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Have you read our Adoption Policy in full?
FIRST NAME:
If so, please explain:
Have You Lost, Had Stolen or Given Away Any Pets?
List gender, age and spayed/neutered status of each cat currently in your home:
List breed, gender, age and spayed/neutered status of each dog currently in your home:
Are your pets currently on heartworm preventative?
Spouse/Partner First Name:
Street Address:
City:
Home Phone:
Mobile Phone:
D.O.B. (mm/dd/yyyy)
Email Address:
Do You Own or Rent?
Length at Current Residence:
May we contact your landlord for permission to have a pet?
Landlord's Name:
Employer:
Position:
How many children at home?
Please list the age and gender of each child who lives with you:
Are you aware of the breed's health risks and personality traits?
What behavior(s) do you consider unacceptable?
Obedience classes are a requirement after adoption. If approved, do you agree to complete an obedience class?
Are all members of the family in agreement regarding the adoption of a rescue Boxer?
If so, which ones?
Will you consider an older or senior Boxer?
Will you consider adopting a Boxer with special needs, such as one that's blind, deaf or requires daily medication?
Have you ever been charged with cruelty or neglect towards animals?
How did you hear about Carolina Boxer?
Miscellaneous Comments:
Phone:
Employer:
Length of Employment:
Email Address:
Please list gender and age of children who regularly visit:
Spouse/Partner D.O.B. (mm/dd/yyyy):
Fence Type:
How do you plan to restrain this Boxer when you are not at home?
Name of Veterinarian:
Veterinarian's Phone:
Do you have a yard?
How many hours per day will dog be left alone?
Are you able to go home at lunch?
If you do not have a fence, how do you plan to manage toilet and exercise needs for the dog?
Why have you decided to adopt a Boxer rather than another breed?
What research have you done on this breed? (please be specific)
Please list three personal references (excluding family members) and include name, phone number and e-mail address (preferred contact method). APPLICATIONS WITH INCOMPLETE REFERENCE INFORMATION WILL NOT BE PROCESSED. PLEASE NOTIFY YOUR REFERENCES IN ADVANCE THAT WE WILL BE CONTACTING THEM. Providing email addresses will speed up the process. Telephone numbers are fine but will take a little while longer.
State:
Zip:
Reference 1
Relationship:
Name:
Email:
Phone Number:
Relationship:
Name:
Email:
Phone Number:
Relationship:
Name:
Email:
Phone Number:
APPLICANT INFORMATION
HOUSEHOLD INFORMATION
Length of Employment:
Position:
RESIDENCE INFORMATION
Fence Height:
PET AND VETERINARIAN INFORMATION
How many dogs do you currently have?
What Brand?
Landlord's Phone:
How many cats do you currently have?
Gender Preference:
Tail Preference:
Ear Preference:
Have you applied to any other rescue organizations?
Reference 2
Reference 3
ADOPTION INFORMATION AND PREFERENCES
REFERENCES
To proceed with the adoption process, please complete the following form. Required fields are in bold type. You must put something in these fields, even if it is n/a - otherwise the application will not be submitted. Please hit the submit buttom at the bottom when you're finished. Applications typically take 2-3 weeks to process. We'll update you on the status of your application as we complete each phase.
LAST NAME:
Spouse/Partner Last Name:
