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!
Have you contacted another rescue? If yes, give the group's name, contact person's email/phonenumber
Have you owned dogs before?
yes no
Do you own dogs now?
yes no
How many?
Are they male or female?
Are they spayed/neutered? If not, why?
Who is your vet? Please give contact information.
If you no longer have your dogs, what happened to them?
Have you owned a boxer before?
yes no
Describe the boxer you are looking for.
Why do you want a boxer?
What are your plans for this dog? ie. pet, guard, hunting, obedience etc..
Do you want :
either female male
What colour?
any colour brindle fawn white
What age group?
adult puppy senior young
Do you:
own rent
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
Is there a size/weight limit?
yes no
Do you have a backyard?
yes no
Is it fenced in? What is the 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 in your home?
How many children? How old are they?
Are children "dog trained"?
How do children react to dogs?
Is anyone allergic to dogs?
yes no
Is anyone afraid of large dogs?
yes no
Do you have any other pets?
yes no
Please describe other pets.
If you have other dogs, please provide breed, sex, age and describe temperament
Do you see any potential problems current pets may have with your new boxer? Describe.
Will your new boxer have contact with all other pets?
How much time will be spent with your boxer on weekdays and weekends?
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?
When will the boxer be outside? Will he be tied out?
Please describe your new boxer's exercise routine. (ex. walks, play time).
Where will the boxer stay when you are away? Short term and long term?
Do you agree to keep current licence and I.D. tags on dog at all times outside your home?
yes no
Agree to provide proper health care for your boxer?
yes no
Agree to return boxer to BRQ if you can no longer keep/care for him?
yes no
Agree to BRQ agent to visit your home prior to adopting?
yes no
Agree to pay an adoption fee for your boxer?
yes no
Do you feel financially able to care for a boxer for his lifetime?
yes no
Do you feel physically able to care for a boxer for his lifetime?
yes no
Have the police been to your home for any disturbances?
yes no
Have you or anyone in your household been charged with cruelty to animals?
yes no
Are you aware that boxers have a strong prey drive and may not get along with small animals?
yes no
Are you aware that boxers should not be tied outdoors?
yes no
Are you aware that boxers live 8-12 years and need a lifelong commitment?
yes no
Are you aware that boxers are very affectionate dogs and need alot of human attention?
yes no
Are you aware that boxers do not deal well with extreme hot or cold temperatures?
yes no
Are you aware that boxers are *very* high energy dogs and need alot of stimulation and exercise?
yes no
Are you aware that boxers love to jump up to greet people?
yes no
Do you still think that a boxer is right for you and your family?
yes no
How will you discipline your dog? Please describe the methods you use.
Is there a boxer on our website that interests you? Which one? Why?
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
Please type the text
