Mariah

MARIAH


GoodSearch: You Search...We Give!















Click here to see boxers in need of foster homes!




Healthy Paws Pet Insurance & Foundation offers a comprehensive, affordable pet insurance plan for your dog or cat. Plus, when you protect your pet you'll also help a homeless pet have a happier and healthier tomorrow. Visit healthypawspetinsurance.com to get a free quote.




Have a special talent or interest?  We need all sorts of volunteers.  Let us know how you'd like to help.

Fields marked with an (*) are required

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

ex. (000) 000-0000
Work/Cell Phone :

ex. (000) 000-0000
Email*:
Occupation*:

Best Time to Call*:


Date of Birth*:
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:  


PAST VOLUNTEER EXPERIENCE & TRAINING
Are you comfortable approaching a dog you don't know?

 
Do you understand that dogs are unpredictable, and that LBR cannot guarantee that a dog we are trying to rescue may not become aggressive?

 
Animals are often frightened when in unfamiliar surroundings, and may become agressive and even bite you or a companion. Are you willing to assume these risks with a rescue boxer ?

 
Do you have any experience in the following areas? (check all that apply):
Rescue Vet Tech
Grooming Training
Kennel Asst


What type of volunteering are you interested in? (check all that apply):
Fostering Transport
Home Visits Fundraising
Marketing

Writing/Newsletter Skills
Education/Training

Phone Calls/Follow Up
Computer Skills (word processing, emailing, website development, etc.)

Other
Do you have access to a home computer and/or internet?

 
How much time do you have to volunteer?

 
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:
Altered:
Breed:
Age:
 
DOG 2    
Name:
Sex:
Altered:
Breed:
Age:
 
DOG 3    
Name:
Sex:
Altered:
Breed:
Age:
 
DOG 4    
Name:
Sex:
Altered:
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:
Altered:
Declawed:
 
Please list all current cats    
CAT 2    
Name:
Sex:
Age:
Altered:
Declawed:
 
Please list all current cats    
CAT 3    
Name:
Sex:
Age:
Altered:
Declawed:
 
Please list all current cats    
CAT 4    
Name:
Sex:
Age:
Altered:


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
First Name*:
Last Name*:
Clinic Name*:

Phone*:


Is this the vet you currently use?*

 
If no please explain:
 

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 volunteering?*

 
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 a voluteer position to anyone for any reason.

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

Home | Available Boxers | Adoption Application | Volunteer Information | Contact Us | FAQ's | Privacy Statement
Copyright  © Legacy Boxer Rescue 2005. All rights reserved.  Webmaster: Empyreal Media