How would you describe your level of experience with a bull terrier?______________________________________

____________________________________________________BULL TERRIER RESCUE CLUB OF SOUTHWEST FLORIDA

Bull Terrier Foster Care ApplicationThis document provides for the release of liability of the Bull Terrier Rescue Club of Southwest Florida (BTRCSWF) and its volunteers on account of the actions of a bull terrier that has been released into the ownership of the BTRCSWF and placed  in Foster Care through this application.

PERSONAL INFORMATION:

Name:_______________________________ Age:_________________    Date:______________________

Address:_______________________________________________________________________________

City:_________________________________ State:______   Zip:_____________________

Home Phone:_______________________________ Work/Cell phone:___________________________________

Email:____________________________________________________

How did you hear about us?_______________________________________________________________________

HOUSEHOLD INFORMATION:

How many people are in your household:  Adults over 21:_____   Children under 18:__________  Ages:____________

Does anyone in the household have known allergies to dogs:     Yes:______  No:______

Do you live in HOUSE   APARTMENT     CONDO    DUPLEX     MOBILE HOME      TOWNHOME     (circle one)

Do you OWN     RENT      How long have you been at this address?__________________

If renting/leasing are there pet restrictions?  YES  NO  If YES  what are they?_________________________________

Landlord’s name:  _____________________________     Landlord’s phone:________________  (Landlord’s approval

Will be required)

Please list all your current pets: _______________________________________________________________

Indicated gender, whether altered or not , and how long you have had them

Who will be the primary caretaker of your foster dog(s)?__________________________________________________

Do you have a yard?  NO ____     YES  If yes, _Is it fenced completely, partially (circle one)

Fencing made of     Wood  ___   Chain link_____            Brick ____        Other: (explain)__________________________

If you do not have a fenced in yard, do you agree to keep your foster dog on leash at all times outside?  ___________

__________________________________________

_____________________________________________________________________________________________

How many hours during the AVERAGE day will this dog spend WITHOUT a human?

Where will this dog be when alone?_____________________________________________________________

_________________________________  

Where will this dog sleep at night?_________________________________________________________________

Do you have a preference on gender?   ______________  Age:______________________________

Which situations do you feel unprepared for?

Excessive barking                        destructive chewing                not housebroken

Digging                                        escaping                        food/toy aggression

Shy, fearful, or under socialized                not good with children                not good with other dogs

Not good with cats                        nipping                                administering medication

Providing on-going training                Hyper                                deaf

Please note that you will be expected to keep the dog safe and secure, return it to the BTRCSWF when requested to do so, and not promise the animal to anyone, or imply that you have the authority to approve a potential adoption.

The BTRCSWF retains ownership of all animals placed in foster care, and will make all decisions regarding the adoption and placement of the animal(s) fostered.

Unless otherwise arranged, the foster parent is responsible for providing all food, bedding, and toys for the animal while it is in their care at home.  The foster parent is responsible for transporting the animal(s) to and from a Veterinary clinic approved by the BTRCSWF. If dog requires training,  tansporting to off-site training is the responsibility of the foster parent.  Medical bills will be paid by the BTRCSWF after prior approval from the President or Treasurer.  Upon returning the foster dog to the BTRCSWF, a brief summary about your foster animal’s behavior and personality would be very much appreciated.

I have read and understand the statements above and will abide by them.   I certify that all the information in this application is true and correct.  I understand that, although the BTRCSWF takes reasonable care to screen animals for foster care placement, it makes no guarantees relating to the animal’s health, behavior, or actions.   I understand that I receive foster care animals at my own risk.  I acknowledge that the BTRCSWF is not responsible for any property damage or personal injury suffered by me, members of my household, including my own animals, or any third parties during a foster placement, and I assume liability to provide adequate controls to prevent such damage or injury.

Signature:_________________________________________  Date:__________________________________

Email application to rescuemebt@comcast.net  or appelsok@gmail.com