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Fostering Membership

Welcome to our online membership form!

We’d love to add you to our BCCR foster family. Please note this application form must be completed in its entirety. Incomplete applications can not be processed. If you are having problems filling this out or reading our Code of Ethics (COE), please contact us for assistance.

What’s next after submitting this form? You should hear from us within 48 hours verifying we have received your application. Your application will then be looked at and sent to our management team for approval. You will be notified of your acceptance and sent a link to join our Google chat list.

Remember, upon submitting this application, you are also accepting our Code of Ethics Please make sure you read and understand them thoroughly.

Please write us if you have any questions. We look forward to having you as a member!

Step 1 of 7

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Today's Date
MM slash DD slash YYYY
Please provide the following contact information:
Name*
First Middle Initial Last
Spouse's Name

(if applicable)
Name of Employer

(if applicable)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone
(optional)
Work Phone
(if applicable)
Email*

Is this a family membership?
- Yes
- No
- N/A
Your Age
(Note: If under 18 you must have a guardian's consent)
Age*
Please check what your interests are and tell us about your experiences? What areas would you like to help the BCCR in?
(check all that apply)
- Fundraising
- Membership & adoption interviews / homechecks
- Transport
- Mail outs / Phone
- Research / Marketing
- Website support or database maintenance
- Resource contact for shelters and/or other rescue organizations
- Public relations and advertising
- Add to email mailing list
- N/A - add to email mailing list only
- Other - please let us know below
Other comments or thoughts on helping the BCCR:
Can we contact you when we are in need of help and do you have a vehicle if we need help with transport?
Please note: in order to be a BCCR foster home, a vehicle or consistent / available transportation is required (for vet visits, etc).

Do you want to be notified of BCCR events?
- Yes
- No
- N/A
Do you support spaying and neutering of pets?
- Yes
- No
Do you have any pets?
*
- Yes
- No
Please provide breed, sex, age, and name of your dogs (and/or other pets):
Are your pets up-to-date on their vaccinations?
- Yes
- No
Please explain why your pets are not up-to-date on their vaccinations.
Are your pets spayed / neutered?
- Yes
- No
Please explain why your pets are not spayed / neutered?
Have you ever bred your pets?
- Yes
- No
Please explain why you bred your pets.
Have you had any previous pets?
*
- Yes
- No
What happened to your previous pets?
Name of Veterinarian
Veterinarian Name
First Last
Veterinarian's Title
Veterinarian's Organization
Veterinarian's Phone
Veterinarian's Website

Personal Reference 1
Name*
First Last
Relationship*
Home Phone*
Email
Personal Reference 2
Name*
First Last
Relationship*
Home Phone*
Email
What Humane Society or SPCA are you located near and do you have an established relationship with them?
Do you work with any other rescue groups or animal related organizations who we can contact for a reference?
If so, please list group(s) and contact information. Do we have permission to contact them?

Information specific to fostering
Tell us about your household and why you choose to foster a Chihuahua.
Are you willing to permit a home check by a BCCR representative?
- Yes
- No
Do you have any long range plans within the next year that might affect your ability to foster?
Your preference is to foster?
- Female
- Male
- Either
What age are you willing to foster (choose all that apply)?
- Puppy
- Adult
- Senior
- Any
Are you willing to foster an animal that has special needs? (health, diet, training, other)
- Yes
- No
Any problems not accepted?
Are you prepared to keep the foster dog for an indefinite period of time, until the dog can be placed into an approved home?
- Yes
- No
Are you aware that you must provide safety to both the rescue while in your care, and you are responsible for his/her behavior while in your care?
- Yes
- No
Are you aware that you need to seek approval from the directors prior to any medical care with the exception of emergency care and that you must provide receipts?
- Yes
- No

Do you understand that you will be asked to take part in your foster dog’s adoption and required to interview any suitable adoption applications?
- Yes
- No
Do you understand that should you find a suitable adoption applicant that you must submit the application along with your recommendations for acceptance to the directors of the BCCR?
- Yes
- No
Your residence (check all that apply):
- Own
- Rent
- Single Family Home
- Apt/Condo
- Townhome
- Mobile Home
- Trailer/RV
- Farm
- Other
If renting, do you have permission to keep pets in your home? Can you obtain a letter stating this?
Do you have home owners insurance? Will it cover you and your family for fostering?
- Yes
- No
If fostering, do you agree to do so at your own risk?
- Yes
- No
Approximate size of the living area:
Approximate size of fenced area:
If there is not a fenced yard, will you provide leashed walks:
- Frequently
- Occasionally
- None
How do you plan to housebreak the dog if it's not already housebroken?

Children in your household? Please provide the number and their ages. How do they relate to pets?
Other residents - please list the names and ages of all co-habitants or others who frequently share your premises and/or fenced yard:
Are all members of your household aware that you will be fostering?
Do all family members approve of you fostering for the BCCR?
How many hours a day will the foster(s) be left alone?
Where will the dog be kept when alone?
(Please be specific - i.e., crate, room, run of house etc). Include day vs at night and when the family is home.
If there is any aspect of your home that a puppy could affect (white carpet, antiques etc) -- please identify.
What is the level of activity in your household (choose all that apply)?
- Laid back
- Constantly on the run
- Physically handicapped
- Other
Please describe activity level.
Are you away for extended periods?
- Yes
- No
If so, will you:
- Board
- Hire a sitter
- Take the foster with you
If you have children in the household, how much of the responsibility will your child be given for the care and management of the dog?
- Maximum
- Some
- Minimal
- None
How much adult supervision will be provided when the dog and child are together?
- Maximum
- Some
- Minimal
- None
If there are no children in your household, how often will the dog come into contact with children?
- Maximum
- Some
- Minimal
- None
How many interactions will the animal have with visitors?
- Maximum
- Some
- Minimal
- None
Finally, please feel free to share any additional thoughts with us here. Thank you for applying for our fostercare program. We couldn't help them without you.
IMPORTANT INFORMATION - PLEASE READ
I, the undersigned, hereby certify that I am of legal age (older than 18) and that all statements made herein make full disclosure and are true. Should there be any change in the circumstances as stated above, I undertake to notify BCCR as soon as possible. I also understand that by submitting this application that I and the members of my household agree to the BCCR Code of Ethics. Download BCCR code of ethics.
I verify my understanding and acceptance of the above terms and conditions.
- Yes
- No
By submitting this form, you agree to all the above terms and conditions.
Email
This field is for validation purposes and should be left unchanged.

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BC Chihuahua Rescue

#38 - 3200 Island Hwy
PO Box 37046
Country Club PO
Nanaimo, BC V9T 6N4

BN# 85184 2831 RR0001

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