Applicants Name *

First Name

Last Name

Cell Phone *

(###)

###

####

Home Phone

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you rent or own? *

Rent

Own

If you rent, do you have the landlord's written permission to keep a cat or dog?

Yes

No

Landlord's Name

First Name

Last Name

Landlord's Phone

(###)

###

####

Have you ever fostered an animal? *

Yes

No

Have you ever owned a cat or dog before? *

Yes

No

Have you ever completed a dog training class? *

Yes

No

Do you currently have pets in your home? *

Yes

No

If you have other pets, do they all get along with other animals? *

Yes

No

Pet 1 Spayed or Neutered?

Yes

No

Is Pet 1 vaccinated and on heart worm preventative?

Yes

No

Pet 2 Spayed or Neutered?

Yes

No

Is Pet 2 vaccinated and on heart worm preventative?

Yes

No

I hereby authorize the veterinarian named herein to release information about me or my pet(s) to BHAR as necessary to evaluate this application. *

Yes

No

Are all adults in the home in agreement about fostering a new cat or dog? *

Yes

No

Do you have a fenced yard? *

Yes

No

Do your windows have screens on them? *

Yes

No

Some, but not all

Do you agree that your foster dog must only be exercised on a leash in a safe place? *

Yes

No

Do you agree that your foster cat must only live indoors and not be let outside? *

Yes

No

During the last two years, have you lost a pet (not through death)? *

Yes

No

During the last two years, have any of your pets been poisoned? *

Yes

No

During the last two years, have any of your pets been hit by a vehicle? *

Yes

No

During the last two years, have any of your pets died from a disease? *

Yes

No

Do you have plans to travel in the next month? *

Yes

No

BHAR will provide all medical care, heartworm and parasite preventative. Are you prepared to assume the responsibilities of feeding, bathing, grooming and caring for your rescue, including emotional rehabilitation for a rescue pet? *

Yes

No

Will you follow all veterinarian instructions provided and administer all prescription medications and HW preventative to your foster? *

Yes

No

Are you prepared to assume the responsibilities of contacting BHAR for any medical emergencies? *

Yes

No

Do you agree that the BHAR makes all medical decisions for our rescue dogs? *

Yes

No

Will you let BHAR know if you are planning to take your foster out of state for family visits or recreation? *

Yes

No

Though BHAR does not accept vicious dogs into our program, we do not know the histories of some of our rescues. Are you prepared to contact usimmediately if your foster dog bites anyone or injures another pet? *

Yes

No

Will you walk/exercise the dog regularly? *

Yes

No

Do you agree not to leave the foster dog in your yard when no one is home? *

Yes

No

Will you allow the dog to live indoors? *

Yes

No

Foster parents are encouraged to maintain an 'aunt' or 'uncle' relationship with their foster pet, but occasionally the foster and pet bond so completely that adoption is best for all. Do you understand that if you wish to adopt your foster, you must complete the adoption papers and pay the adoption donation? *

Yes

No

As part of our foster approval process, are you willing to allow a BHAR volunteer to visit your home by appointment? *

Yes

No