Foster Form Application

Your References
* Personal Reference
* Phone Number
* Your Veterinarian (where your Boxer's records are kept)
* Vet's Phone Number

Boxer's Information
* If you are interested in fostering a specific Boxer, please list their name:
* Which would you prefer to foster? Medical Needs Boxer Older Senior Boxer Most in Need

General Living Situation
* Do you live in: House Apartment Condo Other
If Other, please explain:
* Do you own or rent your home? Own Rent Lease

Household Information
* How many live in adults?	* Do you have children? Yes No
If children, please specify how many and their ages:
* Do you currently or have you had any other dogs? Yes No

Please list your current dogs:

Name	Breed	Age	Sex	S/N	Where Obtained?	Where Now?

Please list any additional pets here, including cats, other pets and livestock:

* Do you have a fenced in yard? Yes No
If yes, please specify height of fence:
If yes, please specify height of lowest part of fence:
* Which family members will be responsible for your new Foster?
* Where will Foster be kept when you are not home?
If Other, please explain in detail:
* How many hours per day will your Foster be alone outdoors?
* Where will your new Foster sleep?

Additional Information
* What are some of the things you enjoy most about having a Foster?
Additional Comments:
* How did you find out about BRLA?
If Other, please explain how you heard about us:

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