Online Boxer Rescue Adoption Application
Dedicated to permanently Rehoming Needy Boxers
The answers to these questions will help determine the best homes for our rescue Boxers, and the best rescue Boxer for your family. By applying for a rescue Boxer, you hereby grant permission to your veterinarian and other listed references to disclose information to NBC Rescue volunteers. We place dogs in Minnesota only.
Incomplete applications will not be considered, and will refer you to an "error" page. All information is kept confidential.
All information provided is kept strictly confidential!
Applicant Information
Applicant's full name (first & last):
Co-Applicant's full name (first & last):
Street Address:
City/State/Zip:
Home Phone:
Work Phone:
Your Email:
Alternate Email:
Are you a Northwoods Boxer Club Member? No Yes
How did you hear about Northwoods Boxer Club's rescue program?
From a friend or previous rescue adopter
NBC Newsletter or NBC Website
Other publication or advertisement
Other
Reference and Vet Information
Name of Personal Reference:
Reference Email:
Length of Acquaintance:
Current Vet's Name:
Office Phone:
Other Vet Used:
Other Vet's Phone:
Housing
Do you currently reside in: Single Family Home
Mobile Home
Townhome or Duplex
Apartment
I currently:
Own my home
Rent- but have permission for a dog this size
Rent - haven't discussed dog ownership with landlord
I have lived at my current address for:
Do you have a fenced yard?
Yes, constructed of
No. Please explain how you plan to toilet duties & excercise
Household & Pet InformationHow many adults in home?
How many children in home?
Ages of children:
Are there family members who need special consideration? Explain:
Please provide a brief pet-owning history including information of ALL dogs you have owned in the past five years, including breed, gender, age, altered status, and current disposition (current pet, died, given away, etc.):
Do you currently own other pets?
No
Yes, please list below
Boxer Information
Why do you want a Boxer?
Is there a particular available dog you are interested in? If so, enter the dog's name(s):
Do you have a gender preference?
male
female
no preference
Do you have a color preference?
fawn
brindle
white
What age Boxer are you interested in (check all that apply)?
Puppy (under 1 year)
Juvenile (1-3 years)
Adult (3-6 years)
Would consider a senior (7 years or more)
Would you consider a "special needs" Boxer with a physical handicap or requiring ongoing medication or treatment?
Yes
Where will your dog spend most of his day?
Crated Inside
Garage
Outside kennel run or fenced yard
Loose in house
On average, how many hours a day will the dog be alone?
Where will the dog sleep?
What are your thoughts on crate training?
What are your thoughts on obedience training?
Do you agree to keep tags and ID on dog at all times?
Do you agree to keep in contact with Rescue regarding any problems or concerns?
Do you agree to return the dog to rescue if you can no longer keep/care for the dog?
Have all members of the household been included in the decision to acquire a Boxer?
Additional information you would like to share that could help us find the right dog for you:
Adopter Agreement
Potential adopter(s) swears the information provided on this form is complete and truthful to the best of their knowledge. Potential adopter(s) further declares that they are financially and physically capable of caring for this dog, and agree that their responsibilities include (but are not limited to) providing proper food, veterinary care, bedding, toys, crate and so on at their own expense. Adopter(s) also agrees to never allow this dog to run "at large".
Rescue volunteers will inform adopter(s) of any specific health or behavioral problem of which they are aware. It is understood that rescue volunteers do not in any way warrant or guarantee any rescue Boxer's future temperament development or future health, as such is affected by variables such as history, environment and nutrition, which are beyond the control of NBC rescue volunteers. Potential adopter(s) agree NBC rescue and its volunteers are not liable for any problems or damages incurred by or to the Boxer while in possession of the adopter(s). The adopter(s) agree to defend and hold harmless NBC rescue and its volunteers for all charges of liability to any person(s) due to the actions of any Boxer acquired through this organization.
Potential adopter(s) agree to maintain any Boxer acquired in a family environment, to properly socialize, train and care for same, as recommended by NBC rescue volunteers, all at adopter's expense. Specifically, said rescue Boxer shall be properly housed, licensed, and inoculated against rabies and other communicable diseases as advised by a veterinarian.
NBC rescue volunteers have discussed and adopter(s) understands the responsibility and financial burden owning a dog requires. Adopter(s) also understands the adoption fee is non-refundable.
Your signature and consent are implied on this electronic application. By submitting this application, you agree to any and all terms and fees set by NBC rescue volunteers.
