*= Please note that these fields must be completed

Personal Information

* Name (First and Last): Spouse's Name: * Street Address: City: State: Zip Code: * Home Phone: Cell Phone: Email: Occupation/Employer: Work Phone: Can we contact you at work? Yes No Hours you are at work Days you are at work

Do all of the adults work? Yes No Is anyone home during your work hours? Yes No   If you responded "yes" please tell us who is home during the day:   What is the longest period of time the dog will be left alone?    How many adults in the home?   How many children in the home?       Child #1: Child #2: Child #3: Child #4: Child #5: Ages of children in the home:     List any regular visitors who will be in contact with foster dogs:   In what type of dwelling do you live? Single Family Home Townhouse Apartment/Condo Mobile Home Duplex     Do you own or rent? Own Rent If you rent, does your lease allow pets? Yes No   How long have you lived there?   Landlord's Name: Landlord's Phone:

Current Living Arrangements with Animals

Have you ever owned a beagle? Yes No Do you have any pets currently residing in your home? Yes No If yes, please complete the table below:   Pet's Name Type Age Sex/Altered? Pet #1 Pet #2 Pet #3 Other: Where are your pets left while you're away from home? Run of house Crate Garage Yard Doghouse   Other (please explain) Do these pets have a safe haven away from foster dogs? Yes No Are your own pets accepting of new dogs in their home? Yes No   If no, please explain how you would handle this: Are your pets allowed on the furniture or bed? Yes  No Are your dogs currently on heartworm and flea/tick preventatives? Yes No Are your dogs current on all vaccinations? Yes No Please provide us with the contact name and number of your current veterinarian so that we may ensure that the safety of our beagles, and your pets, is met: Vet's Name: Vet's Phone Number: (A phone number MUST be provided if you list a veterinarian) By checking here, I hereby authorize the veterinarian listed above to supply information to Cascade Beagle Rescue with regard to the pets listed on this form. Below, please list the names of people who are active in the dog community and are knowledgeable about your care of dogs (trainer, veterinarian, breeder, handler, current CBR volunteer, dog care professional, etc.)  If you do not know someone in the dog community, please list others who would have the same knowledge. Reference #1 Name: Reference #1 Phone Number: Reference #2 Name: Reference #2 Phone Number:

Foster Dog Information

Do you have any formal experience with training dogs? Yes No Have you ever fostered dogs for other rescue groups? Yes No If yes, which group?   May we contact them? select one yes no Is your yard fenced? Yes No Is it suitable for a dog (i.e., fenced on all sides)? Yes No How tall is the fence?   What material (chain-link, wood), is the fence made of? Do you have a kennel run? Yes No       If no fenced area is available, how will you handle exercise and toilet duties?    Will the beagle be walked?  Yes  No If yes, how often?   Will the beagle be exercised in a fenced in yard? Yes  No If yes, how often?   Will the beagle be allowed to run free? Yes  No   Are you aware of the dangers of leaving your foster beagle outside in an enclosure when you are not home? (i.e., beagle could dig under or climb over fence, become a nuisance barker to neighbors, or even be stolen) Yes No Are you aware that beagles are quite vocal and can bay loudly at times? Yes No Are you aware that beagles cannot be let off leash because they will run off? Yes No Are you planning a move or take a vacation within the next 2 months? Yes No Who will care for your beagle when you are away from home for more than a day?   Where will your foster beagle be left while you're away from home? Run of house Crate Garage Yard Doghouse Other (please explain) Are you willing to housetrain a dog if necessary? Yes No How do/would you discipline your foster beagle? Do you realize that at some point your foster beagle will probably destroy something of yours? Yes No Is anyone in the home allergic to animals or have asthma? Yes No If yes, please explain how this will be handled:   Have you applied to volunteer or foster with any other rescue organization? Yes No

Potential Foster Beagle Preferences

I am willing to foster the following types of dogs (please check all that apply):         male only puppy female only young (1-3 years) either M or F is OK adult (3-5 years) special needs older adult (5-8 years) injured animal senior (over 8 years) behavior issues pregnant female not housebroken female with litter dog w/kennel cough aggressive toward other dogs   Please clarify/explain any of the selections above, and describe any relevant experience: Will you consider fostering an inseparable PAIR of beagles? Yes No    **Fostering a beagle may put you over the county pet limit.  Be aware of current regulations**   Do you have a hobby kennel license? select one yes no   Do you have a commercial kennel license? select one yes no   Have you ever had a neighborhood complaint filed again you regarding your pets? select one yes no   If yes, please explain:   Have you ever been convicted of a crime against animals? select one yes no       * Have you read and understand the CBR foster brochure?  By indicating "yes," you acknowledge that a home visit may be required, and will allow a CBR volunteer to complete this.  You also acknowledge that there is contract that you will be asked to sign, and that CBR reserves the right to deny any application.   Yes No Where did you hear about CBR-E? Internet Search/Web Petfinder Word of Mouth/Friend Sign or Poster Newspaper Article Rescue Which one? Shelter Which one? Other (please explain)   DISCLAIMER: I understand that completing this application is not a guarantee that I will be approved to foster a beagle and that Cascade Beagle Rescue has the right and responsibility to deny any application.  By submitting this form, I agree that all the above information I have provided on this application is, to the best of my knowledge, true, and complete and permission is granted to Cascade Beagle Rescue to call any references I have included on my application. I also grant permission to Cascade Beagle Rescue to obtain up to date records from the vet reference I have specified on this application. I understand that falsifying answers on this application, or at any other time during the adoption process, disqualifies me from fostering. Additionally, I acknowledge that Cascade Beagle Rescue does not guarantee the health or temperament of any beagle that may be placed; however, every effort is made to provide accurate and detailed information about all beagles in our program.       Please email us with your comments, questions or suggestions.