Boxer Rescue Quebec Adopt and Rescue a Boxer Dog

Thank you for taking the time to fill out an application. Note that before pressing "submit form" at the bottom, you must fill in the previous box which asks you to type in the characters you see. If you do not receive a reply within 72 hrs, or have any questions in the meantime, please email us at info@boxerrescuequebec.com .

Boxer Rescue of Quebec Adoption Application
Applicant name::
Address::
Home Phone::
Work Phone::
Occupation and employer name::
How long have you been at your current address?:
Email Address: It is necessary as this is how we contact you. Please provide an email address!:
If you are on a waiting list with another rescue, provide group's name, contact person and info :
Have you owned dogs before who are no longer with you?:	yes no
If yes, what happened to them?:
Do you own dogs now and how many?:
Briefly describe each dog (sex, age, breed, temperament):
Are they spayed/neutered? If not, why?:
Provide your current veterinarian's name and contact information.:
Do you have any previous experience with boxers?:
Explain why a boxer is the right dog for you:
Are you prepared to deal with common issues related to newly adopted rescues (i.e. sep. anxiety...):
What are your plans for this dog? ie. pet, guard, hunting, obedience etc..:
Indicate your preference, if any, with regards to coat color, sex, age group (puppy, adult, senior) :
Are you open to adopting a mixed-breed boxer?:	yes no
Do you live in::	apartment/condo house in the city house in the country house in the suburbs
Do you have plans to move? When and where?:
If you are renting, does your lease permit dogs?:	yes no
Do you have a fenced-in backyard?:
Describe the fencing material and height:
Do you have a crate available?:	yes no
If no, are you willing to buy one? If not, why not?:
How many adults and children in your home? Provide children's ages:
Have children been exposed to dogs before?:
How do children react to dogs?:
Is anyone in the home allergic to dogs?:	yes no
Do you have other small pets? If so, provide a brief description of each:
How many hours will your boxer spend alone daily?:
Where will your boxer be when you are at work?:	crated loose indoors loose outdoors other
Where will the boxer sleep at night?:
When your boxer is outside, will he be tied out?:
Boxers need LOTS of exercise. Describe your new boxer's exercise routine. (i.e. walks, play, run). :
Do you agree to return boxer to BRQ if you can no longer keep/care for him? :	yes no
Do you agree to a BRQ agent to visit your home prior to adopting?:	yes no
Do you agree to pay a donation fee upon the adoption of your boxer?:	yes no
Do you feel financially able to care for a boxer for his lifetime?:	yes no
Have you or anyone in your household been charged with cruelty to animals?:	yes no
Are you aware that many boxers have a strong prey drive and may not get along with small animals?:	yes no
Are you aware that boxers live 8-12 years and require a lifelong commitment?:	yes no
Are you aware that boxers require a lot of attention and affection?:	yes no
Are you aware that boxers cannot be left outside in extreme hot or cold temperatures?:	yes no
Are you aware that boxers are very high energy dogs requiring A LOT of stimulation and exercise? :	yes no
Are you aware that a lack of stimulation and exercise can result in behavior problems?:	yes no
Do you still think that a boxer is right for you and your family?:	yes no
Describe which methods you will use to educate and train your boxer:
Is there a boxer on our website that interests you? Which one? Why?:
Do you understand that we place our rescues with their best match, not by order of applicants?:
Anything you'd like to add?:
When accepted, it is your responsibility to travel to meet the boxer you have been matched with.:	I agree
If you are interested in fostering for BRQ or in helping otherwise, please let us know:
Please type the text below: