Please provide information about you:

Your full Name
E-mail Address
Occupation
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Daytime Phone # (with Area Code)
Evening Phone # (with Area Code)
Best time to call
Spouses Name
Spouse Occupation

Personal Reference
Phone # (with Area Code)
Relationship

Your Pet References

Reference who has known you and your pets
Relationship
Years Acquainted
Reference Phone #
Name of your Veterinarian
Veterinarian Phone Number
Date of Last Visit

Your Housing References

What do you live in a :  unanswered house in the country single family house in town condo townhouse apartment trailer other

If other please specify 

Do you rent or own your home:  unanswered rent own

If renting are pets allowed  unanswered no yes

Is there a weight limit   unanswered no yes

What is the limit: 

If renting, what is your landlord's Name and Phone Number

How long have you lived at this address ? 

If less than 2 years previous address

How many adults in the home 

How many children in the home 

The ages of the children          

Are any members of the household home during the day unanswered no yes

Do you have a fenced yard:  unanswered no yes

Type of fence:                  

Fence height:                   

What size is your yard     

If not fenced, how will you handle the dog's exercise and toilet duties

Do you have a separate kennel run   unanswered no yes

What size is your kennel 

Do you have a doggie door      unanswered no yes

Your Animal References

Do you have other dogs      unanswered no yes

What breed, sex, age, and how many do you have

Are they all spayed/neutered     unanswered no yes

Do you have any other animals/livestock and what are they

Are all your animal current on vaccines    unanswered no yes

How many dogs have you owned in the past 5 years

What happened to them (lost, stolen, given away)

If any died list age and cause

Have you owned boxers before   unanswered no yes

What are you plans for this dog   other pet guard hunting obedience

If other, please specify

Why do you think a Boxer Breed is the right breed for you

What sex do you prefer   no preference female male

Why           

What age do you prefer 

Why           

What is your color preference   no preference brindle fawn white

Where will the dog spend most of the day  other loose indoors crate basement garage fenced yard loose outdoors tied up outdoors kennel run

If other, please specify

How many hours will the dog be alone

Where will the dog spend most of the night  other loose indoors crate basement garage fenced yard loose outdoors tied up outdoors kennel run

If other, please specify

When your family is away from home overnight  or
on vacation, what will you do with the dog

Why do you feel that a Rescue Boxer is the right choice for you

Why do you feel that you are right the right choice for a Rescue Boxer 

What do you feel are any special considerations to consider when adopting a Rescue Boxer

Why do you feel you would like to acquire a Rescue Boxer at this time

Would you consider a special needs Boxer  unanswered no yes

Do you agree to pay the adoption fee      unanswered no yes

Do you agree to pay the spay/neuter fee  unanswered no yes

Do you agree to obey all leash laws         unanswered no yes

Do you agree to provide regular health
care for your dog(s)                                   unanswered no yes

Do you agree to return the dog to
Boxer Rescue if you can't keep it              unanswered no yes

Do you agree to a housecheck, prior to adoption   unanswered no yes

Have you or any member of your household ever been convicted of a
charge of cruelty to animals                     unanswered no yes

Are any such charges pending                  unanswered no yes

How did you hear about Boxer Rescue

 

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 Diamond Springs Boxer Rescue and further swear that all information contained herein is true and complete.

Please, it is very important that you Do Not Apply if you're not certain you are ready to adopt. The time and money spent to approve an application is better spent on our rescues. We work with a number of rescue groups and try hard to make the best possible placements for our rescues so be very specific about the type of rescue you are looking for or not looking for. 
(example- color, age, sex, temperament)