First and Last
Format: 000-000-0000
Format: 000-000-0000
(if applicable)

Veterinary History

Format: 000-000-0000
Note: we are required to confirm your records for the past 5 years
Example: Maiden name, former spouse's name, etc.
Do not include family pets that are not owned by you personally.
Past Pets
Name/type/what happened

About Your Search for a New Friend

About the Home

Do you agree to the following?

Your Thoughts On . . .

Please share your philosophy on crate training
Please share your philosophy on obedience training
Help us get to know you better!

Past & Current Pets

Pet #1
Pet #2
Pet #3
By applying for the adoption of a Rescue Boxer from Boxer Rescue, you hereby give your Veterinarians' and other references permission to disclose information to Boxer Rescue. By typing your name in the box below and submitting this application to Boxer Rescue, you are certifying that: - You are at least 21 years of age and living on your own. - You are financially and physically able to care for a dog. You understand that proper food and veterinary care can be costly and you are able to meet these requirements. - You understand that if the information contained herein is found to be false, your application can be refused or said dog adopted shall be relinquished to Boxer Rescue without a refund of monies paid. - You understand that should you adopt from Boxer Rescue, the adoption fee goes toward the cost of caring for all of the rescue dogs and that this fee is non-refundable

Signature & Date

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