First Name*

Last Name*

County

Email*

Home Phone*

Work Phone
x

Cell Phone*

Alt Email

Are you looking to Volunteer, Foster and/or Adopt

How did you hear about Across America Boxer Rescue?
Choose one: Internet Search Petfinder Family Member Friend Past Adopter Meet & Greet Board Member Rescue Referral Other

Your full name and spouse/significant other’s name: *

What's your full address: *

City:

County:

State:

Zip:

Which animal are you interested in
Choose an animal: Abby - ADOPTION PENDING!! Bruce - STARTING HEARTWORM TREATMENT SOON!! Bruno - IN FOSTER TO ADOPT HOME!! Drago - FOSTER OR ADOPT ME!! Ferguson Ian - ADOPTION PENDING!!! Kane Kizzy -FOSTER OR ADOPT ME!! Lady aka Ladybug Lex - MEDICAL NEEDS Lil Bit aka Lil - ADOPTION PENDING!!! Luka - IN A FOSTER TO ADOPT HOME!! Lyla Max - ADOPTION PENDING!!! Miah Roxie - IN TRAINING/FOSTER ME!! Russell Smoosh - ADOPTION PENDING!!! Sunny - ADOPTION PENDING WITH TAHOE!! Tahoe - ADOPTING PENDING WITH SUNNY!! TJ Tucker Ty - FOSTER OR ADOPT ME!! Tyson - FOSTER OR ADOPT ME!!! Zeus Zoey - SPONSOR ME!!

If interested in multiple Boxers, who?

If there is a specific boxer you are interested in, what about her/him interests you?

Would you prefer a male or female dog? Why?*

Do you have an age preference? (i.e. 3 months, 6 – 12 months, 1-2 years, 3 + years, Senior) *

Are you willing to take on a dog with special or medical needs? Please list*

Your employer: *

Your work phone

What are your typical work hours? *

Names and ages of all children living with you:*

If you do not have children, do you plan to have children someday? If yes, explain how this will affect the dog’s place in the household? *

Who, besides immediate family and/or children, reside with you? Please list their name, relationship, and ages: *

Have you or anyone residing in your home been convicted of a felony?

If YES to the above, please explain;

Does anyone in your house have allergies (not just animal related)? List them in detail:*

Do you own or rent your home*
Choose one: Rent Own

If you rent, please enter your landlord's name and phone number

In what type of home do you live*
Choose one: Single Family Duplex Apartment Townhouse Condominium Mobile Home Military Housing

How long have you lived at this address (years/months)? *

If less than two years, please list your previous address and landlord, if applicable:

Is there a chance that you might move within the next 10 years? If so, are you willing to restrict your choice of housing to places where a Boxer is allowed? *

How much of a housekeeper are you? How do/would you deal with pet hair on floors/furniture etc.? How do you feel about drooling? *

Do you know your city animal ordinances/licensing procedures?

What is the licensing fee? *

What is the limit of pets per household? *

Is your yard fenced*
Choose one: No Yard Unfenced Yard Yard Partially Fenced Yard Completely Fenced

What type of fence*
Choose one: Privacy Chain Link Invisible No Fence

What is the height of the fence (If no Fence put N/A)*

If no, do you have a kennel area?

If you do not have an outside kennel or fenced yard, please explain how you will allow for the dog to defecate/urinate and to meet its daily exercise requirements? *

Do you currently keep the gate padlocked? *

Do you have a pool?

If yes, is it fenced separately?

Will the dog be kept indoors or outdoors? *

Where will the dog sleep at night? *

Please describe where/how the dog will live and/or a typical day for the dog:*

How many hours per day will the dog be left alone and/or crated? *

Do you have a crate?

If no, are you willing to purchase a crate?

Do you travel? If yes, who will care for your pet when you are out of town? *

What steps have you taken to learn about this breed and/or dog ownership?*

Are you prepared to deal with and afford any medical emergencies? Explain. How much, in your opinion, does it cost to have one dog per year? Include training, food, vet visits, etc.? Or, if you keep a yearly budget for your pets, what would it be? *

Do you currently have any pets?

If yes, please describe the pets in detail (name, age, breed, sex, and personality):

If you have cats, have they been around dogs before? How do they react? Will they run from a dog or not pay attention to them? Do they have claws?

Have your current pets been through obedience class? Where? *

Do you enjoy brushing or grooming your pet(s)? How often do you do this? How about nail trims? *

If you own or have owned a dog, is it/was it spayed or neutered and current on vaccinations? If not, explain: *

If you have owned dogs in the past, why are they no longer with you? (Please be as specific as possible)

What do you enjoy most about dog ownership?*

What do you like least about dog ownership?*

What type of food/treats do you feed? *

Do you belong to any Kennel Clubs, Obedience Clubs, or other dog-related clubs? If yes, please list and describe: *

Please explain why you wish to adopt a Boxer.*

Have you previously owned a Boxer?*

How did you first learn about Boxers?*

What other breed(s) of dog have you considered? *

Have you and your family discussed the pros and cons of owning a Boxer?*

Are you willing to take the adopted dog to obedience classes? Why or why not?*

What behavioral/training issues “can” you deal with? What behavioral issues can you NOT deal with? List them below and be specific. (Just some things to think about: Chewing, housebreaking, barking, whining, marking, Pacing & panting, Food Aggression, Leash Pulling, chasing other pets, not listening to commands, challenging existing pets for pack leadership, puppy nipping/mouthing, jumping on people, jumping on furniture, digging in the cat litter box, protective of toys, stress out at vet’s office, difficult to cut nails or groom) *

Do you understand that the dog will take time to adjust in their new home and certain behavioral issues might occur? How do you plan to deal with this should it happen? *

If you were to return this (or any) dog, for what reason would it be? (Think about things that could change your life such as: new baby, moving, behavior problems, divorce, financial stress, new relationship, job change, new furniture) *

Please provide full contact information for the vet who last cared for your pet(s).*

List the names and relationship to you as well as the address, phone numbers, and email addresses of THREE other references, please do not include people who are related or in a relationship with you.

Including the email addresses for your references will speed up the processing of your app!

Please list your first references Name, Phone # and please list their best Email (this helps speed up the process):*

Please list your second references Name, Phone # and best Email:

Please list your third references Name, Phone # and best Email:

Thank you for completing this questionnaire. By signing below you certify that the above information is true and understand that prior to being approved for adoption, the above information will be verified. In some cases, a home visit will be required. You also agree to a personal interview with a member of Across America Boxer Rescue, if required, to determine the suitability of your home/facility to care for a canine. Applicant Signature(s): *

ACROSS AMERICA BOXER RESCUE

CODE OF ETHICS

AABR deems that this rescue organization shall be responsible pet owners, commit to a lifetime for each dog that is brought into AABR.  To those dogs whose ownership I retain, I offer love, training and regular veterinary care.  With this idea in mind, and with full recognition that the best possible motives do not always produce perfect results,

I pledge to the following animal care:

1. Provide all dogs in my care with adequate quantities of nourishing food and fresh water;
2. Provide safe, secure and clean facilities with adequate shelter;
3. Provide appropriate veterinary care to all dogs, including immunizations and parasite treatments when needed; and
4. Provide loving attention to every dog I own/and or foster.

I pledge to the following placement practices:

1. Screen all prospective adopters to the best of my ability;
2. Educate potential adopters during the interview process regarding their future responsibilities as dog owners;
3. Be honest about faults of potential behavioral problems and/or health problems;
4. Refuse to supply dogs for raffles “give away” prizes or other such projects;
5. Refuse to adopt to any adopter where I have reason to believe that the dog will not be properly cared for;
6. State in contractual terms that, if for any reason the adopter cannot keep the dog, that, AABR, will take the dog back and assume full and total responsibility for the dog’s welfare; and
7. Require any and all adopted puppies placed under pet contracts to be spayed or neutered.

I pledge to the following public contact:

1. Conduct all my affairs concerning dogs in such a way that my behavior brings credit to the image of dogs and dog ownership in my community; and
2. Clean up after my dog(s) when walking or exercising them in public and to keep them under control at all times.

I pledge to the following business agreement:

1. Use contracts that are ethically sound as well as legally binding which seek to protect the dog, the buyer (adopter) and the seller (AABR); and
2. Strive to uphold the intent as well as the letter of such agreements.

I have read the AABR Bylaws and commit to volunteering under the guidelines. I agree and pledge to all of the above.

I agree to care for all animals I am transporting with the utmost respect and unconditional love. I understand driving is an all volunteer opportunity and I agree that by volunteering I am releasing AABR of any liability in the event of an animal bite, accident, or any other unforeseen issues. I also agree to follow all guidelines and instructions given by the Transport Coordinator as it pertains to your transport.