Foster Application

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Who were you referred by?*

Are you established with a Veterinarian?*

Vet's name & telephone number*

How many adults in your household?*

Number & ages of children in household*

Do you own or rent your home?*

If renting, landlord name & phone number*

Type of dwelling (single family, multi-family; condo or apartment)?*

Do you have fenced yard? If yes, describe fence material and height*

Have you owned a Basset Hound before?*

Number & breed(s) of dog(s) currently*

Number of cats currently*

Are all pets spayed/neutered?*

Why do you want to foster a Basset Hound?*

Are you willing to housetrain?*

Are you willing to crate train?*

Do you understand importance of keeping foster dog on leash or in fenced yard?*

Do you agree never to let your foster dog loose outdoors?*

Do you agree never to use an electric fence to contain your foster dog?*

Do you agree to obtain necessary veterinary care (at NEBHR's expense) for your foster dog?*

Approx. number of hours foster dog will be alone during the day*

Where will you be keeping foster dog while at work or away from home?*

Do you agree to keep foster dog in the house and treat as a family pet?*

Are you willing to take foster dog outside at least 4 times a day to relieve him/herself?*

Do you agree to notify NEBHR if you experience any behavioral issues?*

Do you agree to notify NEBHR immediately if foster dog becomes lost or stolen?*

Do you agree to keep a buckle collar bearing identification on your foster dog?*

Please verify that you are human*

By submitting this application, I/we agree that all the information provided is true and accurate to the best of my/our knowledge.