Mariah

MARIAH


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The information that you provide in this application aides Legacy Boxer Rescue in determining which of our boxers best fits your personality and lifestyle. Please fill out the entire application to the best of your knowledge. Please note that all domestic animals living in your home must be spayed/neutered, current on basic core vaccines (per your vet's recommendations) and all dogs must be on monthly heartworm prevention. To read all of our adoption requirements, please click here. Once the application has been submitted, one of our volunteers will start the review process and will be in contact with you as soon as possible. Please email us if you have questions or concerns. Thank you!

Please include an e-mail address in your application so that we may process it in a more timely fashion.
Fields marked with an (*) are required

CONTACT INFORMATION
First Name*:
Last Name*:
Address*:
City*:
State*:
ZIP*:
Home Phone*:

ex. (000) 000-0000
Work Phone:

ex. (000) 000-0000
Cell Phone :

ex. (000) 000-0000
Date of Birth*:

Email*:
PERSONAL REFERENCES (no more than one family member)
REFERENCE 1    
First Name*:
Last Name*:
Relationship*:
Address*:
City*:
State*:
Zip*:
Phone*:

ex. (000) 000-0000
Email*:
REFERENCE 2    
First Name*:
Last Name*:
Relationship*:
Address*:
City*:
State*:
Zip*:
Phone*:

ex. (000) 000-0000

Email*:
BOXER BREED RESEARCH & EXPERIENCE (check all that apply)
Have you done any research on the Boxer Breed?

 
I have owned a Boxer I have read books on the Boxer breed
I have done research onthe internet I have a friend and/or family member who owns a Boxer
Other, please describe:  


PET OWNERSHIP (past & present)
How many pets have you owned in the past 5 years?

 
How many DOGS do you currently own?

 
Briefly describe what happened to the pets you no longer own
 

Please list all current dogs    
DOG 1    
Name:
Sex:
Spayed/Neutered:
Breed:
Age:
 
DOG 2    
Name:
Sex:
Spayed/Neutered:
Breed:
Age:
 
DOG 3    
Name:
Sex:
Spayed/Neutered:
Breed:
Age:
 
DOG 4    
Name:
Sex:
Spayed/Neutered:
Breed:


Age:
 
Where are your current dogs kept when you are not home?

 
Where do your current dogs sleep at night?

 
If you currently own more than four dogs please enter their information here

 
Please list all current cats    
CAT 1    
Name:
Sex:
Age:
Spayed/Neutered:
Declawed:
 
   
CAT 2    
Name:
Sex:
Age:
Spayed/Neutered:
Declawed:
 
   
CAT 3    
Name:
Sex:
Age:
Spayed/Neutered:
Declawed:
 
   
CAT 4    
Name:
Sex:
Age:
Spayed/Neutered:


Declawed:
 
Is your cat(s) an indoor or outdoor cat?

 
If you currently own more than four cats please enter their information here

 
VETERINARIAN INFORMATION - Required for all pets owned in the last five years
First Name*:
Last Name*:
Clinic Name*:

Phone*:


Is this the vet you currently use?*

 
If no please explain:
 

ADOPTION INFORMATION
Why have you chosen to adopt a Boxer?*

 

Do you prefer a Male or Female?*
:
 
If you have a preference in the sex, please explain your reason
We will not place two female dogs in the same home. With the dominance issues commonly seen in females, we feel we can increase the odds for a successful adoption by not placing females in the same home together

 

Where will the new boxer be kept when you are not home?*

 
Where will your new boxer sleep at night?*

 
How many hours on average will your dog be alone?*

 
Who will care for your pet(s) when you're on vacation?*

 
Do you have an age preference?

 
If you have a preference, please explain:
 
Are you currently working with another rescue to find the perfect addition for your family?

 
If yes, which rescue?

 
YOUR RESIDENCE INFORMATION
Do you currently Rent or Own your home?*
 
If you rent, do you have your landlord's permission to keep a dog?
 

Landlord Reference (if applicable)  
First Name:
Last Name:
Corporation:
Phone:

ex. (000) 000-0000
Please specify type of residence*

 
If other please describe:
 

How long have you lived at this address?*

 
Do you have any plans to move in the immediate future?*

 
Do you have a fenced yard?*

 
If yes, what kind of fence do you have? (select all that apply by holding down control+left-click)

 
If Other, please describe
 

OCCUPANTS  
How many adults in your household?*

 
How many children (under 18) in your household?*

 
Please list the ages of all the children under 18

 
Have your children been taught how to appropriately interact with an animal?

 
Is everyone in your household agreeable to adopitng a boxer?*

 
Where did you hear about Legacy Boxer Rescue?

  
I understand that LBR's priority is to serve the best interests of the Boxers in its care. Therefore LBR reserves the right and sole discretion to refuse an adoption to anyone for any reason.

Before clicking 'Submit' make sure everything has been filled out completely. Place an "n/a" where applicable.

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