If your pet is a puppy, how do you plan to housetrain him/her?

I understand that I may be fostering the animal short term (weeks) to long term (months).*

I agree to allow a Buckeye Basset Hound Rescue representative to make periodic visits to my home during the foster care period.*

I understand and agree that BBHR determines the criteria for fostering, decides which animals are eligible for foster care, and appoints foster caregivers from a pre-approved list of providers. BBHR foster care volunteers may always refuse any specific request for any reason. BBHR staff will inform you of any medical treatments to be administered, the anticipated length of the foster-care period, the objectives of each particular placement (restoring to health, rearing to adoptable age, socialization, etc.), and any other restrictions or expectations we may have.*

I agree that I will be expected to keep the animal safe and secure, return it to BBHR when requested to do so, and not promise the animal to anyone, or imply that you have the authority to approve a potential adoption. BBHR retains ownership of all animals placed in foster care, and will make all decisions regarding the adoption & placement of the animals fostered.

I understand and agree that unless otherwise arranged, the foster parent is responsible for providing all food, litter, bedding, and toys for the animal while it is in their care at home. The foster parent is responsible for transporting the animals to and from veterinary appointments, surgery, behavior evaluations, vaccinations, etc., The foster parent may also be responsible for transporting the animal to and from adoption events

I have read and understand the statements above. I certify that all the information contained in this application is true and correct. I understand that although BBHR takes reasonable care to screen animals for foster care placement, it makes no guarantees relating to the animals’ health, behavior or actions. I understand that I receive foster care animals at my own risk and can decline to accept any animal for which BBHR has asked me to provide care. I acknowledge that BBHR is not responsible for any property damage or personal injury suffered by me, members of my household, including my own animals, or any third parties during a foster placement, and I assume liability to provide adequate controls to prevent such damage or injury.

Please type your initials and date as a digital signature.*