Please complete all fields in the application.
This updated information will allow us to match your family with the "perfect" dog for you. You will not
have to go through a phone interview, and the only reference we will be checking with is your current veterinarian.
You will only need a new home visit if you have moved since last being approved.Thank you for your cooperation.
Best time and place to reach you:
Spouse/Significant Other's Name:
Name of dog you previously adopted from BAR:
Date of Adoption:
OR Name of dog you previously adopted from
Date of Adoption:
Name, Address and Phone number of your current
veterinarian. If you do not have any pets currently, but did, please provide previous veterinarian information.
Have you moved since previously adopting from BAR?
Do you have a fenced in yard where you are
Please list the names and ages of all person's over 21 living in the home
Please list the names and ages of all full-time
and part-time residents in the home who are under 21 years of age:
1. List names, breed and gender of
of your current pets (cats, dogs, etc.)
and please note which one was adopted from BAR:
2. Are all dogs spayed or neutered?
3. Are all dog in your home up-to-date on
Vaccinations or had a titer test with the past year?
4. Are all of your animals (dogs/cats) on
heartworm preventative and flea and tick control?
5. Why do you want a Boxer to adopt another Boxer at
6. Describe the type of dog you are looking
Style Of Ears?
Style Of Tail?
Natural / Long
Would you consider adopting a dog with a treatable medical condition (heartworm)?
Would you consider adopting a dog with a permanent medical condition (blind/deaf/missing limb)?
Would you consider adopting a Boxer Mix?
What age dog are you looking for?:
Under 1 year
Over 5 years
Is there any Boxer presently on our web site that you are interested in?:
7. Is someone home at all times or will the
dog need to be alone for a portion of the day:
8. Are you currently working with any other Boxer
9. If yes, please provide the name, phone number, and
e-mail address so that we may collaborate our efforts:
10. Do you agree to allow a Boxer Rescue agent to
visit your home prior to adoption if you have moved since previously adopting?
11. Do you agree to provide professional
obedience training for a new Boxer if required?
12. Would you be interested in our new
Information is available about the FTA Program at:
13. Further comments or additional information that
you feel might help us find the right Boxer for your home particularly
any changes that have taken place in your home
since you last adopted:
Please enable your computer to receive emails from:
Please allow time for the application to be
transmitted. If you application was transmitted successfully,
you will receive a "Form
Confirmation" which we suggest that you print out for your records.
If you do not get this confirmation form, hit the back button to go
back to your application and submit it