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FOSTER APPLICATION FORM

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First Name
Last Name
Home Address
City
State
Zip
Home Phone
Work Phone
Cellular Phone
e-Mail

Would you prefer to foster a Boston Terrir who is a:		Male		Female	Either
Are you willing to housetrain a rescued Boston Terrier?		Yes			No
Are you willing to teach basic obedience commands, such as "sit," "stay," and "down"?		Yes			No
Are you willing to foster a special-needs boston Terrier who requires daily medication?		Yes			No
Are you willing to foster an elderly Boston Terrier?		Yes			No
Foster care can vary anywhere from several weeks to several months. Is this time commitment something that you feel comfortable with?		Yes			No
Do you have any children or family members living at home with you?		Yes		Ages	No
Who will care for, train, and exercise the Boston Terrier?
Does anyone in your household have allergies?		Yes		Type	No
May we visit your home prior to application approval?		Yes		When	No
Please list all the pets you have owned during the past three years?
Species	Sex	Spayed/Neutered			Outcome of pet?
		Yes		No
		Yes		No
		Yes		No
Please identify any veterinarians whom you have used over the past three years?
Name		Address			Phone




How long have you lived at your current address?		Own		Rent	Landlord
If you rent, do you have permission from your landlord to own a dog?		Yes		Size (lbs.)	No

Will the Boston Terrier be allowed in the house?		Yes			No
Where will the Boston Terrier stay when you are away from the house?
Will your Boston Terrier have the run of the house?				Yes	No
Will the Boston Terrier be in blocked-off parts of the house?				Yes	No
Will the Boston Terrier be tied outside?				Yes	No
Will the Boston Terrier live soley outside?				Yes	No
What type of shelter will the Boston Terrier have access to while outside?
Are you familiar with the use of a dog crate to train and/or confine a Boston Terrier during your absence or at night?				Yes	No
Are you willing to use a crate?				Yes	No
Is your yard fenced?			Yes	Type	No
If your yard is not fenced, are you willing to install a fence?				Yes	No
What is the size (approxoximate sq. ft.) of your yard's area?
Will the Boston Terrier be walked daily?				Yes	No
Have you ever owned a Boston Terrier?				Yes	No
Are you aware that Boston Terriers are active and that they shed hair all year long?				Yes	No
Have you sold, given away, or surrendered a pet to a shelter?			Yes	Explain	No
Please explain why you would like to become a foster family?

Do you understand the state and local ordinances concerning licensing?				Yes	No
Do you understand the state and local ordinances concerning leashing?				Yes	No
Have you, or any member of your family/household, been cited for leash-law violations or cruelty to animals?				Yes	No
Are there any questions that you have for Alabama Boston Terrier Rescue about becoming a foster home?
I attest that the information provided on this application is true and accurate to the best of my knowledge. I also understand that completion and submittal of this application does not guarantee approval as a foster for Alabama Boston Terrier Rescue.
Electrontically signed by					Date