Full Street Address:
Street Line 1:
Street Line 2:

City:
State:      Zip Code:

Home Phone:       
Fax Number:       

Email Address:

Are you a member of a Bullmastiff Club?  Select One Yes No
If yes, which Bullmastiff Club are you a member of?

Do you have Bullmastiffs of your own?  Select One Yes No
If yes, how many Bullmastiffs do you have and what are their ages?
Number of Bullmastiffs Own-------Ages of Bullmastiffs------Gender

Have you been involved in other Rescue efforts?  Select One Yes No
If yes, what were/are those efforts and your involvement?

Would you be able to foster a Bullmastiff for four (4) to six (6) weeks?  Select One Yes No

Would you be able to foster a Bullmastiff for longer than six (6) weeks?  Select One Yes No

Are there times when you would not be able to foster a Bullmastiff?  Select One Yes No
Please explain:

Medical and Veterinary expenses are reimbursed via the American Bullmastiff Association, Inc. Rescue Service (always keep your receipts).  Please contact the National Coordinator if you need more information on what specific expenses will be reimbursed back to you.

Would paying medical expenses for the Bullmastiff, then being reimbursed later be a financial hardship for you?  Select One Yes No

Would you be able to quarantine a Bullmastiff if necessary?  Select One Yes No

Do you have other animals in your home?  Select One Yes No
If yes, please describe what breeds and species:
Breed----------Species--------How Many of Each?

Are your animals' vaccinations up-to-date? Select One Yes No N/A

Do you have children?  Select One Yes No
If yes, please list their ages:

Would you be willing to housebreak and crate train a fostered Bullmastiff?  Select One Yes No

Would you be willing to feed the fostered Bullmastiff top quality dog food at your own expense?  Select One Yes No

Where will the foster dog stay while you are at home?

Where will the foster dog stay while you are not at home?

Would your vet be willing to offer a discount for service on a Rescued Bullmastiff?  Select One Yes No

Please enter the contact information for the Veterinarian Clinic you plan to use for the fostered Bullmastiff:
Name of Clinic Name of Vet Phone Number Mailing Address

May we visit your home to verify the premises of where the Bullmastiff will be staying while in foster care?    Select One Yes No

I agree to provide an optimum environment for the care, safety, and rehabilitation of the Bullmastiff in foster care.  I agree that I may be responsible for the placement of a fostered Bullmastiff into a qualified, caring home.  I agree to abide by the policies and procedures established by the Bullmastiff Rescue Organization I am enrolled with for conducting this rescue effort.

I hereby agree to hold any Bullmastiff Rescue Organization or other Bullmastiff Rescue Individual harmless from any act or future act of any Bullmastiff taken into my care and from any resulting financial obligation resulting from said acts or acts.

Applicant Signature

By entering your Date of Birth, you attest that you are at least 21 years of age: 
Date of Birth 

Applicant Signature 

By entering your Date of Birth, you attest that you are at least 21 years of age: 
Date of Birth 

(If there are two responsible adults in household, both must sign as an applicant.)

Please press the button where you would like to have your application sent to: