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BOXER REBOUND, INC.
ADOPTION APPLICATION
Please PRINT and send the completed application to the address below via US Mail. Do not attempt to send via email. Please print clearly - do not attempt to type answers on-line and then print.
1. Please provide the following personal information: NAME________________________________________________________________________________ ADDRESS____________________________________________________________________________ City____________________________________________State__________Zip_____________________ HOME PHONE_______________ WORK PHONE_____________ E-MAIL_________________________ May we call you collect? [ ]YES [ ] NO When is the best time to reach you at home?____________ OCCUPATION_______________________________________EMPLOYER________________________ SPOUSE/SIGNIFICANT OTHER NAME_____________________________________________________ OCCUPATION________________________________________EMPLOYER_______________________ 2. Please describe your current residence: [ ] House in City [ ] House in Country [ ] Townhouse/Condo [ ] Apartment Other—explain________________________________________________________________ Do you own or rent? [ ] Own [ ] Rent If renting, describe conditions/restrictions for owning pets_______________________________________ How long have you lived at your current address?________ Do you plan to move in the near future?_____ Do you have a fence enclosing all four sides of your yard? [ ] Yes [ ] No [ ] Underground Fence If yes, describe the height and type of fence__________________________________________________ If no, how do you plan to exercise the dog?__________________________________________________ If no, are you willing to explore the possibility of fencing? [ ] Yes [ ] No_________________________ 3. How many persons currently reside full/part time in your household? [ ] Adults [ ] Children List ages of children in the household:_______________________________________________________ Do the children listed above reside full time in your household? [ ] Yes [ ] No Does anyone in your household suffer from animal-related allergies? [ ] No [ ] Yes__________________ Does anyone in your household have a disability that we should be aware of? [ ] Yes [ ] No If yes, please explain____________________________________________________________________4. What are the requirements for animal ownership in your community (licenses, limits, leash laws, etc.)? _____________________________________________________________________________________
5. Are there pets in your household now? [ ] None [ ] Dogs (list age, sex breed [ ] Cats (list age, sex) ______________________________________ ______________________________________ ______________________________________ _______________________________________ ______________________________________ _______________________________________ [ ] Other—please describe __________________________________________________________________ Are all your pets spayed/neutered and current on vaccinations and heartworm preventative? [ ] Yes [ ] No 6. Have you owned dogs previously? [ ] No [ ] Yes [ ] Boxer(s) [ ] Other(s):_______________________ How long did you have this dog(s):_______________ ________________ ______________ ______________ What became of this dog(s)? [ ] Lost [ ] Stolen [ ] Given Away [ ] Died, list age, cause___________________ __________________ _________________ ______________ If lost, stolen or given away, please explain:_______________________________________________________ __________________________________________________________________________________________7. Why do you feel you would like to acquire a dog at this time? _________________________________________ __________________________________________________________________________________________ 8. Where would the dog live? [ ] Inside [ ] Outside/explain:___________________________________________9. Where and for how long would the dog be left at home alone? [ ] Hours [ ] Crate [ ] Loose in House [ ] Other, please explain:____________________________________________________________________ 10. Who in the family will be the primary caregiver for the dog?__________________________________________11. Are all family members supportive of this adoption? [ ] Yes [ ] No, explain:____________________________ 12. How do you plan to provide sufficient exercise for this dog?_________________________________________ ________________________________________________________________________________________ 13. Have you ever obedience trained a dog? [ ] No [ ] Yes Attended formal obedience classes? [ ] No [ ] Yes What are your views on obedience training? _____________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 14. What is your definition of disciplining a dog?______________________________________________________ _________________________________________________________________________________________
15. If a dog makes a mistake, how will you correct it? __________________________________________________ _________________________________________________________________________________________ __________________________________________________________________________________________ 16. How much do you think it will cost to feed a dog? _____________________ 17. How much do you think veterinary care would be? ____________________ Who is your family Veterinarian? ______________________________________________________________ 18. What other expenses would you expect to pay? ___________________________________________________ 19. What circumstances do you think might prevent you from keeping the dog?______________________________ _________________________________________________________________________________________ What would you do if you were unable to keep the dog?_____________________________________________ _________________________________________________________________________________________ 20. Why do you feel the Boxer would be the right breed for you? _________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 21. Why do you feel that a Rescue Boxer would be the right choice for you? _______________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 22. Why do you feel that you would be a right choice for a Rescue Boxer ? _________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ 23. Have you contacted any other boxer rescue groups? Please list:_____________________________________ ________________________________________________________________________________________ Return to: Boxer Rebound, Inc. PO Box 214, Ringwood, IL 60072 PLEASE NOTE: Due to the large number of boxers awaiting adoption and the limited amount of time we have to conduct interviews, Boxer Rebound charges a $25.00 visitation fee, payable at the time of the visit. To help ensure that our boxers are adopted to the appropriate homes, we spend a considerable amount of time with each applicant. We are simply unable to accommodate casual visitors. The $25.00 will be deducted from the Adoption Fee should an adoption take place. If an adoption does not occur, the fee is considered a donation to our program. Visits are by apppointment only.
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