Print out application, fill out, and mail with application fee to address listed on bottom of application.
TRI-STATE BASSET HOUND RESCUE, INC.
FOSTER HOME APPLICATION 
Name and Age of Each Adult in Household ______________________________________________________________________
Address __________________________________City___________________ State _____ Zip _________
Phone: (H) _____________________ (W) _____________________ Email: __________________________
1. In what type of housing do you live? Apt/Condo _____ Townhouse _____ Single Family _____
2. Do you: Own?____ Rent?_____ If renting, does landlord permit dogs? Yes____ No____ Not sure ____
Is there a size/weight limitation on allowable dogs? Yes _____ No _____
If renting: Landlord’s name ____________________________________ Phone _______________________
3. Do you have a fenced-in yard? _________ Description of fence and yard: ___________________________________
4. Makeup of household: Adults _______ Children _______ Ages of children: ____________________
5. Does anyone in the household have allergies? ______ If yes, describe: ____________________________
6. Which family member will have major responsibility of caring for the dog? __________________
7. How many hours a day will the dog normally be left alone? ____________________
8. How close is your nearest neighbor? ________________
9. Will this be your first pet? _____ What pets did you previously own? _______________________________
What happened to them? ___________________________________________________________________
What pets do you currently own? Dogs ______ Cats ______ Other ______ (please list) __________________
If you currently own a dog, is it neutered/spayed? ____ What breed? _______________ Age? ____ Sex? ___
10. Who is your veterinarian? (Name/telephone) ___________________________________________
What pet name & last name are your vet records under? _____________________________________
11. Why do you want to foster a Basset Hound? ______________________________________________
_______________________________________________________________________________
12. What sex do you prefer? Male _____ Female _____ Age preference? ______________________
Note: Our fostering needs will in most cases determine age and sex of your foster Basset.
13. Where will your foster Basset spend most of its time? ___________________________________
14. Do you agree to return your foster Basset to us when a new home is found? __________
15. Are you willing to provide us with important foster home reports? ______________
16. How were you referred to Tri-State BH Rescue? ____________________________________
17. When will you be ready to foster?_________________________________
Signature: (All adult members of household must sign) __________________________________________________ 
_____________________________________________________________ 
Date: __________________
Mail foster applications to: 
Tri-State Basset Hound Rescue, Inc.
c/o Dana Mania
PO Box 910
Cologne, NJ 08213
If you do not hear from us, please email Dana at dana@tristatebassets.org for follow up. Once approved, you will be asked to sign a fostering contract with TSBHR. DOGS WILL BE PLACED WITHIN THE NJ, NY AND EASTERN PA AREAS.