Mississippi Boston Terrier Rescue
Application to Foster
First and Last Name:
 Address:
City:
 State:
 Zip Code:
Home Phone:
 Cell Phone:
E-Mail:
Do you own or rent:
If you rent a home or apartment, do you have permission from your landlord to have pets?
Landlord's Name:
 Full Address:
 Phone Numer:
Are you employed outside the home?
 How many hours a day are you away from home?
Where will the dog stay while you are at work?
Are you familiar with a dog crate and are you willing to use one for training?
Please list all your current pets.  Include 1-Name, 2-Age, 3-Species, 4-Breed, and 5-Gender:
Are all you current pets spayed/neutered?
Are all of your pets current on all vaccinations?
Are all your pets on Heartworm Preventative?
Do you own cats?
 If "Yes", are they used to being around dogs?
Have you ever given a pet away or surrendered one to a shelter or rescue group?
If "Yes", please explain the circumstances:
What Veterinary Clinic do you use?
 Veterinarian's Name?
Veterinary Clinic Address:
 Veterinary Clinic Phone Number:
Do you give MBTR permission to contact your Vet?
How Many Adults live in your household?
 Please list their ages?
How Many Children live in your household?
 Please list their ages?
Do Small Children Visit your household?
Is anyone in your household allergic to dogs?
 Does anyone in your household smoke?
Is everyone in your home in agreement to foster a Boston Terrier?
Do you have a fenced yard?
 If so, what type of fence is it and how tall is it?
What is the size of the fenced area?
If you do not have a fenced yard, how do you plan to exercise the dog?
Do you understand that Rescue dogs often have been homeless or strays and are prone to wonder
away from and sometimes "bolt" from an open door?
If you do not have a fenced yard, do you understand that the dog must always be on a secure leash and
collar or harness any time he/she is outside?
Do you understand that some dogs can dig under or climb over fences and therefore are not to be left
alone unsupervised?
Do you understand and agree not to use "invisible fences"?  Invisible Fences are not in accordance to
MBTR policies.  They do not prevent stray dogs or wildlife from wondering into the dog's territory.  Are
you in agreement with these policies?
Do you agree that the dog is not to be left tied outside or on a "tie out" without DIRECT supervision?
Do you have a doggie door?
 Do you lock the doggie door when you are away from home?
Do any of your current pets have issues with other dogs of the same sex?
What age of dog are you most comfortable to foster?
Are you willing to foster a senior dog or a dog with special needs?
MBTR pays for medical expenses of the dog.  In cases other than emergencies, the foster is required to
get prior approval from a board member to take the dog to the vet.  Vaccinations, spaying/neutering,
and worming will be done prior to placing the dog in a foster home.  Foster homes are asked to provide
food, shelter, flea prevention,  training, and/or socialization as needed, as well as a loving and nurturing
environment for the dog.  Are you in agreement with these policies??
Have you ever owned a Boston Terrier?
 If "No", where did you learn about this breed?
Do you understand that Boston Terriers are not "outside" dogs and agree that the dog will reside inside
your home/apartment?
You shall release and make available any foster dog at any time the President, or MBTR representative
requests.  Please type in your full name if in agreement:
Are you willing to meet with a Rescue worker at your home for a home visit and foster orientation?
IIf approved, how soon will you be ready to accept a dog into your home?
Do you attest that you have answered all questions on this form in a true and accurate manner?  
While it is the policy of Mississippi Boston Terrier Rescue not to accept dogs with known excessive
aggressive or vicious tendencies, the true personality of the dog cannot always be determined until it is
placed in foster care.  The perspective foster parent(s) also fully understand that under the right
circumstances, any dog can bite, fight with another animal, and/or chew and destroy property left within
the dog's reach and that this is the basic nature of any untrained dog.  Therefore, Mississippi Boston
Terrier Rescue, or any of it's agents, board members, volunteers, members, or any other person shall not
be held responsible for any bodily injuries or property damage caused by a fostered Boston Terrier.  Do
you agree with this statement and these terms?             
Please type in your full name and date if you are in agreement and accept the terms and policies of
Mississippi Boston Terrier Rescue's Foster Application:
Name:
 Date:
When you have filled out the application in full, please click on the "Submit" button
below to send your application to us.  Thank you for filling out an Application to
Foster.  Your offer to help is GREATLY appreciated!
Mississippi Boston Terrier Rescue
P.O. Box 300
Bay Springs, MS 39422
e-Mail:  msbostonrescue@yahoo.com
Phone:  (601) 764-6848
Fax:  (601) 764-2166