Adoption Application

Attn: Applicants

Please fill out the application thoroughly. If a question does not apply to you, please use "N/A" in the response. Applications with missing responses will not be accepted.

Applicant Information

First and Last
Format: 000-000-0000
Format: 000-000-0000
(if applicable)

Personal Reference Information

Format: 000-000-0000

Veterinary History

Format: 000-000-0000
Note: we are required to confirm your records for the past 5 years
Example: Maiden name, former spouse's name, etc.
Do not include family pets that are not owned by you personally.

About Your Search for a New Friend

About the Home

If yes, fill out section below

Do you agree to the following?

Your Thoughts On . . .

Please share your philosophy on crate training
Please share your philosophy on obedience training
Help us get to know you better!

Past & Current Pets

Current Pet #1

Current Pet #2

Current Pet #3

Current Pet #4

Past Pets

Name/type/what happened

Signature and Date

You're Almost There!

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

First and Last
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