Adoption Application
Applicant Name
Complete Address
Home Phone Number
Work Phone Number
E-mail address
Have you contacted another rescue? If yes, please list the rescue(s) contacted.
Have you owned dogs before? If so, were any boxers?
Do you currently have any dogs?	yes no
If Yes, what breeds and ages?
Are they spayed and / or neutered? If not, please list reason(s) why.
Please list your veterinarian's contact information.
Any past dogs you don't currently own, please list the reason they're no longer with you.
Please describe the boxer you are looking for.
Why do you want to adopt a rescued boxer?
What are your plans for the dog? Pet, guard, hunting, obedience, show, etc...
Do you want	either female male
Do you have a color preference?	brindle fawn no preference white
What age of boxer are you looking for?
What is your housing situation?	own rent
If renting, please provide your landlord's contact information:
In which type of area do you live?	city country suburb trailer / housing park
Do you have a back yard?	yes no
What size?
Do you have a fence?	yes no
If yes, what type and size?
Do you have any intention to move in the forseeable future?
Do you have a kennel available?	yes no
Do you have a home crate available?	yes no
If no, do you intend to purchase one? Why or why not?
How many adults in your home?
How many children? What are their ages?
Are the children familiar with dogs?
How do they react to dogs?
Is anyone in your home (or frequent company) allergic to animals?	yes no
Do you have any other pets? Please list with details:
Will your boxer have contact with other pets?
Please list any potential problems your current pets may have with a new adoption.
Please describe what your boxer's daily routine would be on a weekday
How many hours will your boxer spend alone?
Where will your boxer be when you are at work / errands?
Please describe what your boxer's routine would be on a weekend.
How many hours will your boxer spend alone?
Please describe how you plan on exercising your dog.
Will your boxer be riding in a vehicle? If so, what kind, how often, and how will he/she be restrain
Where will your boxer stay if you were away? Short term / long term:
Are there any non-typical circumstances that your boxer will need to adapt to?
Do you agree to keep current ID AND license tags on your boxer at all times?	yes no
Do you agree to provide any necessary health care for your boxer?	yes no
Do you agree to notify and return your boxer to BRAC if you can no longer care for him/her?	yes no
Do you agree to a home visit prior to adoption, and a follow up visit after?	yes no
Do you agree to pay an adoption fee for your boxer?	yes no
Please list your occupation, employer and contact information.
What is the name of your local animal shelter?
Please provide a personal reference, with contact information:
Please provide a reference who knows you as a pet owner, with contact information:
Do you feel physically able to care for a boxer for his/her entire lifetime?	yes no
Do you feel financially capable to provide for a boxer for his/her lifetime?	yes no
Have the police been to your home for any disturbances?
Have you, or anyone in your household been charged with animal cruelty?
Please describe your intended method(s) of discipline:
What do you currently feed your pets?
Please list any other information you would like to tell us, or have us consider.
Are you aware that boxers are rough when playing, and can jump to greet people?	yes no
Are you aware that boxers drool and shed?	yes no
Are you aware that boxers are prone to separation anxiety, heart problems, and cancer?	yes no
Are you aware that boxers have a guarding instinct?	yes no
Are you aware that boxers are needy and require much attention and stimulation?	yes no
Do you still feel that a boxer is right for you?	yes no
If accepted, it is your responsibility to arrange to meet the boxer you have been matched with	I agree I do not agree
Is there a specific dog you are applying for? Please specify
Please type the text that appears in the picture below: