Texas Boxer Rescue screens all potential adopters to assure suitable placement of each dog. Texas Boxer Rescue reserves the right to refuse placement of any dog.

Please fill out each field (if applicable) and click the "Submit Application" button on the bottom of the page. Incomplete forms will not be considered.

Applicant's Name:

Other Applicant's Name:

Address:

Mailing Address (if different than above)

Your home phone number:

Your work phone number:

Your cell phone number:

Your email address:

How did you hear about Texas Boxer Rescue?

  1. www.texasboxerrescue.com
  2. petfinder.com
  3. A friend
  4. Previous Boxer Adopter
  5. Internet
  6. Other

Do you support yourself financially? (Y/N)

Are you a student? (Y/N)

Do you travel frequently? (Y/N)

What are your plans for this dog?:

  1. Companion Animal
  2. Watch/Guard Dog
  3. Gift for
  4. Competitive Sport (Obedience, Agility)
  5. Other

How long have you lived at your current residence?

Do you live in a :

  1. House
  2. Apartment
  3. Townhouse/Condo
  4. Mobile Home
  5. Other

Do you

  • Own
  • Rent your home?

    If rent, please provide the name and phone number of your landlord, so that we may verify that you have paid any required pet deposits, and that this dog doesn't violate any weight/breed restrictions.

    Your fence is:

  • 4 Ft. Chain Link
  • 6 Ft. Chain Link
  • 6 Ft. Wooden
  • 8 Ft. Wooden
  • Other
  • None

    If Other, please describe the approximate height and construction.

    If None, how do you plan to fulfill this dog's toilet and exercise needs?

    How many dogs and cats do you have at this time?

    Number of Male Dogs:

    Number of Female Dogs:

    Number of Male Cats:

    Number of Female Cats:

    When are your pet(s) annual vaccinations due?:

    When did your pet(s) last have heartworm preventive?:

    How many pets other than dogs and cats do you have at this time?

    What are these other pets? .

    During the last 5 years, you have also had how many other pets? :

    Number of Adults in the household:

    Number of Children in the household:

    If you have children, please give their names and ages below:

    Is anyone in your home allergic to pets?
    Yes
    No
    Unknown

    Is anyone at home during the day?
    Yes
    No

    If no, how many hours will this dog be left alone?:

    Where will this dog be when no one is home?
    Indoors
    Outdoors
    Both

    Where will this dog be at night?
    Indoors
    Outdoors
    Both

    Do you have a pet door?
    Yes
    No

    If Yes, will this dog be allowed access to it when no one is home?
    Yes
    No

    Have you ever used a crate before?
    Yes
    No

    Are you willing to use a crate for this dog?
    Yes
    No

    Are you willing to obedience train this dog?
    Yes
    No

    If Yes, what classes or trainer will you be using?

    Where will this dog stay if/when you go out of town?
    Board at kennel
    Neighbor will care for
    Will come with me
    Other-please explain:

    Since no dog has perfect behavior, please tell us what dog behaviors you're unwilling or unable to try and work/train through. Mark all that apply

    1. Eliminating in the House
    2. Digging
    3. Destructive Chewing
    4. Escaping
    5. Rowdiness
    6. Aggressive to other dogs
    7. Aggressive to cats
    8. Barking
    9. Mouthing
    10. Jumping Up
    11. Scratching at Doors
    12. Thunderstorm Anxiety
    13. Separation Anxiety

      Any others that we have left off?

      PET OWNERSHIP HISTORY: Please list all pets currently owned and any owned in the last five (5) years.

      Name of Pet:

      Species (ex dog, cat):

      Breed:
      Female
      Male
      Owned now?
      No
      Yes

      If no, why not?

      Spayed/Neutered?
      No
      Yes

      If no, why not?

      Kept where?
      Totally Inside
      Mostly Inside
      Mostly Outside
      Totally Outside

      Name of Pet:

      Species (ex dog, cat):

      Breed:
      Female
      Male
      Owned now?
      No
      Yes

      If no, why not?

      Spayed/Neutered?
      No
      Yes

      If no, why not?

      Kept where?
      Totally Inside
      Mostly Inside
      Mostly Outside
      Totally Outside

      Name of Pet:

      Species (ex dog, cat):

      Breed:
      Female
      Male
      Owned now?
      No
      Yes

      If no, why not?

      Spayed/Neutered?
      No
      Yes

      If no, why not?

      Kept where?
      Totally Inside
      Mostly Inside
      Mostly Outside
      Totally Outside

      Name of Pet:

      Species (ex dog, cat):

      Breed:
      Female
      Male
      Owned now?
      No
      Yes

      If no, why not?

      Spayed/Neutered?
      No
      Yes

      If no, why not?

      Kept where?
      Totally Inside
      Mostly Inside
      Mostly Outside
      Totally Outside

      Name of Pet:

      Species (ex dog, cat):

      Breed:
      Female
      Male
      Owned now?
      No
      Yes

      If no, why not?

      Spayed/Neutered?
      No
      Yes

      If no, why not?

      Kept where?
      Totally Inside
      Mostly Inside
      Mostly Outside
      Totally Outside

      Name of Pet:

      Species (ex dog, cat):

      Breed:
      Female
      Male
      Owned now?
      No
      Yes

      If no, why not?

      Spayed/Neutered?
      No
      Yes

      If no, why not?

      Kept where?
      Totally Inside
      Mostly Inside
      Mostly Outside
      Totally Outside

      I understand that the following people will be contacted as references for me. I will contact each of them and ask them to answer questions relating to me and how I care for my pets.
      No
      Yes

      Veterinarian's name, address, and phone number:


      Name, relationship, address, and phone number of two(2) people who know you well:

      Comments?

      I acknowledge that all the information contained is true and correct to the best of my knowledge.
      No
      Yes

      I agree to abide by Texas Boxer Rescue's guidelines in the care and confinement of this pet, and to return it to Texas boxer Rescue if I cannot keep/care for it at any time in the future.
      No
      Yes

      I agree to notity Texas Boxer Rescue within 24 hours if this pet becomes lost or stolen.
      No
      Yes