Application To Foster (Temporary Housing)

Southeast Bloodhound Rescue, Inc. is a private charitable non profit rescue organization 501(c)3. SEBR is the regional rescue organization affiliated and approved by the American Bloodhound Club, Inc.
Please print all information carefully and in legible form. 
Unreadable forms will be returned and delay processing.

Southeast Bloodhound Rescue, Inc. is always in need of loving foster homes. If you can open your heart and home to a foster dog, please copy and complete this application and return to Southeast Bloodhound Rescue, Inc. via first class US Mail.  

Date: ____________________  Email:  _________________________________________

Name: ___________________________________________________________________

Street Address: ____________________________________________________________

City, State, Zip Code: _______________________________________________________

County: __________________________________________________________________

What two (2) local animal shelters or animal control units are nearest to your residence?

Shelter Name: _____________________________________________________________

Shelter Name: _____________________________________________________________

Home Phone with Area Code: _________________________________________________

Work Phone with Area Code: _________________________________________________

Date of Birth: ______________________________________________________________

What animal clinic sees your pets? ______________________________________________

Veterinarian's name:_________________________________________________________

Veterinarian's phone number with area code: ______________________________________

Do you presently own any pets? _____YES ______NO  (check one)

If yes what kind: ___________________________________________________________

If you own dog(s) are they spayed/neutered? ______ YES _______ NO

If not altered, why not: _______________________________________________________

Do you own your home: ________YES ________NO  (check one)

Do you have a fenced yard: ________YES ________NO  (check one)
If Yes,
· What type fence: _____Chain Link _____Wood ______Other: ________Height:_________

Where will you keep the dog while you are not home? ________________________________

Do you have a crate to keep the dog in? _______YES _______NO   (check one)

Why do you want to foster a dog?  ______________________________________________

Are there children presently living in the house? _______YES _______NO  (check one)

If Yes, what are their ages? ____________________________________________________

Have you ever fostered a dog before? _______YES _______NO   (check one)

Is there a limit to the length of time you can keep the dog until it gets adopted? _____YES____NO

If so,
· How long can you keep the dog? ______________________________________________

· Why is there a limit? ________________________________________________________

What traits would make a dog ineligible for foster at your home?_______________________

___________________________________________________________________________

How many hours will the dog be alone during the day? _______________________________

List one (1) family member reference who does not live in your home: (include area code)

Name: ______________________________________________________________ 

Day Phone:  _______________________  Evening Phone ______________________

Address:  _____________________________________________________________

List three (3) personal references (we DO contact references - include area code):

Name: ______________________________________________________________ 

Day Phone:  _______________________  Evening Phone ______________________

Address:  _____________________________________________________________

Name: ______________________________________________________________ 

Day Phone:  _______________________  Evening Phone ______________________

Address:  _____________________________________________________________

Name: ______________________________________________________________ 

Day Phone:  _______________________  Evening Phone ______________________

Address:  _____________________________________________________________

Do you understand that if you decide to permanently adopt this dog, you will be required to pay the standard adoption donation?__YES__NO

Do you mind if an interested person comes to your home to look at the dog? ______YES  ______NO  (check one)

Please return this application to: Southeast Bloodhound Rescue, Inc.

Leanne Dayvolt
61 Cypress Circle
Carrollton, GA 30116
(770) 836-8428
sebr@bellsouth.net