Thank you for your interest in becoming a Foster Home for NEBHR. Please fully complete the information on this form and click on “Submit” when you are ready to send.
Name (First and Last)
Address
City
Zip Code
State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPALAUPennsylvaniaPUERTO RICORhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Email
Home Phone
Work Phone
Cell Phone
Are all members of your household in favor of becoming a foster family? YesNo
Referred by
How many adults in household? 123
How many children in household? 0123456789+
Do you own or rent your home? Please indicate rent or own. If you rent, please list landlord's name and phone number
Type of Dwelling HouseCondoApartmentMobile Home
Do you have a fenced in yard? (not a requirement) NoYes
Have you owned a Basset before? NoYes
Do you presently have other animals? NoYes
Are you pets spayed/neutered? NoYes
Why do you want to foster a basset?
Are you willing to spay/neuter if necessary? NoYes
Do you believe in crate training? NoYes
Do you understand the importance & reason for keeping your Foster Basset on a leash or in a fenced in area? NoYes
Do you agree not to ever let your Foster Basset roam loose? NoYes
Where will you be keeping your Foster Basset while at work or away from home?
Do you agree to the responsibility of veterinary care? NoYes
Do you intend to keep your Foster Basset in the house? NoYes
Are you willing to take your Foster Basset outside at least four times a day to relieve him/herself? NoYes
Do you agree to notify NEBHR if you are experiencing behavioral problems with your foster dog? NoYes
Do you agree to housebreak your foster dog if necessary? NoYes
Do you promise to notify NEBHR if ever your Foster Basset should become lost or stolen? NoYes
Do you promise to keep a buckle collar bearing identification on your Foster Basset? NoYes
By submitting this form, I/We agree that all the information that is provided is true. When this foster application is received, you will be contacted by telephone by a New England Basset Hound Rescue. Inc. staff member for approval. Once approval is met, a Foster Home contract will be mailed via the United States Postal Service to you, which is to be signed and returned to New England Basset Hound Rescue. Inc.
Every effort will be made by NEBHR, Inc. to place the foster dog in a timely manner. We, NEBHR, Inc., are not responsible for any misrepresentation of the dog being placed in your home for temporary foster care.
I Agree
Please Enter Code Below:
