Adoption Application

"The chase" Photo by: Padraicyclops

"The Chase" Photography by:
Patrick McArdle

PERSONAL INFORMATION

Address
City
State
ZIP code
Home Phone
Cell Phone
E-mail

Best Time to Reach You
and which number
Occupation
Employer
How long at current job

Spouse/Partners Name

Please list the NAMES and AGES of all person's OVER 21 living in the home including yourself Please list the NAMES and AGES of all full-time and part-time residents who are UNDER 21 of age Year of Birth
If children are present in the home, have they ever been exposed to dogs before

Is there anyone in your home with animal related allergies. If so, please explain
Have you or anyone in your home and/or immediate family ever been charged with or convicted of cruelty to animals
Are any such charges pending Gender
Name
Address
City
State
ZIP code
Home Phone
Cell Phone
E-mail

Personal References for you and/or your partner (NOT related to you please). Please provide the contact information of your current veterinarian. If you do not have any pets currently, but did, please provide your previous veterinarian information.
Personal Reference #1:
Relationship
to Applicant
Years acquainted

Name
Address
City
State
ZIP code
Home Phone
Cell Phone
E-mail

Personal Reference #3:
Relationship
to Applicant
Years acquainted
Name
Address
City
State
ZIP code
Home Phone
Cell Phone
E-mail Personal Reference #2:
Relationship
to Applicant

Name
Address
City
State
ZIP code
Home Phone
Cell Phone
E-mail Veterinarion Information: Years acquainted
Years acquainted

The Boxer Rescue, Inc.
Adoption Application
REFERENCE INFORMATION
DESCRIPTION OF YOUR HOME
What kind of home do you live in
Do you own or rent
If you rent, please provide the name, phone number and address of the landlord

Name
Address
City
State
ZIP code
Home Phone
If you live in a condo/townhouse or apartment complex is there a weight or breed restriction. If so, what is the weight restriction

Weight restriction
List breed restrictions, if any
How long have you lived at your current address
Are you planning on moving within the next year
If yes, please explain

Address
City
State Previous address if less than 2 years at current address

If yes or partial fencing, please provide approximate measurements, height and type of fencing
What are the requirements of dog ownership in your City/Town ( I.e. licensing, rabies, leash laws, etc.) Do you have a fenced in yard where you presently live that is secure for a dog

Do you have a kennel run
What kind of neighborhood do you live in
PETS IN THE HOME
Breed
Gender Please list the names, breed, gender, age and whether or not your pet is up to date (UTD) on their vaccinations
Name
UTD Age Breed
Gender Name
UTD Age Breed
Gender Name
UTD Age
Heartworm

If so, what brands Are all your animals on heartworm preventative Are all cats spayed or neutered Are all dogs spayed or neutered
Flea/Tick
How many dogs have you owned in the past 5 years
When your family is away from home overnight or on vacation, what will you do with your dog What happened to your last dog
What do you know and what have you learned about the Boxer breed Have you ever owned a Boxer If your last dog was given away, please explain in detail and indicate the name, address and telephone number of the person to whom the dog now belongs
If in doors alone
(free roam, crate, limited space) Would you consider adopting a dog with a permanent medical condition
(blind, Colitis, etc.)
Where will the dog spend
most of the day Address
Phone Name
Would you consider adopting a deaf dog

Would you consider adopting a dog with a treatable medical condition (example: heartworm)

If you work full-time, how will you handle bathroom breaks for the dog
How will you exercise the your dog Where will the dog sleep How many hours will the dog
be alone each day
How will you discipline your dog
If the dog has destructive behavior, how will you handle this (i.e. chews on shoes, a couch, gets into garbarge)
Are you currently working with any other Boxer rescue Are you willing to attend professional obedience classes with your new dog if required
What brand of dog food will you feed your dog
If so, which one Would you like recommendations on dog food
Please tell us how you heard about our organization
The Boxer Rescue, Inc. Name
Are all your animals on flea and tick control
City Why did you give the dog away
State Have you ever surrendered an animal to a shelter or rescue? If yes, please explain
NOTE: The Boxer Rescue WILL NOT adopt out a Boxer dog to a home that has intact animals nor will The Boxer Rescue adopt out a female if there is another female dog present in the adoptive home. Please see frequently asked questions on two females living together.
If you have to move in the future, what will happen to your dog?
Why do you want a Boxer
Describe the kind of dog you are looking for (gender, coloring, style of ears and tail)
What age dog where you looking for, why that age
What are your plans for this dog Why would you like a dog at this time
Please understand that our organization is made up of volunteers. Our adoption approval process generally takes 2-3 weeks to complete. Dogs that appear on our website today may not be available by the time the approval process is completed and you are approved. Please list the names of any current dog on our website that you may be particularly interested in
Dog #1 Dog #2 Dog #3
Are you willing to hire a dog walker or take the dog to doggie day care if the dog is going to be alone more than 6 hours per day
Have you ever been to obedience training with your dog
Would you like a referral for an Obedience Trainer
Would you like a referral for a Dog Walker
Have you ever house trained a dog
If so, please desribe the medhod used
Why do you feel a Rescue Boxer is right for you
Further Comments or additional information that you feel might help us to find the right Boxer for you
Feedings per day Feeding Amount How many times per day will you feed the Boxer, and how much per feeding?
How much do you think it will cost per month to feed the dog How much costs do your think are involved in routine veterinary care for the dog
What other expenses would you expect to pay
What kinds of behavior and what other reasons would you made to get rid of the dog

When you click on the "Submit Adoption Application" button at the end of the page, you are stating that you agree to the following conditions of our application process.

                1.             I agree to have the dog neutered/spayed within 30 days of the adoption if not already done.
                2.             I agree to keep a current license and ID tags on the dog at all times
                3.             I agree to provide timely health care for the dog.
                4.             I agree to return the dog to The Boxer Rescue if i can no longer keep or care for the dog.
                5.             I agree to allow a Volunteer of The Boxer Rescue to visit my home prior to the adoption
                6.             I agree that this application is a valid and legal substitution for my written signature.
                7.            I am financially and physically able to care for a dog.
                8.             I certify that the information contained herein is true and if found to be false, my application can be refused by TBRI
                                   and /or TBRI may reclaim their Boxer without a refund of monies paid.

NOTE:

The average time it takes to process an adoption application is 2-3 weeks which includes screening by our volunteers, a phone interview, reference checks and a home visit. If you have previously fostered a dog for The Boxer Rescue, you do not need to fill out the entire application below, but we would like you to fill out an update. Please email adoption@theboxerrescue.org to obtain a form. Applications MUST be 21 years of age or older. Anyone that is filling out an application who is living with their parents will need parental permission. The Boxer Rescue operates in Massachusetts, Rhode Island and Connecticut.

IMPORTANT NOTICE: We suggest that you print out a copy of this entire application in case you experience any problem submitting it. If you do not receive a confirmation form, please hit the “back” button and try to submit the application once again.

I understand that by filling out this form, The Boxer Rescue, Inc. is not obligated to accept my application to adopt a Boxer. I understand that a TBRI volunteer will be in contact with me within 24 hours to discuss the information on this form.

Please submit your application by clicking once on the "Submit Adoption Application" button at the bottom of this page.

By hitting the "Submit Adoption Application" Button you agree to the above terms.

Are you financially able to care for a Boxer Dog which includes feeding, grooming, vet bills, dog walker (if necessary), etc. Employment Reference
Employer
Address
City
State
ZIP code
Employment
Contact Name
Employment
Contact Number
May we contact your employer

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