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 :
