Full Name:

Address:

Address 2:

City:

State/Prov:

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Postal Code:

Home Telephone:

Work Telephone:

E-mail:

Your Age:

Number of adults in the home:

Ages of children in your home:

Elderly or Infirm persons in your home:

Any other dogs in your home:

Are there any cats in your home:

Are your other dogs spayed/neutered:

Is your yard fully fenced ? Approx. measurements of fenced area:

Do you have a kennel or dog run:

Regular veterinarian's name:

Vet's phone number:

Have you ever fostered a dog before:

If yes, what breed, and when:

Have you ever owned a Boxer before:

Are you willing to foster an older dog and/or a dog with special needs:

Are you able to foster short term, long term, or doesn't matter:

Can you foster more than 1 dog:

How many hours per day will the dog be alone:

Is anyone in your home afraid of large dogs:

If you have other pets, are they ALL up to date on shots:

Tell us about yourself...why would you like to foster:

Please ask any questions or make any comments here:

NOTE: BY SIGNING THIS APPLICATION, YOU UNDERSTAND THAT YOU ARE AN INDEPENDENT CONTRACTOR VOLUNTEERING FOR BOXER BUDDIES RESCUE, INC. WHILE THE ANIMAL IN YOUR CARE BELONGS TO BOXER BUDDIES RESCUE, INC, WE CANNOT BE HELD LIABLE FOR ANY DAMAGE THAT THE DOG MAY CAUSE WHILE IN YOUR CARE. YOU ARE RESPONSIBLE FOR THE DAILY CARE (FEEDING, EXERCISING, ETC.) FOR THE RESCUE DOG FOR THE PERIOD IN WHICH HE/SHE REMAINS IN FOSTER CARE AT YOUR HOME. YOU AGREE THAT AT ANY TIME YOU ARE NO LONGER TO CARE FOR THE FOSTER DOG IN YOUR CARE, YOU WILL IMMEDIATELY NOTIFY BOXER BUDDIES RESCUE, INC, SO OTHER ARRANGEMENTS CAN BE MADE. ALTHOUGH YOU WILL PROVIDE A FOSTER HOME FOR THE DOG IN NEED, YOU UNDERSTAND THAT ALL FOSTER DOGS BELONG TO BOXER BUDDIES RESCUE, INC. AND YOU MAY NOT RE-HOME ANY ANIMAL WITHOUT WRITTEN PERMISSION FROM THE CO-DIRECTORS OF THE CORPORATION. By typing your name in the "signature" line below, you agree to all of the rules and regulations of Boxer in Need of New England, Inc.

Signature:

Today's Date: