Tulsa Boxer Rescue - Adoption Application

Adoption Application

* Required Fields

* First Name
* Last Name
* Address
* City
* State
* Zip/Postal
* County
* Home Phone
* Cell Phone
* Work Phone
* Email Address
* Occupation
* Do you work?
Spouse/Significant other's name
Spouse/Significant other's job
Spouse/Significant other's phone
Spouse/Significant other's cell phone
Does he/she work?
* How many adults in home?
* Names/ages of adults
* How many children in home?
Names/ages of children
* Are there any special needs/disabilities/allergies?
* Are you working with any other rescue groups?
If yes, who?
* What best describes your home?
* Do you own or rent?
* How long at this address? (years/months)
* If you rent, provide name and phone number of landlord
* Do you plan to move within the next year?
* Does your home have a yard?
* Is it securely fenced?
* Fence height/type
* If no fence, how do you plan to exercise your dog?
* Do you have any other dogs?
* Are they spayed/neutered?
* Vaccination up to date?
* Do you have any cats?
* Other pets or livestock?
* List name, breed, sex and age of each of your current pets
* Are all dogs/cats on heartworm preventative?
* How many dogs have you owned in the past five years?
* What happened to your last dog?
If last dog was given away, explain to who and why
* Have you owned a Boxer before?
* List activities in which you plan to include your dog
* Age preferred/oldest you would consider adopting
* Sex of dog you prefer
* Color Preference (hold down Ctrl for multiple selection)
* Boxer you're interested in
* Would you consider other Boxers or a different sex from your selected preferences?
* What are your particular preferences for a dog if any, such as: "doesn't get on furniture", "must like cats", "good with children", etc.
* Would you consider adopting a special needs dog (i.e. a deaf dog, or a dog requiring daily medication)?
* Who will be the dog's primary caregiver?
* Where will the dog stay during the day?
* How many hours (on average) will dog be alone?
* What will you do if your dog is destructive while alone?
* List unacceptable behavior issues
* How would you discipline your dog?
* Where will your dog sleep? (hold down Ctrl for multiple selection)
* Would you attend obedience classes with your dog?
* What kind of food do you plan to feed your dog?
* What would you estimate to be a realistic cost to properly care for your dog for a year?

* Provide veterinarian's name and telephone number for each of your current and prior pets

	Pet Name	Vet Name	Phone Number
1.
2.
3.

* What would justify getting rid of a dog?

* Please provide three personal references (not related to you)

	Name	Phone (plus area code)	Relationship
1.
2.
3.

Your Comments

By checking this box, I have indicated that this is a valid and legal substitution for my written signature on this legal document entitled "Adoption Application."

By checking this box, I state that I am financially and physically able to care for this dog. I understand that proper veterinary care, training and food can be costly, and I am able to meet these requirements.

By checking this box, I certify that all information contained herein is true. If any of the information provided in this document is found to be false, my application can be refused or said dog adopted shall be relinquished to Tulsa Boxer Rescue, Inc. without a refund of monies paid.

Check this box to have a copy of this Application e-mailed to you.