Wigglin' Home Boxer Rescue Adoption/Foster-to-Adopt Application

Wigglin' Home Boxer Rescue Adoption & Foster-To-Adopt Application

We currently only adopt to the following states and Canadian provinces: Washington, Oregon, North Idaho, Western Montana & British Columbia
Please select the type of application you are submitting: *

Adoption Foster-To-Adopt Open to Both Options
Applicants Name *

First Name Last Name
Applicants Birthdate *

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
How long have you lived at your current address? *
Primary Phone Number *

Area Code Phone Number
Secondary Phone Number

Area Code Phone Number
Best time to call on weekdays? *

Morning Afternoon Evening Any
Best time to call on weekends? *

Morning Afternoon Evening Any
E-mail *
Occupation *
Employer *
Is there a co-applicant? *

Yes No
Co-Applicants Name

First Name Last Name
Co-Applicants Birthdate

Month Day Year
Are any other adults living in your home? *

Yes No
Please provide the first and last names of and your relationship to the other adults in the home.
Are children present in the home? *

Yes No
Please provide ages of children.
When will you be ready to adopt? *
Home *

Own Rent/Lease
Landlords Name

First Name Last Name
Landlords Phone Number

Area Code Phone Number
Landlords Email
example@example.com
Home Type *

Single Family Duplex Apartment Townhouse Mobile Home Condo
Fence *

None 4' 6'
What is your plan to ensure the dogs safety since you do not have a fenced yard? *
Fence Type *

Wood Chain Link None
References

Provide full name, phone #, relationship, length of relationship. (Do not use your spouse or veterinarian as a personal reference)
Reference #1 *
Reference #2 (Non-Relative) *
Reference #3 (Non-Relative) *
Have you ever been denied by a rescue/shelter to adopt? *

Yes No
Please provide the reason(s)
Veterinarian's Name *
Phone Number *

Area Code Phone Number
Do any other dogs live in your home? *

Yes No
Please provide breed, gender, age, spayed/neutered, and personality/temperment traits for each dog you currently living in your home.
Is there a cat(s) in the home? *

Yes No
How many?
Please provide age, whether indoor or outdoor, spayed/neutered, dog savvy, personality.
Is there any other type of pet(s) or livestock? *

Yes No
Please list any other pet(s)/livestock owned (type, age, personality)
Do you have any previous experience with Boxers? *

Yes No
Please describe that experience below:
Where will the dog be when you are not home? *
Please provide details. At home or with family or friends? Will they be inside or outside? Crated or out free?
How many hours a day will the dog be left alone during the week? *
How many hours a day will the dog be left alone during the weekend? *
Where will the dog be when you go on vacation? *
Where will the dog sleep at night? *
Please describe your exercise plan for the dog. *
How active is your lifestyle?
Please describe your training methods. *
Please describe your discipline methods. *
What is your plan if you cannot keep the dog? *
What reasons would you give the dog back to WHBR? *
Why do you want to adopt a Boxer? *
What are your favorite and least favorite things about Boxers? *
How many dogs have you owned in the last 10 years? *
Have you ever re-homed or returned/surrendered a dog to a shelter/rescue or private party? *

Yes No
Why and what did you do with them?
Do you have funds readily available for routine vet care? *

Yes No
If your dog was to have a sudden illness/injury would you have the funds available to provide emergency vet care in a timely manner? *

Yes No
What would your yearly budget for vet care be? *
What do you anticipate your monthly budget for dog food/toys be? *
If needed, would you be able to attend obedience classes with your dog? *

Yes No
What other expenses do you anticipate as a pet owner? *
What brand of dog food do you currently feed any current dogs? *
NOTE: If you currently have a female our policy is to not adopt another female into the home.
Gender *

Male Female No Preference
Color *

Fawn Brindle Fawn or Brindle White No Preference
Ears *

Natural Cropped No Preference
Tail *

Docked Tail Natural Tail No Preference
Energy Level *

High Med Low Any
Age Preference: *
Would you consider a Boxer Mix? *

Yes No Maybe
Would you consider a special needs dog? *

Yes No
Please explain: *
How important is it to you that they get along with other dogs?

Very Important Somewhat Important Not at all.
Since we require adopter's to drive to where the dog is fostered for a meet and greet, how many miles are you able/willing to drive?
Please provide additional comments/information to assist us in finding your perfect match. *
Have you or will you be applying with any other Boxer/Dog Rescues? *

Yes No
Which Rescue(s) *
Is there a particular Boxer(s) currently with WHBR that you are interested in? *
Please provide names.
- I agree to allow a representative of WHBR to visit my home prior to the adoption.
- I agree to return the dog to a representative of WHBR if I can no longer keep the dog.
- I give my permission to my veterinarian, references and landlord to disclose information to a representative of WHBR.
- I give my permission authorizing WHBR to use any photos of adoptions to promote WHBR rescue activities in the future.
- By signing below, I attest that the information is true and accurate and this application will become part of my adoption contract. If I have falsified any information, I agree to release the dog back to a representative of WHBR at no cost to Wigglin Home Boxer Rescue.
- I understand and agree that there are fees associated with adopting from Wigglin Home Boxer Rescue and these fees are nonrefundable.
- I also understand that an adoption contract will be provided to me to review and sign and abide by.
- As a Foster-To-Adopt family we will read the foster manual, agree to follow the rules and guidelines set forth therin and sign and return the foster agreement prior to receiving our foster. (The foster manual will be sent to you after a Wigglin' Home representative has called and spoken to you about your application.)
- The foster dog is the property of Wigglin' Home Boxer Rescue and will be surrendered to an officer or director of WHBR upon request at any time.
- The foster home will not be compensated for expenses incurred while caring for the foster dog.
- Veterinary care will be provided and paid for by the rescue. At no time are you allowed to take the foster dog to the vet without prior approval from an officer or director of the rescue.
- Any and all donations connected with the adoption of the foster dog and/or for the foster dog will be sent directly to the WHBR.
- If you decide you want to adopt your foster you must follow standard adoption procedures and the standard adoption fees.
By signing below, I hereby indemnify and release Wigglin' Home Boxer Rescue, its officers, directors, and volunteers of any and all liability arising from damages to person(s) or property that may arise during my time as a foster.
Date *

Month Day Year
Signature *

Clear
Should be Empty:

Wigglin' Home Boxer Rescue Adoption & Foster-To-Adopt Application

References