Adults in household
1) First name:
2) First name:
Children in home
Cell Phone 1:
Cell Phone 2:
A successful foster home depends on both the selection of the right basset for your household and the understanding of his/her care
taking needs. So that we may assist you with this selection please answer the following questions as completely as possible.
What type of housing?
Do you rent or own?
If you rent or lease, do you have
permission from your landlord to keep a basset indoors?
Do you have a fenced yard?
Are you a previous dog owner?
Do you own other animals?
Please list the type, breed, gender, age, spayed/neutered and length of ownership of other animals.
How do other family members feel about fostering a basset?
Have you read about basset hounds and dog ownership?
Is anyone home during the day?
Is anyone home at night?
Where will the basset be kept during the day?
Where will the basset be kept at night?
Where will the basset be kept when you're away from home?
Is anyone in the house allergic to dogs?
If so, who?
Are you willing to house train?
Are you willing to obedience train?
What vet will be taking care of your potential new foster family member?
Name of Vet or Reference:
Name of Vet Clinic if applicable:
City, State and Zipcode:
Release of veterinary Information
I authorize any veterinarian or veterinary hospital/professional/kennel to
furnish or discuss with any representative of CBHR all records in their possession
regarding the care of the applicants dogs past or present. This information will be used in the foster
care process of one of the dogs in care of CBHR. This authorization shall remain valid for one
year after the date it is submitted.
Upon presentation of this release of information or a photocopy of same,
you are directed to permit the personal review or discuss with a representative of CBHR the veterinary/kennel records.
I agree to the above terms of release:
All of the information that I have provided on this application is, to the
best of my knowledge, true and complete. I understand falsifying answers on this application, or
at any other time during the foster home process, disqualifies the household I represent from
the fostering of a dog from CBHR.
I understand that submitting an application is no guarantee that I will receive
a CBHR dog. I further understand that placement of these dogs is at the sole discretion
of CBHR and a reason for rejection of an application is not required. Upon completion and
submission of this application and release of veterinary information I wish to be considered
for fostering a CBHR dog.
I also understand that if I do foster a dog from CBHR and should choose not
to continue fostering the dog it must be returned to CBHR.
I agree to the terms stated above.