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how our process works, adoption applications, surender forms...

PLEASE READ THIS ENTIRE PAGE 
BEFORE 
YOU BEGIN TO FILL OUT ANY OF THE FORMS HERE.  
thank you.



Please cut/paste this application into an email
then fill out APPLICATION completely
And then email to us for review.

We will contact you with any questions.
 

NOTE-applications with missing replies or Incomplete areas will not be considered- Please, check your application over And make sure each question is thoroughly answered. Application is to be completely filled out With no unanswered areas or blanks, Incomplete Applications are automatically declined We reserve the right to inspect your home, Call your vet, references and landlord in effort to obtain an informed Decision regarding your Application/adoption approval.

Please understand that filling out this questionnaire does not guarantee that you will adopt a pet from boxer rescue. Each adoption is at the discretion of the adoption committee, which strives to place a particular pet with the most suitable home, regardless of previous applications.

Once we review your application and verify your references We will contact you to discuss the right boxer dog for you.

Thank you so much for helping us save lives.

BOXER ADOPTION APPLICATION
_____________

Please fill in all areas on this form.  
________________

Today's DATE: ____________

Boxers and More Adoption Application
Please fill out ALL questions. If any question does not apply, write “N/A”.

About You:

Your Name ___________________

Email: (name@domain.com)______________________

Home Telephone: (include area code) ________________

Work Telephone: (include area code) __________________

FAX: (include area code) ___________________

Cell:(include area code) _______________________

house number and street Address: _________________________

City/Town:________________ State/Prov.:________________ Zip Code:________________________________________

PLEASE NOTE: We work only within the

Northeastern states of the USA

including the New England States, NY, NJ ;

Applications submitted from outside these

states cannot be considered.

Your Occupation:________ employer:_________

How long employed with current employer?_________________

Spouse/Significant Other's Name: _______________________

Spouse/Significant Other's Occupation: ____________________

How long employed with current employer?________________________

List any Humane Societies, Organizations, Breed

or Training Clubs you are associated with:

How did you hear about Boxers n more Rescue?____________________

Are you currently working with any other dog rescues? _____________________

If yes, please provide the name,__________

phone number ____________

email address ___________

so we may collaborate our efforts.

About Your Home:

HOUSEHOLD INFORMATION

Do you live in:(pick one)

Rent Apartment-Own Apartment -Own Home

Other (specify)

What floor do you live on? ________

Do you have a deck or terrace? __________

If yes does it have rails or provisions to keep dogs from falling off?___________

If you rent, please provide your landlord's

contact information & copy of your lease so

that I may verify that you are allowed

to have a pet.

Landlord name, address & phone number. ____________________________

phone number and address of landlord______________________________

-If you own your home can you provide proof of ownership?

- such as a copy of most recent property tax bill

or a home insurance cover page ? (yes/no) if no why not?

-If yes please include with application.

3. How long at current address (years/months)______________

3b. Are you planning on moving within the next year?______________

3c. If yes, please explain____________________

5. Is your yard fenced in securely for a dog?_______________

If yes, type of fencing: __________________

Please provide specific measurements______________________

6. Do you have a cable or kennel run?____________________

If yes, please describe cable run and provide kennel run measurements:_________

6b. If no to fenced yard, cable or kennel run,

how will exercise/toilet be handled?

(details please)_________________

6c. Do your neighbors have pets? ___________

This includes people next door, across the street,

and in your immediate surroundings such as your block.

If yes, please provide information as to type

including whether it is a cat or dog, breed, size,

temperament, if it is an outside or inside dog, etc._________________________________________________

____________________________________________________

7. Describes your daily routine at your home________________

how long are you gone____ ? is dog left alone_____________

where? ________how long?________________

Details please_________________________________________________

What are the requirements of dog ownership in your

community? (i.e., licensing, rabies, leash laws,

and number of dogs you may legally have)______________________________

Is everyone in the household aware of and agreeable to

your interest in fostering or adopting? _________________________

8. How many adults in house?

Please list names and ages of each adult in your home:_________________

____________________________________________________________

Any children in the home?_______________________________

Please list names and ages of each child in your home:

_________________________________________________

Planning on children in future? _____________________________

Within year? two years? three years or more? _________________________

Is there anyone in your home with animal related allergies______________

If so, please explain:________________________

Is there anyone in your home with a disability or

special needs that we should be made aware of their

condition?__________________

About Your Other Pets:

9. Do you own any other dogs?

If yes what types?___________ages?_____________ _________

Are they spayed or neutered? If not, why?__________________

10. Any other pets?______________________

do you own any livestock?____________________

List names, breed, age and sex of each

of your current pets &.or livestock

(cats, dogs, rabbits, horses, sheep etc.):

Pet #1

Pet #2

pet #3

Pet # 4

(list others on back if needed)

12. How many dogs & what types have you owned in the last 5 years?

13. What happened to your last dog?_______________________________

Please explain circumstances for above

and please provide specifics, including

name of dog, ________________________

breed, __________________________

what vet did you use?

vet name and contact phone number______________________

and any other pertinent specifics:

If your last dog was given away,

please indicate the name, phone number and address

of the person to whom the dog now belongs:________________________

Are all of your animals (dogs and cats) current on all vaccinations?_________

If not, why?________________________

Are all of your animals (dogs and cats) on heart worm preventative?_____________

What type? (please specify)________________

About Boxers:

14. Have you owned a Boxer before? _____________________

16. Why do you feel a Boxer is the right breed for you?________________

How have you educated yourself about the Boxer breed? Please specify.____________

17. List your life activities in which you would enjoy including your dog:___________

_______________________________________________________________

Would you accept a boxer mix? ________________

Would you accept any other breed/ or other breed mix of dog ?_________________

If so what kinds would you consider? _______________________

(we sometimes have other breeds available) 18. What kind of dog do you want?_________________

Sex: _____________Age:_____________________

Color (please check one for 1st choice, one for 2nd choice):

First choice: Fawn Brindle White/Check

Second choice: Fawn Brindle White/Check

or color doesn't matter- ___________

Is there a color you would not want and why?_____________________

Ears docked or natural:___________________

Tail: docked or natural__________________

Did you see a particular dog/dogs on the website that interested you?

If yes, which one:

1st Choice:________________ 2nd: ________________ 3rd:____________

About Medical Concerns:

A. Would you consider a special needs dog,

such as one that requires daily medication or one that is deaf?

B. Would you consider adopting a dog with a disability?

C. Would you consider adopting more than one dog?

____________________________________________________

Would you crop ears and dock tail if they were not already done?

Ears: Yes No Tail:Yes No

What is the oldest age you would consider?

About Living Environment:

NEIGHBORHOOD: Urban / Suburban / Rural?

19. Where will dog spend most of each day?

If indoors:

Please provide specifics on your answer provided above:

If outdoors describe specifics:

How many hours would dog be left outside per day?____________

where outside?_____________________________________

Where will dog sleep at night?______________________

Who will be in charge of the daily care of the dog?

Who will care for your pet during vacations?

If you don't usually use a crate, will you be willing

to use one if you get a dog that is used to being crated?

Is someone home at all times or

will the dog need to be alone for a portion of the day?

If someone takes dog out during day, is it:

Please explain your choice above and please

be specific by describing your work hours, etc.:

What will you do if your dog is destructive while left alone?

Do you plan to rough-house (play rough) with this dog?

Are you familiar with positive methods (no hitting) of dog training?

Do you want a trainer recommendation?

Who will care for your pets when you go away?

(professional pet sitter, Kennel, Vets, friend, neighbor, other)

if other specify __________

20. Where will dog sleep? (Please check all that apply)

Crate Dog Bed Family Member's Bed Basement Garage

Fenced Yard Outside Shelter Kennel Dog House

Please provide specifics as to dog's

sleeping environment to support your answers above:

About Exercise and Discipline:

21. How would you exercise the dog?

22. What is your definition of disciplining a dog?

Please provide examples:

Do you want a dog trained to stay off the furniture?

Have you ever obedience trained a dog before?

Are you willing to attend obedience classes with your dog?

Would you like a referral?

What are your thoughts on Obedience training?

List the types of behavior problems you consider NOT acceptable:

Have you ever taken one of your pets to a shelter

or given an animal away?

If so, please describe circumstances.

About Food and Expenses:

23. How much do you think it would cost to feed the dog on a weekly basis?

(Please explain)

What kind of dog food would you feed the dog?

If other (please specify):

Please indicate brand name you will feed the dog:

What would the dog's eating schedule be?

Plans for Dog:

24. What would you consider a realistic cost to properly

care for a dog for one year? (Please explain)

25. What other expenses would you expect to pay?

(Please explain and be as specific as possible)

26. Who is your veterinarian:

Vet's Address

Vet's Telephone (include area code)

If no regular vet, would you like a referral?

How long has this been your vet?

Do you give us permission to ask him/her

about your prior pet care/vet care history?

Yes, no, if no why...

(please answer yes no & sign here, thanks)________________

Miscellaneous:

27. What would you do if you could not keep the dog?

Please be specific:

What circumstances, in your mind,

justify getting rid of a dog?

At what point would you consider euthanasia

should your dog become ill?

28. by signing this adoption application you are

saying that you fully agree to the following:

You will return dog to Boxer Rescue

if you can no longer keep

or care for dog at any time in the future?

You will allow Boxer Rescue or one of it's volunteers to visit your

home prior to or after adoption?

29. Why have you chosen to get a boxer through rescue?

Please provide 3 personal references (not related to you):

Name, address, (Area Code) Telephone # , email, Relationship to applicant /Yrs known

1.______________________________________________________

2._______________________________________________________

3.________________________________________________________

Anything else that you think might help us find the right Boxer for you:__________

_________By initialing this line, you have indicated that

this is a valid and legal substitution for your written signature

on this legal document titled "Boxer Rescue Application".

___________By initialing this line, you are stating that

you are financially and physically able to care for this dog.

_________By initialing this line, you are stating that

You understand that proper food and veterinary care can be costly,

and as the adopting owner you are responsible for these

costs & able to meet these requirements.

__________By initialing this line, 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.

___________By initialing this line, you understand that

should you adopt from Boxer Rescue, the

non-refundable adoption fee goes toward

the cost of caring for all of the rescue dogs.

_________By initialing this line, You agree you are able to pay

the suggested adoption fee in cash at time of adoption

Suggested adoption donation/fees for mix breed $375.00

Suggested adoption donation/fee for young purebred boxer under 3 years $475

Suggested adoption donation/fee for purebred boxer-dogs 3+ years $375.

O I do understand there is an non refundable Adoption Donation
O I do understand the dog will be licensed and vetted as needed at my expense
O I will allow a representative of Boxer rescue to Visit my home
O I do agree to contact Boxer rescue and not re-home it myself if I can no longer keep the dog

 I heard of Boxer rescue by means of O Internet O Shelter O Poster O Friend O Petco O Other
Other (Please explain): ______________________

By Signing this form I represent that the information that I have provided on this form is the truth to the best of my knowledge and belief, and hereby give my permission for you to use any of the above information to confirm that all information provided is the truth. 

This means you give us your permission to call references and that you allow us to contact your vet and that you hereby give consent for your vet to release the information in your current/past pet's health files to us.
Please Print your name here: ____________________________________________

Sign your name here: _______________________

Print name of your spouse or partner here: _______________

Signature of spouse here: __________________________________

****REMINDER******

When submitting application please remember to include

your landlord's contact information & copy of your lease so that we may

verify that you are allowed to have a pet.

-If you own your home please provide proof of ownership:

- such as a copy of most recent property tax bill

or a home insurance cover page. 
_______

Our committee will go over your application,
Verify all references, vets and landlord/home ownership answers
 and we will notify you of their decision in a timely fashion.
Our adoption committee decisions are final.  

__________________ Please send your completed signed form & other requested documents to Boxerrescuevt@yahoo.com thank you. ========================================

ADOPTION APPROVAL PROCESS DETAILS;


Your adoption fee &/or donation will be applied towards 
the adoption of that pet, 
and help defray the expense of its initial rescue, 
daily care, social and physical rehabilitation, 
vet visits, transport to vets/foster homes, 
Obedience classes, food, cage, toys et...   
(All incoming rescued dogs spend a minimum 14 days in quarantine 
this gives us a chance to properly Vet, evaluate and care for it accordingly.)  

On day of your adoption pickup appointment
we prefer to set it up for early morning
at a local (to us) public place of our choosing
so our volunteers can get to their family & work
commitments.  Thank you for understanding.

__________________________________

BOXER RESCUE OF S VT -HOMEPAGE-


Please cut/paste this application into an email
then fill out APPLICATION completely
And then email to us for review.

We will contact you with any questions.
 

NOTE-applications with missing replies or Incomplete areas will not be considered- Please, check your application over And make sure each question is thoroughly answered. Application is to be completely filled out With no unanswered areas or blanks, Incomplete Applications are automatically declined We reserve the right to inspect your home, Call your vet, references and landlord in effort to obtain an informed Decision regarding your Application/adoption approval.

Please understand that filling out this questionnaire does not guarantee that you will adopt a pet from boxer rescue. Each adoption is at the discretion of the adoption committee, which strives to place a particular pet with the most suitable home, regardless of previous applications.

Once we review your application and verify your references We will contact you to discuss the right boxer dog for you.

Thank you so much for helping us save lives.