Foster Application

UFBH is very careful about the proper placement of our basset hounds. In order to find the best match for you, please fill out the following form. All information collected on this form is for placement purposes only and will not be used for solicitation or sold to other lists.

Biographical Information

Last Name*

First Name*

Middle Name

Address*

Address 2

City*

State* (We accept applications from these states only.)

Zipcode*

Home Phone*

Work Phone*

Cell Phone

Driver's License #*

Email*

Your Dog Experience

Have you fostered a dog before? Yes No

Have you fostered a basset hound before? Yes No

If yes to either question, what rescue group or shelter?

Have you housetrained a dog before? Yes No

If necessary, are you willing to housetrain one now? Yes No Maybe

Have you ever attended formal obedience training classes? Yes No

If yes, what school did you attend?

What methods have/will you use to correct bad behavior in a dog?

Do you currently have any pets? Yes No

If yes, how many pets do you have?

Please list all your current pets here. Add one at a time; press the 'Add a Pet' button
and they will appear in the text area below.
Pet Name
Breed
Pet's Age
Gender
Spayed/Neutered?
Age Altered

Your Current Pets

Are all your pets current on their vaccinations?? Yes No

Current Veterinarian (Include a phone number)

May we contact your vet for a reference? Yes No

Your Physical Home & Basset Accomodations

In what type of home do you live?

If you marked 'other,' please explain.

Do you own or rent your home? Own Rent

If you rent, do you have landlord permission to have dogs? Yes No

Please list your landlord's name and phone number.

Do you have a fenced yard? Yes No

Do you have a doggie-door? Yes No

Do you have a swimming pool? Yes No

If yes, does your pool have a fence? Yes No

Where will the foster basset stay during the day?

Where will the foster basset sleep at night?

Your Lifestyle

Are there children in your household? Yes No

If yes, what are the ages of the children?

How many individuals live in your home?

How many hours will the basset be without human companionship at any one time?

If you marked 'more than eight,' please explain.

Why do you want to foster a basset hound?

What are you willing to provide for the foster basset hound? (Select all that apply.) Food Toys Dog bed Obedience training Special needs vet care (not financial) Transportation
Other

Is there anyone in your family hesitant about fostering a basset hound? Yes No

If yes, please explain.

Your Preferences

Which gender would you prefer for your basset? Male Female No preference

Do you have an age preference? Puppy Young Adult Adult Senior No preference

Additional Comments & Information

Additional Comments

How did you hear about UFBH?

Foster volunteers are entitled to free membership so long as they are actively
fostering a UFBH basset. Do we have your permission to contact you by email? Yes No

Terms for Application Submission

You must read and agree to the following terms before you will be allowed to 'sign' and submit your application.
I/we understand and agree to the abide by the following:
Utah Friends of Basset Hounds retains ownership of any foster bassets in my/our care.
I/we understand that UFBH will reimburse me/us for all pre-approved veterinary expenses incurred by fostering should there be any. I/we understand that UFBH will consult with me/us regarding long term care, surgical procedures or euthanasia as a result of terminal illness but UFBH will retain responsiblity for making all necessary decisions.
I/we understand that UFBH will provide an identification tag which MUST be worn by the foster basset at ALL times. I/we agree to notify the Foster Coordinator should my/our foster basset escape from my/our home.
I/we understand that UFBH has no substantial prior knowledge of the the foster basset hound's temperament and health. I/we will take all neccessary precautions to protect myself/ourselves and others that may come in contact with the foster basset. I/we understand that the basset hounds in need of fostering may have been exposed to contagious diseases, and, therefore, I/we will keep all my/our dog(s) vaccinations current. UFBH will not be held liable for property damage or harm to persons or animals caused by the foster basset while in the foster home's care.
I/we agree to provide food, water and shelter to the foster basset for a limited but undetermined period of time.
I/we agree that the the foster basset hound will not be removed from my/our address or disposed of in any way without the prior approval of UFBH. I/we will not transfer possession without approval!
I/we will report signs of aggression, behavior problems, and illness in the foster basset to the Foster Coordinator immediately. I/we understand that UFBH will remove the foster basset in a timely manner if requested and/or if it is in the best interest of the basset hound.
I/We agree to house the foster basset within my/our house and I/we will not leave him/her to sleep or eat outdoors. I/WE agree that we will not chain, stake or tie the foster basset outside.
I/we agree to not physically abuse the foster basset. I/we agree to not use shock collars on the foster basset.
I/we understand that should I/we decide to pursue adoption of the foster basset, UFBH will send me/us an Adoption Contract that I/we must sign and return with the appropriate required adoption donation.
I have read the legal statement above. I agree to the terms as they are written.
Please type your full legal name in the following field.