Adoption Application | Blue Ridge Boxer Rescue

Are you applying to adopt a rescued Boxer or Foster?

Adopt

Foster

Both

First and Last Name

Address

City, State and Zip Code

Phone

Email

Birthday

Month

Day

Year

Name of Spouse or Significant Other

Secondary Phone

Birthdate of Spouse or Significant Other

Month

Day

Year

What dogs are you interested in and why? Or, Please list any gender/coat/ear/tail preference

I am aware that BRBR dogs are place as INDOOR PETS & I agree to this

I am aware that BEFORE I am approved to adopt, I will be visited in my home, by a BRBR Volunteer to determine that my home is a safe positive environment for a rescued dog

Do you rent or own?

Rent

Own

How long have you lived at your current residence?

Are there any other adults in the home (over 18 years)?

Yes

No

Do you have any breed or weight restrictions with your homeowners insurance (if you own) or landlord (if you rent)?

Yes

No

What will happen to your pet(s) if you move?

Are you currently employed?

Yes

No

Retired

Do you have children under 18 living in the home?

Yes

No

Are there any dogs currently or within the past two years living in your home?

Yes

No

Do you have any pets, other than dogs, currently residing in your home?

Yes

No

In the past have you owned any other pets?

Yes

No

Please provide names of current Veterinarians and their phone numbers and past vets going back more than 2 years

Please describe the yard, type and height of fence or plans for potty and exercise needs

Where will the dog be kept during the day when you are not home and where will they sleep at night? (free roam of house/crate/room/fenced area)

Who will feed, train and care for the dog?

What is the maximum number of hours the dog will be left alone during the day?

Are you able to go home for lunch?

Yes

No

Is anyone in your home allergic to dogs?

Yes

No

What are some reasons you would be a great match for one of our rescued Boxers?

What research have you done on the Boxer breed, such as health risks and personality traits?

Do you have any obedience training knowledge?

Yes

No

What behaviors do you consider unacceptable in a pet?

Do all members of your family agree upon adoptions (or fostering, if applicable)?

Yes

No

Would you consider a special needs Boxer (elderly, on medication/blind/deaf)?

Yes

No

Have you applied to any other rescues?

Yes

No

Have you EVER been charged with animal cruelty or animal neglect?

Yes

No

In the past 5 years, have you had any pets that were lost, stolen or given away?

Yes

No

Under what circumstances would you not be able to keep your new dog?: (Examples: new baby, divorce, marriage, new pet, illness, moving, etc)

Personal References

Please list 3 personal references whom you have known for at least 2 years.

You can use only 1 family member as a reference; The other 2 references need to be non-related.

PLEASE NOTE WE CANNOT COMPLETE YOUR APPLICATION WITHOUT REFERENCES

Reference #1 First and Last Name

Reference #1 Phone

Reference #1 Email

Reference #2 First and Last Name

Reference #2 Phone

Reference #2 Email

Reference #3 First and Last Name

Reference #3 Phone

Reference #3 Email

How were you referred to/how did you hear about Blue Ridge Boxer Rescue?

Have you owned a Boxer in the past?

Yes

No

Are you willing to allow a 30-60 day adjustment period for your new dog to adapt to your home, your family and any other pets?

Yes

No

I am aware that BRBR dogs are placed only as INDOOR PETS & I agree to this

Yes

No

I am aware that BEFORE I am approved to adopt, I will be visited in my home, by a BRBR Volunteer to determine that my home is a safe positive environment for a rescued dog

Yes

No

Food and medical expenses are necessary to keep the animal in good health During the first year one can expect to spend $300- $500 for routine healthcare. Are you willing to make this financial commitment?

Yes

No

I agree to work on correcting certain behaviors through training classes of my choice, conducting proper acclimation and setting up routines within 30 days of adoption

Yes

No