Michigan Basset Rescue Foster Application

Please fill out this form if you are interested in becoming a Foster Parent with Michigan Basset Rescue. If your browser has problems with this form, please email us and be sure to provide contact information (email, home address, phone) so we can get back in touch with you.


Name
E-mail
Address
City
State
Zip
Home Phone
Work Phone
Referred by

Do you own or rent your home?
Type of dwelling:
Do you have a fenced in yard for the dog?

Length of fence Width Height

What other volunteer work (animal & nonanimal) have you done, and where?

Please mark the box(es) to indicate those animals you could care for:

	Adult Dogs
	Puppies
	Pregnant Dog/Litter
	Orphaned Puppies

Please describe the area where foster animals would be cared for:

Any Additional Comments:

NOTE: Michigan Basset Rescue supplies and/or reimburses volunteers for all expenses
related to fostering animals (crates, carriers, collars, tags, food, vet bills, supplies, etc.)