Boston Terrier Foster Home Application

Contact Information

 

First Name* : Last Name*:
Address*: City*:
State*: Zip Code*:
Home Phone*: Best reached: Day Evening
Work Phone: Best reached: Day Evening
E-Mail Address*:    
Occupation:    
Are you currently working with any other Rescues?
   
If yes, please provide the name, phone number and email address so we may collaborate our efforts:
How long at current address?
Do you: Own Home or Rent

*Renter must attach a copy of your lease or notarized statement from your landlord stating a pet this size is permitted.


Household Information

How many adults live in the household? Ages:
How many children? Ages:

How many children visit? (grandchildren etc.)
Ages:
Which best describes your home?
Please describe your fencing (if any) and what accommodations you have to house a foster:

 

Foster Information


Please explain where you initially plan to keep a foster dog in your home when one first arrives:
Where will you keep this foster after several weeks?
Briefly explain your typical daily schedule or work routine:
If you work, who will care for the foster during the day if this is necessary?
Is your yard fenced in securely for a dog?
If yes, is dog yard:
If no to fenced yard, how will exercise/toilet be handled?

Exercise and elimination for the Foster Boston will be:
(check all that apply)

On lead
On chain or trolley
Fenced yard (totally enclosed)
Partially fenced area
Electronic/radio fence
Loose in yard
Indoor potty area (papers, box)

Would you consider fostering more than one dog?

Would you consider fostering a dog with a disability?
Would you accept a dog that is older?
Has been abused?
Is not reliable with children?
Is pregnant and will be whelping?
Is recovering from medical treatment and may need foster care for 2 to 4 months?

 

Reference Information


Veterinarian Name: Veterinarian Phone:
Veterinarian Address:    

Please list two other references we may contact:
NAME RELATIONSHIP PHONE BEST TIME TO CALL
Reference #1
Reference #2
If you agree to be a foster home and you are approved to have a foster dog on your premises, are you within your city or county's animal control limit for the number of dogs that are allowed on your property?
Would you be willing to have your home visited by a BTHaven representative?

 

Do you agree to return this dog to BTHaven if you are unable to care for it it for any reason? * Yes No

THE BOSTON TERRIER RESCUE, BTHAVEN, RESERVES THE RIGHT TO REFUSE ANY APPLICATION.

I certify that all the information on this application is true and complete. I understand that if chosen as an adoptive home, I will comply with the following conditions of adoption.

1. FOSTER VOLUNTEER shall keep BOSTON as an indoor pet, and will provide BOSTON with identification at all times (collar, tag, tattoo or michrochip). BOSTON will be kept under control at all times when off ADOPTER's property.

2. FOSTER VOLUNTEER shall provide adequate veterinary care for BOSTON including annual vaccinations, rabies vaccinations as needed, and any other care recommended by BOSTON's veterinarian. FOSTER VOLUNTEER will take BOSTON to veterinarian if ill. If FOSTER VOLUNTEER is unable to do so, FOSTER VOLUNTEER will notify BTHAVEN rescue contact.

3. FOSTER VOLUNTEER agrees to notify BTHAVEN rescue contact of any changes of address or telephone of FOSTER VOLUNTEER .

4. If BOSTON is lost or stolen, FOSTER VOLUNTEER will immediately notify BTHAVEN rescue contact.

5. FOSTER VOLUNTEER shall return BOSTON to BTHAVEN rescue, if under any circumstances, FOSTER VOLUNTEER is no longer able to keep or provide for BOSTON. FOSTER VOLUNTEER shall not sell, give or otherwise transfer BOSTON to anyone other than BTHAVEN rescue.

6. FOSTER VOLUNTEER REPRESENTS THAT NO MEMBER OF HOUSEHOLD HAS EVER BEEN CHARGED WITH CRUELTY TO ANIMALS.

7. FOSTER VOLUNTEER shall indemnify and hold harmless BTHAVEN, Inc. and its members from any and all loss, damage or expense. BTHAVEN, INC. does not warrant the temperament or behavior of BOSTON. BTHAVEN, Inc. does not warrant the health of BOSTON. BTHAVEN, Inc. is not liable for acts of BOSTON after placement with FOSTER VOLUNTEER.

 

Signature of all applicants residing in household:
Name: Date:
* *


* Indicates a required field.
If you experience any problems or have questions regarding this application form, please contact us by email or phone.
Please complete and return application to:

BTHAVEN
Susan Hunter
304-864-3460
P.O. Box 1632
Morgantown, WV 26507


Printable Adoption Application
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