NorCal Boxer Rescue · Adoption application

Attention: *

The $25.00 application/processing fee is non-refundable, and is not dependent upon NCBR's determination of an individual applicant's suitability for adoption of an NCBR animal. Should any potential adopter seek to dispute the application fee charge with any third party, including but not limited to PayPal, without first providing NorCal Boxer Rescue with notice of the intent to dispute the charge, the adopter waives any right to recover the disputed fee from NorCal Boxer Rescue regardless of the outcome of any fee dispute proceeding. The applicant understands this non-refundability provision, and acknowledges that understanding by checking the box below:

I acknowledge that the application/processing fee is non-refundable.

Dog availability *

Over the last several years, the type of boxers in shelters that are available to rescue has dramatically changed. Young, healthy and behaviorally sound boxers are adopted to the public. Boxers available to rescue are primarily senior, or boxers that have ongoing or significant medical or behavioral issues. Please review the available dogs carefully and consider whether the type of dog available is what you are looking for or can accommodate in your life. You will note that NCBR has very few young, healthy boxers. Be aware that if you apply for such a dog, there will be considerable competition from other applicants and the wait to adopt may be substantial.

I acknowledge and understand that there may be a substantial wait for application processing.

APPLICANT INFORMATION

Name *

First Name

Last Name

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Is your mailing address the same as your street address? *

Yes

No

Mailing Address (if different from street address)

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Primary Phone *

Is this a mobile number? *

Yes

No

Secondary Phone

Is this a mobile number?

Yes

No

Occupation *

HOUSEHOLD INFORMATION

Please list name, age, gender and relation of all other adults in the household. *

Is anyone in your home allergic to animals? *

Yes

No

Is your whole household supportive of this adoption? *

Yes

No

Please explain why somebody in your household is not supportive of this adoption.

RESIDENCE

Current residence *

Apartment

Condominium

Single Family Home

Other

Describe the type of residence where you live.

Please describe your yard. *

What type and height of fencing do you have? *

Do you have a pool? *

Yes

No

Is your pool fenced?

Yes

No

How long have you lived at this address? *

Do you own or rent? *

Own

Rent

Do you have permission to have a dog?

Yes, I have permission to have a dog.

No, I do not have permission to have a dog.

Landlord's name

First Name

Last Name

Landlord's phone number

May we contact your landlord to verify that you may have a dog on the property?

Yes

No

May we visit your home before you adopt a dog? NOTE: A home visit is required prior to adopting from NCBR. *

Yes

No

PET INFORMATION

Why do you want to adopt a boxer? *

What traits do you find most appealing about the boxer breed? *

Do you have prior boxer experience? *

Yes

No

Have you done any research on the breed? If so, where have you obtained your information (i.e. books, internet, etc.)?

Is there a particular dog on our site that you are interested in (please list her/her name(s) below)? *

Describe the dog you are looking for (age, gender, color, etc.): *

Have you ever had to give up a dog? *

Yes

No

Please explain why you had to give up a dog (be detailed):

How long did you have the dog before giving him/her up?

Where did you place the dog (i.e. animal shelter, new family, etc.)?

Who will be primarily responsible for feeding, exercising and training the dog? *

Are you willing to hire a trainer to help with any issues that may arise? *

Yes

No

How do you plan to train the dog? *

Please list any behavior problems you consider unacceptable and would be unwilling to deal with. *

What circumstances/behavioral issues would cause you to return an adopted boxer to NCBR? *

Are you willing to work on housebreaking issues? *

Yes

No

How long do you anticipate it will take for a rescued dog to become adjusted to your home? *

Where will the dog sleep at night? *

About how many hours will the dog be alone each day? *

Where will the dog be kept during the day? *

Who will take care of the dog in your absence (vacations, emergencies, etc.)? *

Do you currently have a veterinarian? *

Yes

No

Please list the veterinarian's name and the city they are located in.

Veterinarian's Phone:

If there are any other veterinarians who have treated your pet(s) in the last 5 years, please provide the name and contact information of each.

Please list the name, type/breed, and age of all pets currently living in the home. *

Are your pets currently spayed/neutered? *

Yes

No

If no, please explain why not:

Are your pets up to date on vaccinations? *

Yes

No

Are your pets on heartworm preventative? *

Yes

No

If no, does your vet currently recommend heartworm preventative?

Please tell us about any other pets you have owned during the last 5 years.

If you have cat(s), are you willing to work with a new dog that previously may not have been socialized with cats?

Yes

No

CHILDREN IN THE HOME

Please list the name, age, and gender of all children living in the home. *

Under what circumstances (if any) would you consider it acceptable/understandable for a dog to "snap" or "growl" at a child? *

Do you understand that your child may be knocked over by the dog? *

Will you allow your child to approach the dog while eating? Sleeping? Chewing on a bone or other toy? *

Do you understand that all young children should be closely monitored and never be left alone unattended with a dog? *

Are you willing to work with a professional trainer if you are concerned with how the dog is interacting with your child? *

What type of exposure have your children had with dogs? *

Are you willing to work with your children to teach them how to properly interact with a dog? *

ADDITIONAL INFORMATION

How much money would you consider to be a major veterinary expense (not including routine vet care)? *

Are you currently working with any other adoption agencies? *

Yes

No

If yes, please list the agency or agencies.

Would you be interested in hearing about our volunteer opportunities? *

Yes

No

Have you read our Adoption Process & Requirements page? *

http://ncbr.org/adoption-process-requirements/

Yes

No

Please let us know if you have any additional comments, questions or suggestions.

Resident of CA/NV: *

I acknowledge that I am a resident of Northern California, Central Valley (Fresno or further north) or around the Northwest Nevada/CA Stateline area (Reno/Tahoe)

Adoption Process & Requirements and Application Fee (please read): *

http://ncbr.org/adoption-process-requirements/

I acknowledge that I have read the adoption process and that I understand my application will not be processed until I pay the $25.00 application fee.

Children Policy (please read): *

http://ncbr.org/boxers-and-children/

I acknowledge that I have read the policy on adopting to families with young children.

Mailing List

Please add me to the NCBR mailing list.

Due to the heavy volume of incoming adoption applications, it could take up to fourteen (14) days for one of our volunteers to contact you about your application.

At NCBR’s sole discretion, NCBR may share the information you voluntarily provide on this Application with other animal affiliated organizations. Without your further approval, NCBR will not share any information with third party vendors other than those associated with animal affiliated entities