Foster Home Application



BASSET HOUND RESCUE
FOSTER HOME APPLICATION

Complete and return to:
Basset Rescue of Central California
3443 N. Parkway, Box 31
Fresno, CA  93722r

Name:_________________________________________________________________________________________

Email Address:__________________________________________________________________________________

Home Address:_______________________________________________________________________________                         

Home Phone:_________________  Work Phone:_________________  Work hours:_______________________

Referred By:__________________________________________________________________________________

          Successful foster care depends on both the selection of the right Basset for your household
          and the understanding of the fostered Bassets's caretaking needs.  In order for this to be an
          enjoyable experience, please answer the following questions as completely as possible.

Do you rent or own you home?____________________________________________________________________

        If renting, do you have full permission from the landlord to have a dog? __________________________

Do you have a fenced area or yard for the dog? ______________________________________________________

If yes, what type of fence?___________________________________________________________________

If no, what arrangements will you have for the dogs exercise and urination/defecation?__________________

_________________________________________________________________________________________

Have you ever owned a dog? __________________  Breed? ____________________________________________

Have you ever owned a Basset? ___________________________________________________________________

Why do you want to foster a Basset? ______________________________________________________________

Do you presently have other animals? _______  Type? __________________   Breed? ___________________

 Gender? _________________  Altered? _____________________   Age? ________________________

How long have you had it/them? ___________________________________________________________________

How many adults in your household? _______________________________________________________________

Children? __________________  Age and genders? ______________________________________________

How do other family members feel about fostering a Basset? ____________________________________________

Is anyone in the home allergic to dogs? _____________________________________________________________

Is anyone home during the day? ________________________ At night? __________________________________

Will the Basset be kept indoors during the day? ____________ If not, where? ______________________________

Are you willing to housetrain a dog, if necessary? _____________________________________________________

Are you willing to give medication to a basset, if required? _______________________________________________

Are you willing to foster a basset recovering from heartworm treatment? (Dog must be crated and/or kept
quiet for 30 days) ________________________________________________________________________________

Are you willing to foster a Basset recovering from surgery (other than spay/neuter surgery) ? ___________________

Are you willing to foster a Basset for more than 30 days? _______ If not, how long? ____________________

Are you willing to foster more than one Basset at a time? _______ If yes, how many? _________________

Are you able to take the Basset to the vet for a routine or follow-up visit, if necessary? _________________________

Are you established with a vet? _________________ If yes, name and phone number of vet: ____________________

_______________________________________________________________________________________________

Are you willing to have a home visit prior to fostering? ____________________________________________________

If no, please explain: ___________________________________________________________________________

All the information I have provided on this application is, to the best of my knowledge,
true and complete.  I understand that falsifying answers on this application will 
disqualify me from fostering.

Date: _______________________________

Signature of Applicant(s)

____________________________________

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