RAB Adoption Application
Please fill out the following fields. A RAB volunteer will contact you as soon as possible. NOTE: All * are required fields*
Thank you for your interest in rescuing a Boxer.
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State/Province *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Other Phone Number *
Your answer
Date of application *
Your answer
Why are you interested in adopting a Boxer? *
Your answer
Are you a First time Dog owner? *
Your answer
My Spouse's Name (First, Last)
Your answer
My Spouse's Email
Your answer
My Spouse's Phone Number
Your answer
My Spouse's Phone Number
Your answer
Our Reference is: *
Your answer
How my reference knows me and for how long? *
Your answer
My Reference Phone Number: *
Your answer
Do you Rent or Own? *
Type of Dwelling *
Your answer
Type of fence and height *
Your answer
My Landlord's information (if applicable)
Your answer
Is someone home during the day? *
Your answer
How long will the dog be left during a typical day? *
Your answer
Size of yard
Your answer
We also have the following livestock *
Your answer
I have this many cats now: *
Your answer
I have this many dogs now: *
Your answer
What breed is/are your dog(s)?
Your answer
What is the gender of your dogs? *
Your answer
Are your dogs Spayed/Neutered? *
If your dogs are not Spayed/Neutered, please explain why.
Your answer
My vet is (name, clinic and phone number)
Your answer
Number of Adults in the home: *
Your answer
Number of children in the home: *
Your answer
Ages of your children
Your answer
Have you owned a Boxer before? *
Your answer
My last dog isn't with me anymore because
Your answer
In the last 5 years I've had this many dogs
Your answer
I was last at my vet's office
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I think monthly vet bills would cost *
Your answer
I think monthly food bills would cost *
Your answer
I would like this gender for my Boxer
I agree to a home visit and reference check before I adopt a dog *
Required
I would prefer this color of Boxer:
Your answer
If I could pick the age of my Boxer it would be:
Your answer
The dog would spend most of the day *
Your answer
If our family is away overnight or vacation *
Your answer
Will you pay the adoption fee *
Do you agree that all dogs need to be Spayed or Neutered? *
I will obey leash laws *
I will provide healthcare *
I will RETURN THE DOG TO RESCUE A BOXER if I cannot keep it *
My definition of disciplining a dog is *
Your answer
My definition of disciplining a dog is *
Your answer
Special circumstances to consider for me adopting a boxer might be
Your answer
Additional comments or questions
Your answer
How did you hear about "Rescue A Boxer?" *
Your answer
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