Full Name (required) Email address (required) Home Phone Work Phone Cell Phone Adress (city, state & zip) (required) County (required) Occupation How long at this job? Spouse/Significant Other Name Spouse/Significant Other Occupation Are you currently working with any other Boxer Rescues? Yes No If yes, please provide name and contact information so we may collaborate our efforts Do you live in? (required) House Apartment Condo Townouse Trailer Other Do you own or rent? (required) Own Rent If you rent, please provide landlord's name and contact information How long at current address Does your home have a yard? Yes No Is it securely fenced? Yes No N/A Please provide specific measurements Do you have a cable or kennel run? Yes No If yes, please describe cable run or provide specific kennel measurements If no fenced yard, kennel, or run, how will exercise/toilet be handled? Which best describes your home? (required) Urban Rural Suburban Farm How many adults in house? Please list names & ages of adults in your home How many children in the home? Please list names & ages of children in home Are there any special needs or allergies in your home? If so, please explain. Do you own any other dogs? (required) Yes No Are they spayed or neutered? (required) Yes No Not Old Enough Yet I Don't Have A Dog (N/A) If no, why not? Any other pets or livestock? (required) Yes No List names, ages, sex, and breed of your current pets How many dogs have you owned in the last 5 years? What happened to your last dog? (required) Still Own Lost Stolen Given Away Died Never Owned A Dog Belonged to a relative/friend If your last dog was given away, please indicate the reason and who currently has the dog Are all of your animals current on vaccinations? (required) Yes No N/A If not, why? Have you owned/fostered a boxer before? (required) Yes No Can you foster? (required) Long Term Short Term Doesn't Matter Would you foster a mix? (required) Yes No Maybe Did you see a particular dog(s) on the website that you would be interested in fostering? (required) Yes No If yes, which one(s)? Would you consider a special needs dog? (required) Yes No Maybe (i.e. such as a deaf boxer or one requiring daily medication) Would you consider fostering more than one dog? (required) Yes No Maybe Where will the dog spend most of each day? (required) Indoors Outdoors How often will someone be home? (required) Someone is home at all times Alone during the work day Alone during the work night Taken out at lunch I use doggy daycare If someone takes dog out during day, is it? Applicant or family member Family member out of home Neighbor or friend What will you do if the dog is destructive while left alone? Where will dog sleep? (required) Crate Basement Outside Shelter Dog Bed Garage Kennel Family Member's Bed Couch Fenced Yard Dog House check all that apply Please provide specifics as to dogs sleeping environment to support your answers above How would you exercise the dog? What is your definition of discipling a dog? Provide examples. Have you ever obedience trained a dog before? Yes No What are your thoughts on obedience training? List behavior problems you consider NOT acceptable Provide veterinarian's name & phone for each of your current and prior pets (if applicable) Do you agree to return the dog to Boxer Rescue if you can no longer keep or care for dog at any time in the future? (required) Yes No Do you agree to allow a Boxer Rescue agent to visit your home prior to foster? (required) Yes No Please provide the names & numbers of three (3) personal references, including their relationship to you Comments Your Signature Today's Date (required) Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 By checking this box, you have indicated that this is a valid and legal substitution for your written signature on this legal document titled "Boxer Rescue Foster Home Application" (required) Agree By checking this box, you understand that if the information contained herein is found to be false, your application can be refused or dog shall be relinquished to Boxer Rescue (required) Agree By checking this box, you understand that should you foster for NJ Boxer Rescue, the cost of caring for foster dogs is non-refundable (required) Agree This field should be left blank Send Please wait...
