American Brussels Griffon Rescue Alliance

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All Brussels Griffons in our rescue program are spayed or neutered, brought up to date on vaccinations, tested for Heart Worm and have had any health issues addressed before being put up for adoption. Most of our rescues must be first placed in foster homes to meet their physical needs and evaluate their temperament to ascertain the type of home suited to each one.

If you would like to be a foster home please complete the questions below, sign and submit to the American Brussels Griffon Rescue Alliance by clicking the SUBMIT button below. Thank you for helping with this greatest of rescue needs. Foster home guidance and procedures are displayed at the end of this application

If you have a question about whether your application has been received, please contact westcoastcoordinator@abgra.org. Please answer every question. Please enter "N/A" or "none" if field does not pertain to you. If all the questions are not answered fully, we will not be able to process your application.

If there is a particular dog you are interested in, what is his/her name?
Full Legal Name: First Name
Last Name
Age
Home Phone # (example: 555-123-4567)
Cell Phone # (example: 555-123-4567)
Work Phone # (example: 555-123-4567)
Address

City
State
Zip Code
Occupation
Your Email Address
Spouse’s/Partner's/ Other Adult's Name
Spouse's/Partner's/ Other Adult's Age
Spouse's/Partner's/ Other Adult's Occupation
Spouse's/Partner's/ Other Adult's E-mail Address
Do you have children living with you?
If yes, what are their names and ages? Otherwise, please enter N/A
Which of the following best describes your current residence?
If you rent, do you have your landlord's permission to keep a dog?
Do you have a yard?
Do you have a fenced yard on your property?
If Yes, what type of fence?
If other, please describe
How high is the fence?
Is someone home during the day? Please explain.
What provisions will be made for your foster Brussels Griffon if no one is home during the day?	Loose inside In Crate In fenced yard
Where will the foster Brussels Grifffon sleep? Please explain.
Do you have other pets at home?
Number of pets currently in your home?
Please list the type, weight, age, and sex of each of your current pets.
Do your pets get along with other animals?
Are the pets spayed/neutered?
If resident pets are not spayed/neutered, please explain.
If you have dogs/cats, are they vaccinated and on heartworm preventative?

Personal References:
Name of First Reference (Person not related to you)
Phone (example: 555-123-1234)
Relationship to you
Name of Second Reference (Person not related to you):
Phone (example: 555-123-1234)
Relationship to you

Vet's Name
Vet's City
Vet's State
Vet's Phone Number
What name are medical records listed under at your vet's office?

ABGRA will provide for all medical care, heartworm and parasite preventative. Are you prepared to assume the responsibilities of feeding, bathing, grooming and caring for your foster Griffon, including emotional rehabilitation for a traumatized dog and crating for a dog going thru heartworm treatment?
Will you follow all Veterinarian instructions provided and administer all prescription medications and Heartworm Preventative to your Foster Griffon?
Will you obtain pre-approval for all medical care from your ABGRA contact/coordinator?
Will you negotiate a rescue discount with your veterinarian or locate a low-cost veterinary clinic in your area to provide economical care for your foster dog?
Will you stay in close contact with your ABGRA contact person and keep him/her appraised of progress, problems, medical issues, and updates on you foster dog?
Are you ready to recognize that while your input is valued, responsibility for final decisions about the future of all of our Rescues lies with ABGRA?
Will you advise ABGRA if you are planning to take your foster Griffon out of town or state for family visits or recreation?
Although ABGRA does not accept vicious dogs into our program, we do not know the histories of many of our rescues. Are you prepared to contact ABGRA immediately if your Foster Griffon bites anyone or seriously injures another pet?
Will you keep the dog confined in a fenced yard when let outdoors, walk/exercise the Foster Griffon on lead regularly and allow the dog to live indoors?
Do you understand that Griffons are known for being "barkers" and that your foster Griffon may not be housetrained?
Do you understand that Griffons can be shy and aloof with new people?
Foster parents are encouraged to maintain an "Aunt" or "Uncle" relationship with the Griffon in their care. However, occasionally the foster parent and the Griffon will bond so completely that adoption into this home is best for the Griffon and family. Do you understand that if you wish to adopt your Foster Griffon you must complete the Adoption Application & Adoption Agreement and make a donation, as would any other adopter?
Are you willing to allow a ABGRA representative to visit your home by appointment?
How did you hear about The American Brussels Griffon Rescue Alliance?	Internet Vet, Clinic or Shelter Referral Breeder Dog/Obedience Club Other Rescue Group Friend/Neighbor Other
Name of person who referred you to ABGRA or explanation of other:

I am in full agreement with The American Brussels Griffon Rescue Alliance Foster Care Responsibilities. By signing below I am attesting to the truthfulness of my answers.

I hereby forever release, discharge, and agree to hold harmless and indemnify American Brussels Griffon Rescue Alliance; its board of directors; and its members, Officers, and agents from all claims, demands, actions, causes of action, or liability of any kind whatsoever arising as a result of or in connection with the fostering or adoption of a dog sponsored by this organization.

Digital Signature: Date:

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