Adoption Application

Your answers to the application questions are essential to help us find the best match for you and your family. Please remember that we receive many applications and your answers really help us determine if you are that home the dog needs. Please answer questions with detail and pertinent aspects of your ability to care for the particulr dog for which you are applying.

We are all volunteers and working hard for the Boxers. Please allow us some time to review and process applications. Thank you for choosing to adopt!

Name*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

*WE CANNOT ADOPT OUR DOGS TO RESIDENTS IN THE STATE OF MASSACHUSETTS.

Your application can not and will not be processed.

Email Address*

Age*

Primary Phone*

Mobile Phone*

Employer*

Occupation*

How Long at this Job?*

Your Spouse/Partner/Roommate

Name

Primary Phone

Email Address

Age

Employer

Occupation

How Long at this Job?

Please list any other adults residing in the home with you. Include their name, relationship to you and age.

Children in the home (Please list all that live in the home full or part-time)

Name

Age

Name

Age

Name

Age

Name

Age

Do you understand that all young children should be closely monitored and never left alone unsupervised with a dog?

Are you willing to work with your children to teach them how to properly interact with a dog?

Your Home & Yard

Our residence is a:

Do you have a yard or property? Please provide approximate measurements.

Do you have a fence or fenced in area on your property? Please tell us the approximate size of the area, the height and the composition of the fence (vinyl, split rail, chain link, etc).

Please tell us about your neighborhood.*

Do you Rent or Own?

If you rent, do you have permission to have a dog?

Landlord's Name

Landlord's Phone

For renters: Do you have any restrictions as to breed, size or weight with your lease?

Your Current Pets

Name

Type / Breed

Gender

Age

Spayed / Neutered

Shots Up To Date

Heartworm Preventative

Name

Type / Breed

Gender

Age

Spayed / Neutered

Shots Up To Date

Heartworm Preventative

Name

Type / Breed

Gender

Age

Spayed / Neutered

Shots Up To Date

Heartworm Preventative

Name

Type / Breed

Gender

Age

Spayed / Neutered

Shots Up To Date

Heartworm Preventative

Your Veterinarian

Name

Office Phone

Address

City/State/Zip

General Questions

Have you had a dog before? If so, what breed/gender/age?*

Does anyone in your household have allergies? If so, please describe*

Who will be primarily responsible for the daily feeding, exercise and vet visits for the dog?*

How many hours per day will the dog be home alone?*

Where will the dog be while home alone?*

Where will your Boxer sleep at night?*

What areas of your home will be off-limits to the Boxer?*

How many hours per day will the dog be outside unsupervised?*

What are the laws in your community for dog ownership?*

Have you ever surrendered a dog to a shelter or rescue? If so, please explain*

New Life Boxer Rescue has positive working relationships with many other rescues in the north east. Please tell us if you are currently working with or are approved with any other rescues.*

Why a Boxer?

Have you owned Boxers before?*

What do you know about the Boxer breed? Please elaborate and kindly refrain from typing the word "everything".*

Why have you chosen to adopt a rescue Boxer?*

What health issues common to Boxers are you familiar with?*

Are you willing and prepared to incur the potential veterinary expense associated with such conditions?*

How will you exercise your Boxer? How often? What family or individual activities will the dog be included?*

Which of our available dogs are you interested in?*

What gender/age/color dog are you looking for?*

How will you train/discipline your dog?*

Describe your reaction if you came home to shredded curtains or scattered trash?*

Please tell us where the dog will stay while you are on vacation or otherwise away from home and the dog cannot accompany you.*

Your Plans

Are you certain that you are ready to make the life-long commitment to owning a dog? What makes you think so?*

Are you certain that you are financially ready to take on a dog’s feeding and veterinary expenses?*

Will you agree to return/surrender the dog back to New Life Boxer Rescue should you not fulfill the requirements of the Adoption Contract or should the placement not work out?*

Are you aware of New Life Boxer Rescue’s $400 adoption donation and understand that it is a donation to the care of all the rescue dogs and not your dog specifically?*

Are you willing to make a commitment to this animal for the rest of his or her life?*

Do you understand that a dog will take time to adjust to its new surroundings and that certain behavioral issues might occur?*

Are you willing to allow a 30-60 day adjustment period for your new dog to adapt to your home, your family and any other pets?*

Personal References - Please note: Only one family member or relative may be used as a reference

Reference 1: Name

Address

City/State/Zip

Home Phone

Cell Phone

Relationship

Reference 2: Name

Address

City/State/Zip

Home Phone

Cell Phone

New Life Boxer Rescue views each adoption on a case-by-case basis, matching the temperament of the new dog to all resident dogs which may result in placement of opposite sex dogs only.

By submitting this form, I certify that the information I have provided is true and correct and that I am physically and financially able to care for a dog. In addition, I acknowledge that my adoption donation in its entirety, goes to the care of all dogs within the rescue and is NON-REFUNDABLE.

Enter the message as it's shown*

Name

First NameLast Name