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:*

AdoptionFoster-To-AdoptOpen to Both Options
Applicants Name*

First NameLast Name
Applicants Birthdate*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

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

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Best time to call on weekdays?*

MorningAfternoonEveningAny
Best time to call on weekends?*

MorningAfternoonEveningAny
E-mail*
Make sure your email address is correct. You will receive an automated email immediately after application submission to the email address provided.
Occupation*
Employer*
Is there a co-applicant?*

YesNo
Co-Applicants Name

First NameLast Name
Co-Applicants Birthdate

MonthDayYear
Co-Applicants Employer*
Are any other adults living in your home?*

YesNo
Please provide the first and last names of and your relationship to the other adults in the home.
Are children present in the home?*

YesNo
Please provide ages of children.
When will you be ready to adopt?*
Home*

OwnRent/Lease
Is your landlord aware of your intentions of getting a dog?

YesNo
Do they require a pet deposit?

YesNo
Have you paid the pet deposit?

YesNo
Are there any breed or weight restrictions?

YesNoDon't know
What are the restrictions?
Landlords Name

First NameLast Name
Landlords Phone Number

Area CodePhone Number
Landlords Email
example@example.com
Home Type*

Single FamilyDuplexApartmentTownhouseMobile HomeCondoOther
Are there walking trails nearby?

NoYes
Does your complex have an outdoor designated area for dogs?

NoYes
What floor/level do you live on?
Fence*

None4'6'Other
How will you handle the dogs exercise and potty needs and ensure their safety?*
Fence Type*

WoodChain LinkNoneOther
References

Provide full name, phone #, relationship, length of relationship. (Do not use your spouse or veterinarian as a personal reference)
Reference #1*
Best time to contact reference #1*

MorningAfternoonEveningAny
Reference #2 (Non-Relative)*
Best time to contact reference #2*

MorningAfternoonEveningAny
Reference #3 (Non-Relative)*
Best time to contact reference #3*

MorningAfternoonEveningAny
Have you ever been denied by a rescue/shelter to adopt?*

YesNo
Please provide the reason(s)
Veterinarian's Name*
Phone Number*

Area CodePhone Number
Do you currently use this vet or is it the vet you plan to use.*
Do any other dogs live in your home?*

YesNo
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?*

YesNo
How many?
Please provide age, whether indoor or outdoor, spayed/neutered, dog savvy, personality.
Is there any other type of pet(s) or livestock?*

YesNo
Please list any other pet(s)/livestock owned (type, age, personality)
Do you have any previous experience with Boxers?*

YesNo
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?*
What would you do with any pets if your current housing situation changed and had to move?*
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?*

YesNo
Why and what did you do with them?
Do you have funds readily available for routine vet care?*

YesNo
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?*

YesNo
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?*

YesNo
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*

MaleFemaleNo Preference
Color*

FawnBrindleFawn or BrindleWhiteNo Preference
Ears*

NaturalCroppedNo Preference
Tail*

Docked TailNatural TailNo Preference
Energy Level*

HighMedLowAny
Age Preference:*
Would you consider a Boxer Mix?*

YesNoMaybe
Would you consider a special needs dog?*

YesNo
Please explain:*
How important is it to you that they get along with other dogs?*

Very ImportantSomewhat ImportantNot 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?*

YesNo
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*

MonthDayYear
Signature*

Clear
Should be Empty:

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

References