Midwest Boston Terrier Rescue Adoption Application

Please complete this form to apply to adopt a dog.

Please note: a $20 Non-Refundable Application Fee is required. Your application will not be processed without the fee, please be sure to submit the application fee at the end of this application.

Enter all information requested accurately as this helps us to match up the right dog with your family. Should you receive an invalid error message upon submitting this form, please go back through and fill out any missed questions. You will be contacted within ten days of receipt of your application to let you know we have received and are processing it.

NOTE: EVERY question MUST be answered even if the answer is “n/a”

    Contact Information

    Form submission will automatically record date and time when application was completed.
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    Family Information

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    Personal References

    Please list three personal references, not living with you. Include NAME, PHONE, & EMAIL address. Please inform these individuals that we will be contacting them. PLEASE NOTE: Though you may think our adoption procedures are a bit stringent, please remember that many of our Boston’s have already been separated from a home, and not always a loving one. Some have been through the frightening experience of being in a shelter, or found as strays. We try very hard to make the adoptions successful, and make the best possible decisions for the Boston. Our adoption process helps to assure us that you are ready for the commitment and responsibility of adopting a Boston into your family. Our top priority is adopting the right Boston into the right home. Adoptions are not completed unless everyone is happy... you, the Boston, and Midwest Boston Terrier Rescue members involved.
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    Home Information

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    Property Information

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    Pet Information

    Please complete the following information. This information helps shorten the adoption process.
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    Please list the current and past pets that you have owned.
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    If you need additional space for pets, use "Additional Comments" area at end of this application.
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    Vet Information

    Please provide your current Veterinarians information. If you do not have a Veterinarian, please provide the contact information of the Veterinarian that you are planning to use for your pet.
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    Veterinarian Release

    By signing below I hereby give permission for any veterinarian providing service to me/my animals to release medical information on any/all of my animals to Midwest Boston Terrier Rescue (its agents). This release is not limited to the veterinarian named below. Please let your veterinarian know we will be calling for a vet reference.
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    If you have additional information or comments that would assist us in evaluating this application, please attach an additional page. By completing and submitting this application: 1. I/We understand that this application is only an interviewing tool, and my submission of this application in no way guarantees the placement or availability of a Boston to my family. 2. I/We understand that applications will not be returned. 3. I/we understand that applications with unanswered questions will not be processed. The answers you give us on this application will help us find the best possible match between you and the dogs available for adoption. Remember, we are searching for the perfect home for each individual dog. You may have a perfect home for one dog, but not another. This is not an over night process. We are all volunteers, so please expect some waiting time (1-3 weeks) to be contacted about your application.
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    $20 APPLICATION PROCESSING FEE

    Every application submitted requires a $20 processing fee. Please click PayPal link below (donation button on homepage also works) or mail to the following address: MWBTR, 2724-2 Niles Avenue, St. Joseph, MI 49085 Applications will NOT be processed until fee is submitted. PAYPAL - PAY $20 APPLICATION FEE Please click the link below to go to our homepage. Then click on the big red DONATE button on the right hand side to make a payment. www.midwestbtrescue.org
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    We reserve the right to refuse any applicant for any reason and the right to inspect the prospective home environment both before and after the adoption, without any advanced notice. If we discover that any information on this form was knowingly falsified, it will be denied. Further, if any information is knowingly falsified, and the adoption/transfer of the dog has taken place, we reserve the right to take the dog back into our possession. If/when your application in approved you will be contacted by a representative of Midwest Boston Terrier Rescue. This adoption fee is charged to help defray the costs of veterinary care for our rescued dogs. At the time of adoption, you will be required to sign an adoption contract committing to the care of the dog. A mandatory part of that care is monthly heartworm preventative (or a yearly heart worm shot). Please remember that Boston Terriers are high-energy, people oriented dogs that require a great deal of exercise and human companionship. And cannot tolerate extremes in temperature and should be kept inside as house dogs. All Boston’s in our rescue receive the following care: comprehensive examination by a licensed veterinarian; fecal test; spay or neuter (unless there is a significant health risk or under 6 months of age); heartworm test and treatment; heartworm preventative; treatment of known illness, medical problems, malnourishment, etc., before they will be adopted out.
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    I understand that my application will be reviewed by the Midwest Boston Terrier Adoption Committee and will be notified by email or telephone of any questions, concern, and or decision to approve or deny my application. I understand that if my application is approved and a Boston matching the criteria I have provided is available in the rescue, I will be contacted for a Home Visit. After a successful Home Visit is performed, I will be contacted by Midwest Boston Terrier Rescue for an adoption.
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    Thank you for your interest in adopting a rescued Boston Terrier! If you end up adopting another dog during this process, or have questions, please contact Midwest Boston Terrier Rescue: MWBTR.Bostons@gmail.com Please make sure you also submit the $20 application fee. PLEASE MAKE SURE YOU HAVE FILLED IN ALL FIELDS OR YOUR APPLICATION WILL NOT GO THROUGH.