Foster Application

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Applicant First Name

Applicant Last Name

Applicant Occupation

Applicant Age

Co-Applicant? *Please note co-applicant only applies if there are multiple adults over 20 in your household.

Yes

No

Co-Applicant First Name

Co-Applicant Last Name

Co-Applicant Occupation

Co-Applicant Age

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Email

Phone

How Many Adults (18+) Live in your Home?

How Many Children (under 18) Live in your Home?

What are the Ages of the Children in the Home?

Which Category Best Describes your Home?

Do you Own your Home?

Yes

No

If you do not own your home, please provide your landlords name and phone number:

Do you Have a Yard?

Yes

No

Is your Yard Fenced in?

Yes

No

Not Applicable

Are there Currently Other Animals in your Home?

Dog(s)

Cat(s)

No Animals

Other

Are all Cats/Dogs in your House Spayed/Neutered?

Yes

No

Not Applicable

Please List All Dogs/Cats in your Home (Name, Age, Sex, Breed):

Have you Previously Owned Any Other Dogs in the Last 10 Years (excluding the above mentioned dogs):

Yes, died of old age

Yes, died due to medical issues/illness

Yes, had to give away to family/friend

Yes, surrendered to rescue/shelter

No, I haven't owned a dog in the last 10 years

Please List All Past Dogs (name, age, sex, breed):

Have you Ever Had to Euthanize a Dog due to Behavioral Issues?

Yes

No

How Long Each Day are you Outside of the House (when the dog would be left home alone):

Do you Plan to Crate your Foster Dog?

Yes

No

How do you Plan to Exercise your Foster Dog?

Walk

Run

Play in Yard

Dog Park

Other

What is your Level of Experience with Basic Training and Obediance?

Beginner

Intermediate

Advanced

How do you Plan to Train your Foster Dog?

No Training Planned

Positive Based Methods

Discipline Based Methods

Pack Leader Methods

I Need Advice

Please Describe 'Other' Training you plan to use (if applicable):

Any other information you would like to share about you, your home, or your animals?

Please Provide a Personal Reference who can Speak to your Character & their Phone Number:

Please Provide a Second Personal Reference who can Speak to your Character & their Phone Number:

Please Provide your Current Vet's Name & Phone Number (if applicable):

How did you Hear About Bullied Breeds Rescue?

Thank you! We’ll be in touch.

Contact

PO Box 225

Nutting Lake, MA 01865

info@bulliedbreedsrescue.org

License to Operate a Rescue Organization #0074

Your Name

Your Email

Subject

Message

Thanks for contacting us! We will be in touch as soon as we can.

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