NWBR Adoption Application

Northwest Boxer Rescue Adoption Application
Applicant's Name:

First NameLast Name
Applicant's Birth Date

MonthDayYear
Will there be a co-applicant?
Co-Applicant's Name:

First NameLast Name
Co-Applicant's Birth Date

MonthDayYear
Primary Number
Format: (000) 000-0000.
Secondary Number
Format: (000) 000-0000.
E-mail
Address

Street Address

Street Address Line 2

City

Zip Code
State/Province (we only adopt to these States)
Distance willing to travel to adopt (miles):
Would you be interested in our Foster to Adopt Program
How did you hear about us? Why did you decide to inquire?
When will you be ready to adopt?
Occupation
If not applicable: N/A
Employer
How long at this position?
Names & Ages of ALL Members in Household
Name and age of each household member.
Anyone in Household Allergic to Animals
Is everyone in the household supportive of this adoption? Please explain:
How long at current address?
Living Circumstances
Own/Rent/Lease
Landlord
Landlord Name
If not applicable: N/A
Landlord Phone Number
Format: (000) 000-0000.
Fence Type
Fence Height
References
#1 Name, Phone Number, *NON RELATIVE*, Relationship
#2 Name, Phone Number, *NON RELATIVE*, Relationship
Current Veterinarian
Phone number
Current Dog(s) and Other Pets in Your Home

PLEASE NOTE: WE WILL NOT PLACE A FEMALE BOXER INTO A HOME THAT CURRENTLY HAS A FEMALE DOG - IT IS OUR POLICY, AND WE WILL NOT WAIVER
I acknowledge that Northwest Boxer Rescue will not place a female boxer into a home with another female dog.
Dog #1 Breed
Current Dog in the Home
Sex
Age
Select all that apply:
Dog #2 Breed
Current Dog in the Home
Sex
Age
Select all that apply:
Dog #3 Breed
Current Dog in the Home
Sex
Age
Select all that apply:
Cats?
If so how many?
Spayed/Neutered?
Indoor/Outdoor Cat?
Other pets/livestock: IE: Birds, Chickens, Horses, Cows ETC
Describe the personality of other pets in the home. If no other pets, type NA
Personal Pet History
How many dogs have you had in the last 5 years?
What happened to the dog(s)?
Have you ever given up a dog?
If so, why and what did you do with them?
Boxer Related Information
Have you ever owned a Boxer?
Will your Boxer be a:
How will you exercise your dog?
ex. running, hiking, ect.
What is your favorite thing about the Boxer breed?
What is your least favorite thing about the Boxer breed?
Why would you like to adopt a Boxer?
What do you know about Boxers?
Gender
Color
Tail
Ears
What is the oldest age you would consider?
What is the youngest age you would consider?
Would you consider a special needs dog?
What conditions would you consider:

Other
Please Explain:
How active is your lifestyle?
What life activities would you do with your dog?
What would you do if your dog was destructive while you were gone?
Where will the dog spend most of his day?
Where will your dog sleep?
If indoors, where?
If Outdoors or Other please explain
How long will your dog be alone during the day?
What will you do with your dog on trips/vacations?
ex. board, family/friend dog sit, take with, etc.
Have you ever obedience trained a dog?
Will you attend obedience classes with your new dog?
Describe your method of training your dog:
Describe your method of discipline:
What brand of dog food will you use?
Brand name; wet, dry, canned, raw, other
Are you able to incur costs of routine vet care?
Do you have the funds in case of an emergency?
Will you provide health care in a timely manner?
What do you expect yearly vet bills to be?
How much do you expect to pay for dog food monthly?
What other expenses do you foresee as a pet owner?
ex. dog toys, grooming, obedience school, etc.
What will you do if you can no longer keep your dog?
What, if any, kinds of reasons or behaviors would you get rid of the dog for?
ex. destructive, aggression, not house trained, etc.
Will you return the dog to Northwest Boxer Rescue if you can no longer care for the dog?
Additional comments and/or information to help us find the perfect dog for your home? (This is a good time to tell us the names of any boxers currently in our rescue that you are most interested in.)
Include names of specific dogs interested in.
Will you allow a NWBR representative to visit your home prior to and/or after adoption?
Do you authorize NWBR to use any photos of adoptions and/or foster to promote rescue activities in the future?
By signing I agree that all of the above information is true and correct. I understand that this information will be included with my adoption contract and if any of the above information is found to be false, even after the adoption is completed, the dog may be reclaimed at no cost to Northwest Boxer Rescue. I hereby give my permission to my veterinarian, personal references, and landlord (if applicable) to disclose information to Northwest Boxer Rescue. I understand that incomplete applications will not be processed. I am aware of and recognize that there will be applicable adoption fees for any adoptable NWBR dog.
Electronic Signature:
ex. John Hancock
Submission Date:

YearMonthDay
Date
If you are unable to view the "Submit Adoption Application" button at the bottom of this form, please use the submit button located at the top of the application. We apologize for any inconvenience and are working on a solution.

**Application will remain active for 60 days after date of submission unless otherwise arranged by a Northwest Boxer Rescue representative.
Thank you for your time and interest in helping a boxer in need.

A Northwest Boxer Rescue representative will be in contact with your regarding your application as soon as possible.

If you have any questions or concerns about the application please feel free to call or email us.

Phone: (833) BOXERS1 [269-3771]

email: adoption@nwboxerrescue.org

visit us @ http://www.nwboxerrescue.org/

like us on facebook http://www.facebook.com/NorthwestBoxerRescue
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Northwest Boxer Rescue Adoption Application

References

Current Dog(s) and Other Pets in Your Home

Personal Pet History

Boxer Related Information