Date:
Your full name:
Your email address:
Your occupation:
Your
daytime phone number (please include area code):
Your
evening phone number (please include area code):
Spouse's
name:
Spouse's
occupation:
Reference (not a relative) who has known your animals and
you as a pet
owner (name and
phone):
Relationship:
Years acquainted:
Do you live in:
house
in the country single family house in town condo
townhouse
apartment
other
If
other, please specify:
Do you rent or own your home? rent own
If renting, are pets allowed? yes no
If allowed, is there a weight limit? yes no
What is the weight limit?
If renting - landlord's name and phone number:
How long have you lived at this address?
If less than 2 years, previous address:
Do you have a fenced yard? yes no
Fence type:
Fence height:
What is the size of your fenced area?
If not fenced,
how do you propose to
handle the dog's exercise and toilet duties?
Do you have a separate kennel run? yes no
If yes, what is the size of the kennel?
Do you have a Doggie Door? yes no
How many adults in the home?
How many children in the home?
The children's ages?
Are any members of your household home during the day? yes no
Do you have other dogs? yes no
How many? Please give breed, sex and age.
Are they all spayed/neutered? yes no
If
not, please tell which are not, and why.
Do
you have any other animals/livestock? yes no
If yes, please list:
Who is your regular veterinarian? (name/phone)
Approximate date of last visit?
Were your animals current on vaccines? yes no
How many dogs have you owned in the last 5 years:
What happened to them? Please list by breed and disposition
(i.e., boxer/still have; boxer/died; dachshund/lost [stolen,
given away, etc.])
If any died - list age and cause
Have you owned boxers before? yes
no
Why do you
think you want to foster a boxer?
What sex do you prefer?
no preference male female
Why?
Age preference:
Why?
Color
preference? No preference brindle fawn white
Are
you willing to consider a boxer mix? yes
no
Where
will the dog
spend most of
the day?
Loose indoors
Crate
Basement
Garage
Fenced yard
Loose outdoors Tied up outdoors Kennel run Other
If other, please specify:
How many hours a day will the dog usually be alone?
Where will the dog spend most of each night?
Loose indoors Crate Basement Garage Fenced yard
Loose outdoors Tied up outdoors Kennel run Other
If other, please specify:
When your family is away from home overnight
or on vacation, what will you do with the dog?
Do you agree to obey all leash laws? yes no
Would you agree to a housecheck, prior to fostering? yes no
Have you or anyone in your immediate family ever been convicted of a
charge
of cruelty to animals, or are any such charges pending? yes no
Why do you feel you would like to foster a dog at this time?
What is your manner of disciplining a dog?
How did
you hear about Middle Tennessee Boxer Rescue?
If your answer was
Friend/Neighbor/Family Member, please let us know who it was:
(not required, but
appreciated)
If your answer was
"Search Engine," please tell us which one:
By submitting this
form, I swear that all information contained herein is true and
complete.