NorCal Boxer Rescue

Dogs in Need

greenpaw URGENT! DIN8171

greenpaw URGENT! DIN8197

Foster Application

Applicant Information First Name: MI: Last Name:
Street Address:
City: ST: Zip:
Home Phone: Cell Phone:
Email Address:
Occupation:

Household Information Please list names, age, gender, and relation of other adults in the household:
Do you have children?
If so please list name, age, and gender of each:
Is anyone in your home allergic to animals?
Yes No
Is your whole household supportive of fostering a boxer in need?
Yes No
If No, please explain why:

Residence Current residence:
Apartment
Condominium
Single Family Home
Other
If other, please explain:

Describe your yard:

Fence height:
Feet
How long have you lived at this address?

Do you own or rent?:
Own my home
Rent my home
If you rent, do you have permission to have a dog?:
Yes, I do have permission to have a dog.
No, I do not have permission to have a dog.
Landlord's name:
Landlord's phone:
May we contact your landlord to verify that you may have a dog on your property?
Yes No
May we visit your home before and after a foster is placed into your home?
Yes No

Pet Information Why do you want to foster a boxer?

Is there a particular dog on our site that you are interested in? If so, please list his/her name(s):

Describe your ideal foster dog:

Please list any behavior problems you consider unacceptable and would be unwilling to deal with:

Do you have the ability to separate a foster dog from your current pets?
Yes No
Are you willing and able to transport the foster dog to NCBR's approved veterinarians?
Yes No
Are you able to foster a dog for the duration of time it takes to find a forever home (sometimes this can be from 2 weeks to 2 months)?

Where will the dog sleep at night?

How many hours will the dog be alone each day?

Where will the dog be kept during the day?

Who will take care of the dog in your absence (vacations, emergencies, etc...)?

Do you currently have a veterinarian?
Yes No
If yes, please list their name, city and phone with area code:

If this is not the veterinarian who last vaccinated any or all of your current pets, please provide the veterinarian's contact information who did:

Please tell us about your current pets (age, breed, etc...):

Are your current pets spayed/neutered?
Yes No
If no, please explain why not:

Are your current pets up to date on shots and on heartworm preventative?
Yes No
If yes, please list the brand of heartworm preventative you use:

Please tell us about any other pets you have owned during the last 5 years:

If you have cat(s), are you willing to work with a new dog that previously may not have been socialized with cats?
Yes No

Miscellaneous Information Do you have a crate available?
Yes No
Are you willing to provide food for your foster dog(s)?(this is not required)
Yes No Yes, but may need help
Would you consider fostering a dog that is disabled or requires daily medication?
Yes No
Would you be interested in volunteering your time to our organization?
Yes No
How did you find out about us?
Website Link
Web Search Engine
Newspaper Ad
Magazine Ad
Word of Mouth
Other:
Comments, Questions, or Suggestions:

By clicking on "Send" I am agreeing that the above information is true and correct and I understand that this information will be included with my adoption contract and if any of the above information is found to be false at any time (even following adoption) the dog may be reclaimed at no expense to NCBR.

Also, by applying for adoption, I hereby give permission to my veterinarian, my personal reference, and landlord (if applicable) to disclose information to NCBR. I also understand that incomplete applications will not be processed.

If you are not in California or Texas your application will not be processed, as we do NOT adopt our animals out of state.

Attention: If you left any major fields empty your form will not be sent.