Boxer Rescue of Texarkana
BOXER RESCUE OF TEXARKANA
P.O. Box 6491, Texarkana, TX75505
ADOPTION APPLICATION
Which Boxer(s) are you interested in:
Name:
Address/City/State/Zip:
Home phone:
Cell phone:
Occupation/Place of Employment:
Work phone:
When is the best time to contact you?
Email address(es):
Spouse/Partner Name:
Spouse/Partner cell phone:
Spouse/Partner Place of Employment:
Spouse/Partner work number:
Spouse/Partner email:
List 2 Personal References, one not a family member:
1st Personal Reference Name & Phone number:
2nd Personal Reference Name & Phone number:
Who is your Veterinarian:
Vet Address:
Vet Phone number:
Is this boxer for your home or another family?
How many people reside in your home?:
Do you have children in your home?:
If children, how many and what are their ages?
Who in the home will care for the dog?:
Do you live in a (highlight or underline the one):
House Apartment Condo Mobile Home Military Housing
Do you Rent or Own your home?
If you rent, have you received the approval of your Landlord to have an animal?:
If you rent, we need our Landlord’s name and phone number:
Is your yard fenced? (highlight or underline the one):
Front yard only fenced Backyard only fenced All yard fenced Unfenced No Yard
Describe fence type, height(s) and condition:
How much time will the dog spend alone during the day?
Where will the dog be kept when you are not home:
Where will the dog be kept when you are home:
Where will the dog sleep?
Do you have other pets?
Name of Pet; Is it dog, cat, other; What is breed? (3 questions) / Age / Spay/Neutered / Shots/Rabies up to date / Given monthly heartworm prevention1.
2.
3.
4.
5.
List other pets here and info:
Have you ever owned a Boxer?
What happened to past pets?
Have you given up a pet? If yes, explain.
Why are you interesting in adopting a pet at this time?
Do you have a color preference for a Boxer?
Describe how you will train the dog:
Have you applied with any other rescue:
Do you know there is an adoption fee?
Do you agree to spay/neuter if the boxer is too young or has a medical condition and can’t have it before adoption:
Are you planning to stay at your current address? If moving what will happen to the adopted boxer?
Do you agree to provide at minimum an annual vet exam, shots and rabies, and to provide the vetting that this boxer needs?
Do you agree to keep your boxer on monthly heartworm prevention all year long?
Do you agree to restrain your boxer in an open vehicle?
Do you agree to return the Boxer to Boxer Rescue of Texarkana if you can longer keep it?
Do you agree to a home visit from a Boxer Rescue of Texarkana representative before adoption:
What are your thoughts on crate training?
What are your thoughts on obedience training?
How would you handle potty training in the house?
Do you have further comments that might help us place the right Boxer with you?
How did you hear about us?
I certify that the information entered on this application is true. If any information is found to be false then this application can be denied.
Signature:
Date:
Please email the completed application to . We are a small local rescue and we have full time jobs. We have the right to deny any application. An Adoption Coordinator will be in contact with you as soon as possible to help you find the right boxer for your family. Thank you for your interest in adopting a rescue Boxer.