Oregon Basset Hound Rescue Foster Care Application
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Names: *
Address: *
City: *
State: *
Zip: *
Home Phone: *
Work Phone: *
Best time to reach you? *
Have you ever owned a dog before? *
If so, what breed(s)?
Have you ever owned a Basset Before? *
Do you presently own any other animals? *
If so, please fill in type/breed, sex, shots up to date and how long you have had the pet.
Number of children in your household? *
Please list name and age of any children.
How do other members of the family feel about fostering a Basset Hound? *
Is anyone at home allergic to dogs? *
If so, who?
Are you willing to housetrain a dog if necessary? *
Do you own or rent your home? *
How long have you lived at your residence? *
If renting, do you have written permission from the landlord to have a dog?
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Dwelling Type: *
Do you have a fenced area with shelter ready for this dog? *
If yes, type of fence:
Length of fence:
Width of fence:
Height of fence:
Will someone usually be home with the dog during the day? *
Will someone usually be home with the dog during the night? *
Where will the dog be kept during the day? *
Where will the dog be kept during the night? *
When you are away from home? *
Are you established with a vet? *
If you are established with a vet, please name:
May a rescue representative make a home visit prior to fostering? *
Is there anything else you feel you need us to know?
Please list two references that we may contact regarding your care for animals. One of those references may be a veterinarian.  Name, City, and  Phone # *
All of the information I have provided on this application is, to the best of my knowledge, true and complete. I understand that falsifying answers on this application, or at any other time during the fostering process, disqualifies me from fostering and future adoption.
Signature(s) of Applicatant(s): *
Date *
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