Adoption Application

Is there a particular boxer you are interested in and why? *

Why do you want to adopt a boxer? *

YESNO

Do you have any upcoming travel plans? If so, when, and for how long?

Full Name*

First NameLast Name

Name of Spouse/Significant Other:

Street Address*

City*

State*

Zip Code*

E-mail*

Primary Phone Number*

Area CodePhone Number

Alternate Phone Number

Area CodePhone Number

Date of Birth*

Date of Birth of Spouse/Significant Other*

YesNo

If there are other adults in the household, please list them below

OwnRent

If you rent, please list your landlord or property owner's contact information below:

How long have you lived at your current residence?*

YesNo

What will happen to your pet if you move?*

YesNo

If you have children, please list their names and ages

Child #1:

Child #1 Age:

Child #2:

Child #2 Age:

Child #3:

Child #3 Age:

Child #4:

Child #4 Age:

Child #5:

Child #5 Age:

YesNo

If not, how will you teach your children the correct way to interact with your pet?

YesNo

If you have dogs, please fill in the dog information for each:

Dog #1 Name/Breed:

Dog #1 Age:

Dog #1 Gender:

Dog #1 Temperament:

Dog #2 Name/Breed:

Dog #2 Age:

Dog #2 Gender:

Dog #2 Temperament:

Dog #3 Name/Breed:

Dog #3 Age:

Dog #3 Gender:

Dog #3 Temperament:

YesNoDon’t Own Other Pets

If your pets are NOT spayed/neutered-please explain why?

YesNoDon’t Own Other Pets

Name of past & present Veterinarian and PHONE number(s):*

YesNo

If you have other pets, please fill in the Pet information for each pet (cat, bird, etc.), age, and gender:

Pet #1:

Pet #1 Age:

Pet #1 Gender:

Pet #2:

Pet #2 Age:

Pet #2 Gender:

Pet #3:

Pet #3 Age:

Pet #3 Gender:

YesNo

If they are not still with you, please explain in detail why:

YesNo

YesNoOther

YesNo

What type of fencing do you have?

What would daily exercise be like for a boxer in your home?*

Where will your boxer be kept during the day when you are unable to be at home (free roam of house/crate/room/fenced area)?*

Where will your boxer sleep at night?*

Who will feed/ train / care for a boxer in your home?*

What is your occupation/employer? *

How long have you been working at your current job? *

How many hours per day does your job take you away from the house? *

What is the maximum number of hours per day you are comfortable leaving a boxer alone for without a break?*

Are you able to provide breaks for your boxer during the day? What would those breaks look like? *

YesNo

Why do think you would be a good match for one of our rescued Boxers?*

What research have you done on the Boxer breed, such as health risks and personality traits?*

YesNo

What is your training philosophy? How do you plan on training your boxer? *

Are you familiar with the term DECOMPRESSION PERIOD? If so, please tell us how you feel it relates to adopting a boxer, or any dog, for that matter. *

What types of behaviors do you deem unacceptable or would have a hard time tolerating? *

YesNo

If yes, please list the rescue(s) here:

Do you have a gender preference and why?*

YesNo

If yes, please explain in detail

Under what circumstances would you not be able to keep your new dog?: (Examples: new baby, divorce, marriage, new pet, illness, moving, etc)*

Please list 3 personal references whom you have known for at least 2 years (include phone # and email address).

YOU MAY ONLY LIST ONE FAMILY MEMBER AS A REFERENCE; The other 2 references need to be non-related.

**PLEASE NOTE WE CAN NOT COMPLETE YOUR APPLICATION WITHOUT REFERENCES**

Reference #1 Name/Relationship *

Reference #1 Phone Number*

Area CodePhone Number

Reference #1 Email*

example@example.com

Reference #2 Name/Relationship *

Reference #2 Phone Number*

Area CodePhone Number

Reference #2 Email*

example@example.com

Reference #3 Name/Relationship *

Reference #3 Phone Number*

Area CodePhone Number

Reference #3 Email*

example@example.com

How were you referred to The Boxer Rescue, Inc?

If you are approved to adopt; are you willing to assist in transportation to your home?*

YesNo

Additional comments or anything you'd like us to know.

Enter the message as it's shown*

The Boxer Rescue, Inc. Online Adoption Application