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Boxer Rescue Canada
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Email
*
Your email
Application type - please indicate
*
Foster Application
Adoption Application
Name
*
Your answer
Email address
*
Your answer
Your Occupation
*
Your answer
Your Employer
*
Your answer
Spouse's Name
Your answer
Spouse's Occupation
Your answer
Spouse's Employer
Your answer
Spouse's E-mail Address
Your answer
Street Address
*
Your answer
City, Province
*
Your answer
Phone (daytime)
*
Your answer
Phone (evening)
*
Your answer
Personal Reference (name)
*
Your answer
Personal Reference (phone)
Your answer
Reference who has known your animals, and you as a pet owner:
*
Name
Your answer
Phone
*
Your answer
Relationship
*
Your answer
Years Acquainted
*
Your answer
Information on Lodging:
*
Do you live in:
Choose
House in the country
Single family house
Townhouse
Condominium
Apartment
Mobile Home
Other
Do you own or rent?
*
Choose
Rent
Own
If renting, are pets allowed?
Choose
Yes
No
If renting is there a weight limit?
If yes, what is the limit?
Yes
No
Other:
Landlord's name (if renting):
Your answer
Landlord's phone (if renting):
Your answer
Previous address (if less than two years at current address)
Your answer
Do you have a fenced yard?
Yes
No
Fence type
Your answer
Fence height
Your answer
What is the size of the yard?
Your answer
If not fenced, how do you propose to handle the dog's exercise and toilet duties?
Your answer
Do you have a separate kennel run?
*
Your answer
Kennel run size
Your answer
Do you have a doggie door?
*
Yes
No
Required
How many adults in the home?
*
Your answer
How many children?
*
Your answer
Children(s) ages?
*
Your answer
Are any members of your household home during the day?
*
Yes
No
Required
Do you have other dogs?
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Yes
No
Required
How many and sex?
Your answer
Are they spayed/neutered?
Yes
No
Do you have cats?
*
Yes
No
Required
How many?
Your answer
Are they declawed?
Yes
No
Are they spayed/neutered?
Yes
No
Do you have any other animals/livestock?
*
Yes
No
Required
Please list:
Your answer
Who is your regular veterinarian?
*
Your answer
Veterinarian's phone number:
*
Your answer
Aproximate date of last visit
Your answer
Were/are your animals current on vaccinations?
Yes
No
How many dogs have you owned in the last 5 years?
*
Your answer
What happened to them? (Lost, stolen, given away, etc.)
Your answer
If any died, list age and cause
Your answer
Have you owned boxers before?
*
Yes
No
Required
Why do you think a boxer is the right breed for you?
Your answer
What are your plans for the dog? (Pet, guard, hunting, obedience, etc.)
*
Your answer
Do you want
*
Male
Female
Doesn't matter
Required
Do you have an age preference?
Your answer
Do you have color preference?
Choose
Fawn
Brindle
White
Doesn't matter
Would you consider another sex, age, color?
Choose
Sex
Age
Color
Where will the dog spend most of the day?
*
Loose indoors
Crate
Basement
Fenced yard
Loose outdoors
Kennel run
Tied up outdoor
Other:
Where will the dog spend most of the night?
*
Loose indoors
Crate
Basement
Fenced yard
Loose outdoors
Kennel run
Tied up outdoor
Other:
How many hours a day will the dog be alone?
Your answer
When your family is away from home overnight or on vacation, what will you do with the dog?
Your answer
Do you agree to pay the spay/neuter fee if applicable?
Yes
No
Do you agree to pay the adoption fee?
Yes
No
Provide regular health care for the dog?
Yes
No
Obey all leash laws?
Yes
No
Return the dog to Boxer Rescue Canada if you can't keep it?
*
Yes
No
Required
Would you agree to a home visit, prior to adoption?
*
Yes
No
Required
Have you or anyone in your immediate family ever been convicted of a charge of cruelty to animals?
Yes
No
Are any such charges currently pending?
Yes
No
Why do you feel you would like to acquire a dog at this time?
Your answer
How much do you think it would cost to feed the dog (per month)?
Your answer
How much do you think veterinary care would cost? (per month)
Your answer
What other expenses would you expect to pay?
Your answer
What is your definition of disciplining a dog?
Your answer
Why do you feel that a Rescue Boxer would be a right choice for you?
*
Your answer
Why do you feel that you would be the right choice for a Rescue Boxer?
*
Your answer
What do you think might be any special considerations to consider when adopting a Rescue Boxer?
*
Your answer
How did you hear about Boxer Rescue Canada?
Internet search
Facebook
Referred by a friend
Referred by a Veterinarian
Referred by an adopter
Referred by a shelter
Other:
Clear selection
Additional comments
Your answer
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.
Your answer
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