Louisiana Boxer Rescue Adoption/Foster Application
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Name *
Email *
Address
City
State
Zip
Phone
Do you want to ADOPT or FOSTER? *
Occupation
Do you live in a:
Clear selection
How many adults live in the home?
How many children live in the home?
Are there any family members who need special consideration for any reason? Please explain.
Do you own or rent your residence?
Clear selection
Renters are required to provide a landlord statement/lease agreement. Can you provide this?
Clear selection
Do you have a fenced yard, kennel, or run? *
Describe your fencing
If no fencing or kennel, how will exercise and potty time be handled?
Do you have any other dogs?
Clear selection
Breed(s) of other dog(s):
Are they spayed/neutered?
Clear selection
How many dogs have you had in the past 5 years?
What breeds and what happened to them?
Please list any other animals in the household, such as cats, livestock, etc.
Current Veterinarian Name, Phone Number: *
Other Veterinarians you have used Name, Phone Number:
Groomers you have used Name, Address, Phone:
Have you owned a boxer before?
Clear selection
Why do you want to adopt/foster a boxer?
What are your plans for this dog?
If Other, please explain:
Interested in a:
Do you have a coat color preference?
Age preference?
Where will the dog sleep?
What are your thoughts on obedience training classes?
What are your thoughts on crate training?
Other comments and information you feel would help us find the right Boxer for you, including more about your preferences and reasons for wanting a Boxer:
Personal Reference-Provide Name, Address, Phone, Years Acquainted *
Terms of Agreement: *
I hereby testify that I am financially able to care for this dog. I understand that proper food, veterinary care, bedding, toys and other necessary supplies can be costly and I am able to meet these requirements. I further testify that I am physically able to provide all necessary activities with my dog.

I understand that if the information contained herein is found to be false, my application can be refused or said adopted dog shall be relinquished to Louisiana Boxer Rescue without a refund of the Adoption Fee.

I understand there is an adoption fee of $275.00 (two hundred seventy five dollars) and adoption fees are non-refundable.

I have read, accept, and understand the terms of this agreement as stated above.

Required
This application and agreement is dated: *
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Your signature is implied and assumed in email correspondence and online applications. By submission you are in agreement. *
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