Foster

Thank you for your interest in fostering an Akita.

Neither BIG EAST AKITA RESCUE, Inc. (B.E.A.R.), nor its volunteers, coordinators, representatives, Internet Service Provider and its officers, employees, contractors and representatives; and any other person, firm or corporation involved with the efforts or business of this corporation, shall be held liable or responsible for any claims or causes of action incurred as a result of the provision or restriction of information, services, contacts, adoptions, fostering, veterinary care or by the actions of any and all dogs transferred or referenced herein.

Please note that foster applications will only be accepted from persons 18 years old or older.

Or if you prefer, please download the foster application form.

Date

BEAR rep you've contacted, if any

Specific Akita on website that you're interested in

First Name

Last Name

Address 1

Address 2

City

State

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Zip / Post Code

Phone

Email*

Have you contacted another rescue group? If so, please list the group name, contact person, and phone number.

Describe the type of Akita you are looking for

Have you owned dogs before?

Yes

No

How many?

Any Akitas?

Yes

No

Any large dogs?

Yes

No

What happened to them?

Why do you want an Akita?

When are you looking to adopt?

Right awayIn a few weeksOver a month

Did you realize... [select for YES]

Akitas cannot ever be off leash in an open area (such as a park, street, unfenced yard?)

Akitas are dog aggressive and normally do not get along with dogs of the same sex?

Akitas have a strong prey drive and can hurt small animals such as rabbits and cats?

Akitas CANNOT be tied out in the yard?

Akitas blow their coats twice a year?

Akitas are naturally dominant and must go to obedience training with their owner?

Akitas normally live to be 10-15 years old and need a commitment for that long?

Do you still think the Akita is the right dog for you?

How long have you lived at your current address?

Do you own your home?

Own

Rent

Plans to move?

Yes

No

When and where to?

If renting, does lease permit large dogs?

Yes

No

Landlord Phone

Size of property's lot

Is lot fenced?

Yes

No

Fence material and height

Crate available?

Yes

No

Kennel available?

Yes

No

Are you willing to buy a crate or a kennel?

Yes

No

Number of people in the house and their relationship to you

Number of children and ages

Are children dog-trained?

Anyone allergic to dogs?

Anyone afraid of large dogs?

How do the children react to dogs? ntitled

Other children or relatives w/children who visit frequently?

Other pets in the house?

If other dogs in the house, list breed/sex/age/temperament

Potential problems with current pets?

Will the Akita be in contact with any other pets? Explain.

How much time will be spent with the Akita on weekdays?

How much time will be spent with the Akita on weekends?

How many hours will the Akita be left alone daily?

Do other people come in and out of your home when you are not there?

Yes

No

Explain circumstances where people are in and out of the home when you are not there

Where will the Akita be when you work?

Where will the Akita sleep?

When will the Akita be outside?

Will the Akita be tied out?

Yes

No

How often will the Akita be walked?

Where will the Akita be walked?

Who will walk the Akita?

How often will the Akita be played with? Who will play with the Akita?

How often will the Akita ride in the car?

Will the Akita be crated or restrained in the car?

Where will the Akita be when you are away overnight?

Will you take the Akita to obedience training?

Yes

No

Unusual circumstances the Akita will need to adapt to?

Other comments regarding daily routine

Your Employer First Name

Your Employer Last Name

Employer Phone

Employer Address 1

Employer Address 2

Employer City

Employer State

Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Employer Zip Code

Years at current job

Occupation

Current veterinarian

Veterinarian Phone

Local animal control or shelter

Animal control/shelter Phone

Current trainer

Trainer Phone

Personal reference 1

Personal reference 1 Phone

Personal reference 2

Personal reference 2 Phone

Do you feel financially able to care for an Akita for its lifetime?

Yes

No

Do you feel physically able to care for an Akita for its lifetime?

Yes

No

Have the police ever been at your home for any disturbances?

Yes

No

Do you, or does anyone in your family, have a history of animal, child, or spousal abuse?

Yes

No

Please list any additional information regarding your home that has not been covered.

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