Wigglin' Home Boxer Rescue Foster Home Application

Wigglin' Home Boxer Rescue Foster Home Application

We are currently only looking for foster homes in the following states: WA, ID, OR, MT
*Only complete this application if you are just wanting foster. If your intention is to foster to evenually adopt please submit a Foster-To-Adopt application instead.*
Full Name

First NameLast Name
Birth Date (Must be at least 18)

MonthDayYear
Co-Applicants Full Name

First NameLast Name
Co-Applicants Birth Date

MonthDayYear
E-mail
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home
Home Type
Fence

Other
Fence Type

Other
If you rent/lease please provide landlords full name and phone number.
First and last name of all adults in Home
Are children present in the home?
If yes or sometimes, please provide ages.
Do you own any dogs?
If yes, please provide breed, gender, age, spayed/neutered. If unaltered please explain why.
Please describe any experience you have with Boxers.
Do you have any experience fostering dogs?
If yes please describe that experience.
Please list any other pets in the home.
Please list breed, age, spayed/neutered, temperament
Do you have any livestock?
Please list type/number
Where will the foster dog be kept while you are not home?
Where will the foster dog be when you are home?
On average how many hours will the foster dog be left home alone?
How many miles are you able to travel to pick up your foster dog?
Please notify your references you provide below that they will be contacted by a representative of the rescue to provide a reference for you.
Reference #1 - Name, phone number, relationship, length of relationship
Best time to contact reference #1?
Reference #2 (non-relative)- Name, phone number, relationship, length of relationship
Best time to contact reference #2?
Reference #3 (non relative)- Name, phone number, relationship, length of relationship
Best time to contact reference #3?
Name of Veterinarian:
Phone Number of Veterinarian:

Area CodePhone Number
Please let us know what supplies you will need. Select all that apply.
The foster family will read the foster manual, agree to follow the rules and guidelines set forth therin and sign and return the foster agreement prior to receiving their first foster.

The foster dog is property of Wigglin' Home Boxer Rescue and will be surrendered to an officer or director of WHBR upon request at any time.

The foster home will not be compensated for expenses incurred while caring for the foster dog.

Veterinary care will be provided by the rescue. At no time are you allowed to take the foster dog to the vet without prior approval from an officer or director of the rescue.

Any and all donations connected with the adoption of the foster dog and/or for the foster dog will be sent directly to the WHBR.

By signing below, I hereby indemnify and release Wigglin' Home Boxer Rescue, its officers, directors, and volunteers of any and all liability arising from damages to person(s) or property that may arise during my time as a foster.
Signature
Date

MonthDayYear
Should be Empty: