All fields are required:
Contact Information:
1. Please provide the following contact information:
First Name
2. Best time to reach you:
1
2
3
4
5
6
7
8
9
10
11
12
AM
PM
Living Conditions
3. What type of housing do you live in?
Please select
Townhouse
Apt/Condo
Single Family Home
4. Do you own or rent?
Please select
Own
Rent
4a. If you rent, does your landlord permit dogs?
Yes
No
Not sure
4b. If you rent, is there a weight/size limit on allowable dogs?
Yes
No
Not sure
4c. If yes, what is the weight/size limit?
4d. If you rent, please provide your landlord's name and contact information for verification of requirements:
Name
5. Do you have stairs in your home?
Yes
No
5a. If yes, how many stairs?
6. Do you have a fenced in yard?
Yes
No
6a. If yes, please describe your fence (height, type etc):
6b. If no, do you agree to keep the basset on a leash when outdoors?
Yes
No
7. Are you willing to have a volunteer visit your home prior to fostering?
Yes
No
Dynamics of Household
8. What is the make-up of your household?
Number of adults
Number of children:
8a. If there are children in the household, what are their ages?
9. Are there other children who visit frequently (i.e. grandkids, babysitting)?
Yes
No
9a. If yes, what are the visiting children's ages?
10. Please list the pets you currently own and provide the information requested on each one.
Dog (Breed),
AGE
Spay/ Date of last
Date of last inoculations for:
Time
Pet's Name Sex
Rabies DHLPP Bordatella
M
F
Yes
No
M
F
Yes
No
M
F
Yes
No
M
F
Yes
No
M
F
Yes
No
11. Describe the temperament of the dog(s) you currently own.
Please select
Dominant
Submissive
12. Describe the activity level of the dog(s) you currently own.
Please select
Docile
Active
13. Do you give Heartworm preventative to your dog(s) on a monthly basis?
Yes
No
Veterinarian Information
14. Do you have a veterinarian?
Yes
No
14a. If yes, please provide your veterinarian's name and phone number.
Name
15. What pet name and last name are your current vet records under?
F ostering and Care of your foster
16. Why do you want to foster a Basset?
17. How do other family members feel about fostering a Basset?
18. Which family member will be the basset's primary caregiver?
19. How many hours per day will the basset be left alone?
20. Where will the basset be kept during the day?
21. Where will the basset be kept during the night?
22. Are you willing to take your foster to a veterinarian on o ur approved list?
Yes
No
23. What is the brand name of the dog food you will be feeding your foster?
Experience and Foster Type
24. Have you ever owned a Basset?
Yes
No
25. Have you ever adopted a dog from a rescue organization or shelter?
Yes
No
26. Have you ever fostered for a rescue organization before?
Yes
No
26a. If yes, please explain:
27. Have you ever had to give up a dog?
Yes
No
27a. If yes, please explain:
28. Are you willing to foster a special needs or senior Basset?
Yes
No
29. Are you willing to foster a Basset recovering from surgery and/or on medication?
Yes
No
30. Are you willing to foster a Basset being treated for heartworms?
Yes
No
31. Are you willing to foster more than one Basset at a time?
Yes
No
Training Your Foster
32. Have you ever taken a dog to obedience training?
Yes
No
33. Are you willing to house train your foster, if necessary?
Yes
No
34. Are you willing to crate train your foster?
Yes
No
35. Do you have an available crate for your foster?
Yes
No
35a. What size is your crate?
Your availability and Ability to Submit Information About Your Foster
36. Are you available by e-mail on a daily basis?
Yes
No
37. Do you have an answering machine that you check every day?
Yes
No
38. Do you own a working digital camera?
Yes
No
Thank you for your interest in fostering a Basset Hound for B assetCARE !!
