Boxer Rescue Canada
Sign in to Google to save your progress. Learn more
Email *
Application type - please indicate *
Name *
Email address *
Your Occupation *
Your Employer *
Spouse's Name
Spouse's Occupation
Spouse's Employer
Spouse's E-mail Address
Street Address *
City, Province *
Phone (daytime) *
Phone (evening) *
Personal Reference (name) *
Personal Reference (phone)
Reference who has known your animals, and you as a pet owner: *
Phone *
Relationship *
Years Acquainted *
Information on Lodging: *
Do you live in:
Do you own or rent? *
If renting, are pets allowed?
If renting is there a weight limit?
 If yes, what is the limit?
Landlord's name (if renting):
Landlord's phone (if renting):
Previous address (if less than two years at current address)
Do you have a fenced yard?
Fence type
Fence height
What is the size of the yard?
If not fenced, how do you propose to handle the dog's exercise and toilet duties?
Do you have a separate kennel run? *
Kennel run size
Do you have a doggie door? *
How many adults in the home? *
How many children? *
Children(s) ages? *
Are any members of your household home during the day? *
Do you have other dogs? *
How many and sex?
Are they spayed/neutered?
Do you have cats? *
How many?
Are they declawed?
Are they spayed/neutered?
Do you have any other animals/livestock? *
Please list:
Who is your regular veterinarian? *
Veterinarian's phone number: *
Aproximate date of last visit
Were/are your animals current on vaccinations?
How many dogs have you owned in the last 5 years? *
What happened to them? (Lost, stolen, given away, etc.)
If any died, list age and cause
Have you owned boxers before? *
Why do you think a boxer is the right breed for you?
What are your plans for the dog? (Pet, guard, hunting, obedience, etc.) *
Do you want *
Do you have an age preference?
Do you have color preference?
Would you consider another sex, age, color?
Where will the dog spend most of the day? *
Where will the dog spend most of the night? *
How many hours a day will the dog be alone?
When your family is away from home overnight or on vacation, what will you do with the dog?
Do you agree to pay the spay/neuter fee if applicable?
Do you agree to pay the adoption fee?
Provide regular health care for the dog?
Obey all leash laws?
Return the dog to Boxer Rescue Canada if you can't keep it? *
Would you agree to a home visit, prior to adoption? *
Have you or anyone in your immediate family ever been convicted of a charge of cruelty to animals?
Are any such charges currently pending?
Why do you feel you would like to acquire a dog at this time?
How much do you think it would cost to feed the dog (per month)?
How much do you think veterinary care would cost? (per month)
What other expenses would you expect to pay?
What is your definition of disciplining a dog?
Why do you feel that a Rescue Boxer would be a right choice for you? *
Why do you feel that you would be the right choice for a Rescue Boxer? *
What do you think might be any special considerations to consider when adopting a Rescue Boxer? *
How did you hear about Boxer Rescue Canada?
Clear selection
Additional comments
Note: By submitting this Adoption Application you are testifying that it, and all accompanying documentation, is true and factual. Boxer Rescue Canada reserves the right to reject any application for any reason at any time.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy