Foster Home Application

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)



Zip Code



Home Phone

Work Phone

Cell Phone

Are all members of your household in favor of becoming a foster family?

Referred by

How many adults in household?

How many children in household?

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

Do you have a fenced in yard? (not a requirement)

Have you owned a Basset before?

Do you presently have other animals?

Are you pets spayed/neutered?

Why do you want to foster a basset?

Are you willing to spay/neuter if necessary?

Do you believe in crate training?

Do you understand the importance & reason for keeping your Foster Basset on a leash or in a fenced in area?

Do you agree not to ever let your Foster Basset roam loose?

Where will you be keeping your Foster Basset while at work or away from home?

Do you agree to the responsibility of veterinary care?

Do you intend to keep your Foster Basset in the house?

Are you willing to take your Foster Basset outside at least four times a day to relieve him/herself?

Do you agree to notify NEBHR if you are experiencing behavioral problems with your foster dog?

Do you agree to housebreak your foster dog if necessary?

Do you promise to notify NEBHR if ever your Foster Basset should become lost or stolen?

Do you promise to keep a buckle collar bearing identification on your Foster Basset?

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

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