Online Foster Application
Email address *
Applicant Name *
Your answer
Address/City/State/Zip Code *
Your answer
Cell Phone Number (with area code) *
Your answer
Home Phone Number (with area code) *
Your answer
Occupation/Place of Employment *
Your answer
Work Phone Number *
Your answer
When is the best time to contact you? *
Your answer
Spouse/Partner's Name *
Your answer
Spouse/Partner's Cell Phone *
Your answer
Spouse/Partner's Place of Employment *
Your answer
Spouse/Partner's Work Phone Number *
Your answer
REFERENCES
You will need to list two (2) personal references below. You may use ONLY one (1) family member as a reference.
Name/Phone Number of Personal Reference 1 *
Your answer
Name/Phone Number of Personal Reference 2 *
Your answer
Name of Your Veterinarian *
Your current veterinarian and future veterinarian you plan to use.
Your answer
Veterinarian’s Address/City/State/ZIP code *
Your answer
Veterinarian’s Phone Number (with area code) *
Your answer
How many people reside in your home? *
Your answer
Do you have children in your home? *
If ‘Yes’ to the question above, list number of children and their ages. *
Your answer
Who in the home will care for the dog? *
Your answer
Where do you live? *
Do you rent or own your home? *
If you Rent, have you received the approval of your Landlord to have a Boxer?
Landlord’s Name and Phone Number (with area code) *Required if rent
Your answer
Is your yard fenced? *
Describe fence type, height(s),and condition *
Your answer
How much time will the dog spend alone during the day? *
Your answer
Where will the dog be kept when you are not home? *
Your answer
Where will the dog be kept when you are home? *
Your answer
Where will the dog sleep? *
Your answer
PET SECTION
Do you have pets? *
*Pet #1 Name/Breed/Age
Your answer
Is pet #1 spayed or neutered?
Is pet #1 shots/rabies up to date?
Is pet #1 given heartworm prevention?
What heartworm prevention?
Your answer
*Pet #2 Name/Breed/Age
Your answer
Is pet #2 spayed or neutered?
Is pet #2 shots/rabies up to date?
Is pet #2 given heartworm prevention?
What heartworm prevention?
Your answer
*Pet #3 Name/Breed/Age
Your answer
Is pet #3 spayed or neutered?
Is pet #3 shots/rabies up to date?
Is pet #3 given heartworm prevention?
What heartworm prevention?
Your answer
*Pet #4 Name/Breed/Age
Your answer
Is pet #4 shots/rabies up to date?
Is pet #4 shots/rabies up to date?
Is pet #4 given heartworm prevention?
What heartworm prevention?
Your answer
*Pet #5 Name/Breed/Age
Your answer
Is pet #5 spayed or neutered?
Is pet #5 shots/rabies up to date?
Is pet #5 given heartworm prevention?
What heartworm prevention?
Your answer
**If you have more then 5 pets list here with Name/Breed/Age and vetting
Your answer
Have you given up a pet? *
If yes, please explain the circumstances *
Your answer
What happened to past pets?
Your answer
Have you owned a Boxer? *
Explain the experience you have with Boxers. *
Your answer
Why are you interested in fostering a boxer at this time? *
Your answer
What are you looking for in a Boxer to foster? Select all that apply: *
Required
Describe how you will train the foster Boxer. *
Your answer
Are you planning to stay at your current address? *
If you are moving or need to move, what will happen to the foster boxer? *
Your answer
If you decide to adopt the foster Boxer, do you agree to provide an annual vet exam, keep up to date on shots/rabies, fecal test, heartworm test, heartworm prevention, and to provide the vetting that this boxer needs? *
Do you agree to restrain your boxer in an open vehicle? *
Do you agree to return the Boxer to Boxer Rescue of Texarkana if you can no longer keep it? *
Do you agree to a home visit from a Boxer Rescue of Texarkana representative before fostering a Boxer? *
What are your thoughts on crate training? *
Your answer
What are your thoughts on obedience training? *
Your answer
How would you handle potty training in the house? *
Your answer
Do you have further comments that might help us place the right Boxer with you?
Your answer
How did you hear about us? *
Your answer
I certify that the information entered on this application is true. If any information is found to be false then this application can be denied. *
Signature (please type full legal name) *
Your answer
Today’s Date (mm/dd/yy) *
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