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 below: