Boston Terrier Rescue Foster Application

Please before starting this form make sure you are fully ready emotionally and time wise to foster a dog. They can have emotional baggage and needs based on their prior living situations. They may destroy property if left unattended. By filling out this application you understand that you will have to provide structure and support to any foster residing in your home, including but not limited to potty training, create training and socialization. Some may come better prepared then others. If you have certain restrictions please list it later on in this form. We cannot guarantee any behaviors of any foster dog because dogs may react different in different living situations.

Are you ready to foster a dog today? *

Yes No

Your Name *

First Name Last Name

Age *

Occupation *

Name of Spouse *

First Name Last Name

Age *

Occupation of Spouse *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Phone Number *

Area Code Phone Number

Please list below any and all additional people your foster dog will be living with:

*

	Name	Age	Relationship to Applicant
1
2
3
4

Is there any member of your household who are allergic to dogs *

Yes No

Clinic Name *

Vet Name *

Phone Number *

Area Code Phone Number

Is this the Veterinarian that has done your other pets heartworm checks, shots and other routine medical care? (if no please list other Vets below) *

Yes No

Other Veterinarian information if applicable. (Please just type N/A in the box if not applicable.) *

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Relationship *

Name *

First Name Last Name

Phone Number *

Area Code Phone Number

Relationship *

Have you ever fostered a dog? *

yes no

If yes to above, what organizations have you fostered dogs for in the past?

Have you ever turned in a dog to Boston Terrier & Short Nose Rescue of Oklahoma? *

yes no

Please tell us why you would like to foster a dog? *

Please tell us any restrictions you may have with fostering.

Please tell us any preferences you may have including but not limited to age, sex, type.

Do you live in (select one): *

Do you: *

Own Rent/Lease

Landlord's Name

First Name Last Name

Phone Number

Area Code Phone Number

Are you familiar with leash and licensing laws in your community? *

yes no

Are you planning to move in the next six months? *

yes no

Are you aware that you will most likely have to house-train your foster? *

yes no

What will you do if your dog chews furniture, or shows other signs of destructive behavior? *

Where will the dog be kept during the day? *

Night? *

When you are not home? *

How many hours during the average day will your foster dog be left alone? *

Do you want this foster dog to be? *

Inside only Outside only both

Does your home have a doggie door? *

yes no

Do you have a fenced yard? *

yes no

Height of fence?

Fencing material?

Has your fenced been checked for gaps and weaknesses?

yes no

We suggest gates always be locked so the dog cannot be let loose by neighborhood kids or utility service people.

If there is no fenced yard, how will you exercise the foster dog and provide potty breaks?

Would you object to a home visit from a representative of Boston Terrier & Short Nose Rescue of Oklahoma? *

yes no

Do you have other pets living with you now? *

yes no

If yes, please list below: (If No, please just put N/A in one of the boxes) *

	Type (dog, cat, ext.)	Breed	Neutered/spayed?	Name of pet
1
2
3
4
5
6

I understand I have temporary custody and care of dog(s) rescued from the Boston Terrier & Short Nose Rescue of Oklahoma and the Boston Terrier & Short Nose Rescue of Oklahoma desires to provide a supportive, healthy and a safe environment for each dog in its temporary custody and care; and veterinarians have performed initial medical examinations of each animal in Boston Terrier & Short Nose Rescue of Oklahoma's temporary custody, and have provided each animal with necessary basic vaccinations.
• I agree to provide the Boston Terrrier & Short Nose Rescue of Oklahoma access to all parts of my home and property for a home inspection before my application to foster is approved.
• I understand that I could be required to provide foster care to my foster animal for an extended and indefinite period of time. I agree that the period covered by this agreement is the entire time during which I have custody of my foster animal.
I agree that I am over 21 years of age.
I agree to provide my foster animal with proper and routine veterinary care, including a yearly wellness exam, current required and recommended vaccinations, and urgent and emergency care as needed. I also understand that I must keep my foster animal on regular heartworm and flea & tick preventative medication if recommended by vets in my area, in addition to any other medications as prescribed by my vet and the Boston Terrier & Short Nose Rescue of Oklahoma.
I understand I must speak with a representative from the Boston Terrier & Short Nose Rescue of Oklahoma before taking my foster in for medical care.
I understand that Boston Terrier & Short Nose Rescue of Oklahoma provides no guarantee as to the health of my foster animal, and that my foster animal may have significant medical needs, socialization problems, and not be housebroken.
I will take all necessary precautions to prevent my foster animal from either impregnating another animal or becoming impregnated. In the event that such happens, I will alert the Authorized Boston Terrier & Short Nose Rescue of Oklahoma Representative immediately.
I will not arrange or pay for, or otherwise cause, any elective veterinary procedure to be performed on my foster animal during the period covered by this agreement, without the express written consent of the Authorized Boston Terrier & Short Nose Rescue of Oklahoma Representative, or his/her designate.
I understand that I may only have my foster animal temporarily.
I agree that I am fostering this animal for the Boston Terrier & Short Nose Rescue of Oklahoma, and that I do not have any right of ownership over my foster animal. I further agree that the Boston Terrier & Short Nose Rescue of Oklahoma’s rights in and to my foster animal are superior to mine. I also agree to provide the Authorized the Boston Terrier & Short Nose Rescue of Oklahoma Representative, or his/her designate, access to my home and property to check on my foster animal, at any time that I am in possession of my foster animal.
I agree to immediately return any foster animal in my care to Shelter, at the request of the Authorized Boston Terrier & Short Nose Rescue of Oklahoma Representative, or his/her designate, at any time and for any reason.

If the Boston Terrier & Short Nose Rescue of Oklahoma is forced to undertake any action to enforce this provision of the agreement, I agree to indemnify the Boston Terrier & Short Nose Rescue of Oklahoma for all court costs and attorneys’ fees connected with such an action.

If I am planning to move at any time during the period covered by this agreement, I agree to contact the Authorized Boston Terrier & Short Nose Reswcue of Oklahoma Representative prior to my move, with new contact
information. I understand that Boston Terrier & Short Nose Rescue of Oklahoma has the right to request return of my foster animal based on such a change of residence, and agree that I will surrender my foster animal to the Boston Terrier & Short Nose Rescue of Oklahoma immediately upon request.
• I understand that because the provisions of this agreement are legally binding, any violation of this agreement could result in legal liabilities for myself and Boston Terrier & Short Nose Rescue of Oklahoma.
• I understand that, as long as I provide foster care to my foster animal to the Boston Terrier & Short Nose Rescue of Oklahoma’s satisfaction, I will be given the first right of adoption of my foster animal, at such time as
Boston Terrier & Short Nose Rescue of Oklahoma decides to offer my foster animal for adoption.
• If at any point I can no longer, or do not want to continue to, provide care, food, shelter or veterinary care for my foster animal, I agree to contact the Authorized Boston Terrier & Short Nose Rescue of Oklahoma Representative, or his/her designate, and arrange for surrender and return of my foster animal back to the Boston Terrier & Short Nose Rescue of Oklahoma.
• I will not transfer possession or custody of my foster animal to any other person at any time, except for temporary, short-term possession for the purpose of vet care, grooming, etc.
• I agree to contact the Boston Terrier & Short Nose Rescue of Oklahoma with any and all questions or concerns about my foster animal or the fostering program, as well as with updated contact information. I also agree to contact the Boston Terrier & Short Nose Rescue of Oklahoma with
quarterly reports on the health status of my foster animal.
• I agree that if I refuse to comply with any provision of this agreement, the Boston Terrier & Short Nose Rescue of Oklahoma has the right to terminate this agreement and also has the right to the immediate surrender and return of my foster animal and any other animals for whom I am providing foster care for the Boston Terrier & Short Nose Rescue of Oklahoma. I further consent to provide Boston Terrier & Short Nose Rescue of Oklahoma with access to my premises if necessary to facilitate the return.
• I agree that the opportunity given to me to help rehabilitate my foster animal, as well as the chance of a potential future adoption, is of significant benefit to me, and serves as proper legal consideration in exchange for my agreements stated in this contract.

I have read this Agreement in its entirety, and I agree that all statements and stated agreements contained in this document are made by me, and are truthful, under penalty of perjury under the laws of the state of Oklahoma .

I certify that the above information is ture and understand that false information may result in nullifying this foster application.

Your Name *

First Name Last Name

Signature *

Clear

Today's Date *

Month Day Year

Time *

: Hour Minutes AM/PM Option

Enter the message as it's shown *

WE RESERVE THE RIGHT TO REFUSE ANY FOSTER APPLICATION

Thank you for completing the Foster Application.

Boston Terrier & Short Nose Rescue of Oklahoma Foster Application

Veterinarian Reference:

Personal References: