Email *
Street Address *
City, State ZIP *
Home Phone (enter N/A if none) *
Mobile Phone #
Please enter your drivers license # *
Please enter your date of birth (DOB): *
Please indicate the # of adults in the home *
How many of the adults in your home are men? *
How many of the adults in your home are women? *
How many children are in your home? *
Please give the ages and gender of all children in your home. Type 0 if none. *
How large is your yard? *
If yes, what type of fence and how tall?
If you have a fence with a gate, what type is the gate?
If your yard is not fenced, how do you plan to insure that the dog receives safe and adequate exercise? *
Where will the dog(s) sleep? *
Do you have an area where the dog can take refuge from the elements (i.e doghouse, kennel area, etc)? Please describe below: *
If you answered no to the above question, do you plan to acquire shelter prior to accepting your first rescue?
If you answered "yes" to the above question, how long did you own this dog and what happened with this dog?
If you previously owned a Boston Terrier, where did you acquire the dog?
If you answered yes to the above question please specify the number of current pets, including the NAME, species, sex, spayed / neutered and age of each. If none, please type "none" *
If you have other pets, what has been your main problems / concerns with them?
If you currently have other pets, how do you think they will react to a rescue dog?
IF YOU CURRENTLY OWN PETS, YOU ARE REQUIRED TO HAVE A VETERINARIAN / CLINIC TO FOSTER. Do you have a veterinarian / clinic? Please enter the name, address and phone number of your veterinarian or clinic? *
IF YOU DO NOT CURRENTLY OWN PETS WITH A VET / CLINIC REFERENCE, please list three (3) references that we may contact including name, phone number and email address:
Why do you want to foster a Boston Terrier? *
Please let us know what regional areas (city, state or, by state regions) that you would be willing to cover with regard to rescue: *
What medical considerations will you make in taking a rescue dog? (e.g. won't take a dog diagnosed with heartworms, etc) *
How many dogs are you willing to foster at the same time? *
What is your definition of disciplining a dog? *
How will you deal with behavior problems in a rescue? (e.g. aggression, house soiling, etc.) *
If you answered "no" to the above question, what would be your alternative solution?
How would you handle a situation where your rescue dog bit you? *
How would you handle a situation where your rescue dog bit someone else? *
I, the undersigned, attest that, to the best of my knowledge the above information is accurate and complete at the time of signing, and I understand that falsely provided information can mean that my application will be terminated. Please enter your name if you agree. *
Please enter today's date: *