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Online Adoption Application
Home
Online Adoption Application
Applicant's Full Name
*
First and Last
Employer/Occupation
Applicant's Email Address
*
Applicant's Primary Phone Number
*
Format: 000-000-0000
Secondary Phone Number
Format: 000-000-0000
Street Address
*
Address Line 2
City/Town
State
Zip Code
County
Name of Spouse/Co-Applicant
(if applicable)
Employer/Occupation
How many adults live in the home?
Name(s) of any other adults (over 18) living in the home
Number of children in the home
*
Ages of children in the home
Have you applied with GABR previously?
Yes
No
I can't remember
Veterinary History
Name of Veterinary Clinic
Phone Number
Format: 000-000-0000
Name/phone of any other clinics used
Note: we are required to confirm your records for the past 5 years
What happened to your last pet?
Under what name are your veterinary records listed?
Example: Maiden name, former spouse's name, etc.
Name/phone of any groomers used
How Many Pets Owned in Past 5 Years?
Do not include family pets that are not owned by you personally.
Have you owned a Boxer before?
Yes
No
What happened to him/her/them?
Past Pets
Please provide details about any other pets owned in the past five years
Name/type/what happened
About Your Search for a New Friend
Preferred Sex
Male
Female
Preferred Age Range
Puppy (up to 1 year)
Young Adult (1-4 years)
Middle-Aged (5-8 years)
Senior (9+ years)
Doesn't Matter
Where will your dog sleep?
Indoors
Fenced Yard
Crate
Basement/Garage
Tethered
Kennel
Other
If "other," please explain
Preferred Color
Fawn
Brindle
White
Where will the dog spend most of each day?
Indoors
Fenced Yard
Crate
Basement/Garage
Tethered
Kennel
Other
If "other," please explain
How many hours will dog be alone each day?
About the Home
Do you live in a . . .
Single Family Home
Duplex
Apartment
Trailer
Condo
Other
Previous address
Do you have an outdoor kennel run?
Yes
No
If yes, state kennel size
Do you own any other dogs?
If yes, fill out section below
Yes
No
What are your plans for the new dog?
Pet
Guard
Hunting
Protection
Service
Breeding
If other, please explain below.
Do you . . .
Rent
Own
Is your yard fully fenced?
Yes
No
If yes, what type of fencing do you have?
4-foot wooden/vinyl/chain link
6-foot wooden/vinyl/chain link
Other type of physical fence
Invisible fencing, installed myself
Invisible fencing, installed by a professional
If your yard is not fully fenced, how will exercise/toilet be handled?
Do you agree to the following?
Provide Timely Healthcare for Dog?
Yes
No
Contact your veterinary clinic within 24 hours to authorize the release of your records?
Yes
No
Allow one of our volunteers to visit your home to assess your home's suitability?
Yes
No
Keep license and ID tags on the dog at all times?
Yes
No
Restrain Dog in Open Vehicle?
Yes
No
Return the dog to Boxer Rescue if you can no longer keep the dog for any reason?
Yes
No
Your Thoughts On . . .
Crate Training
Please share your philosophy on crate training
Obedience Training
Please share your philosophy on obedience training
Why do you want a Boxer?
Anything else you'd like to share?
Help us get to know you better!
Would you be willing to consider fostering in the future?
Yes
No
Past & Current Pets
Pet #1
Name of pet #1
Age of pet #1
Is pet #1 fixed?
Yes
No
Breed of pet #1
Sex of pet #1
Male
Female
Pet #2
Name of pet #2
Age of pet #2
Is pet #2 fixed?
Yes
No
Breed of pet #2
Sex of pet #2
Male
Female
Pet #3
Name of pet #3
Age of pet #3
Is pet #3 fixed?
Yes
No
Breed of pet #3
Sex of pet #3
Male
Female
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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Your Name
Today's Date
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