Members
ADOPTION APPLICATION
   

CBR FEATURED DOG

BUBBA/LUCCI
 
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Adopt a Boxer from CBR of Florida
Fields marked with an (*) are required
YOUR INFORMATION
First Name*:
 Last Name*:
 Address*:
 City*:
Home Phone*:

 Work/Cell Phone :
 ZIP*:
 State*:
Closest County*:


Email*:
 Best Time to Call*:
  
REFERENCE (other than a family member)
Name*:
 Email*:
 Address*:
 City*:
Relationship*:
 Phone*:
 Zip*:
 State*:
ADOPTION INQUIRY
Why have you chosen to adopt a Boxer?*

 

Do you prefer a Male or Female?*

  
Where will your new boxer stay during the day?*

  
Where will your new boxer sleep at night?*

  
How many hours on avg will your dog be alone?*

  
Who will care for your pet(s) when you're on vacation?*

  
Do you have an age preference?

  
Is there a specific Boxer on this site you're interested in?

  
BOXER BREED UNDERSTANDING (check all that apply)
Have you done any research on the Boxer Breed?*

I have owned a Boxer
 
Have done research on the internet I have read books on the Boxer breed
Other, please describe: I have a friend &/or family member who owns a Boxer
 
YOUR PETS (past & present)
How many DOGS do you currently own?*
Describe what happened to the pets you no longer own:
How many pets have you owned in the past 5* years?
Please list current Dogs    
DOG 1 Sex: Name&Breed: Age: Altered:
         
DOG 2 Sex: Name&Breed: Age: Altered:
         
DOG 3 Sex: Name&Breed: Age: Altered:
         
   
Where do your dogs stay during the day?

 
Where do your current dogs sleep at night?

 
If you currently own more than three dogs please enter their information here

Please list current Cats  
CAT 1 Sex:

Declawed:

Age: Altered:
         
CAT 2 Sex: Declawed: Age: Altered:
         
CAT 3 Sex: Declawed: Age: Altered:
         
Does your cat(s) stay indoor or outdoors?

 
If you currently own more than three cats please enter their information here


VETERINARIAN INFORMATION
Name*:
 Phone*:
If no please explain:
Is this the vet you currently use?*
YOUR RESIDENCE INFORMATION
Do you currently Rent or Own your home?*
  Landlord Name:(if applicable)
If you rent, do you have your landlord's permission to keep a dog?
 

Landlord Phone:
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)

  
OCCUPANTS  
How many adults in your household?*

  
How many children (under18) in your household?*

  
Please list the ages of all the children under 18

  
Are you willing to go through obedience training with your Boxer?*

 
Is everyone in your household agreeable to adoption?*

  
How did you hear about Coastal Boxer Rescue?*

  
*By checking this box, I verify that I'm over the age of 21 and understand that CBR's priority is to serve the best interests of the Boxers in its care. Therefore we will request a home visit to verify living conditions. CBR also reserves the right and sole discretion to refuse an adoption to anyone for any reason.*
Type your full name and date on these lines to signify your signature*

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

 
FAVORITE LINKS
B.A.R.C.
Blue Ridge Rescue [checkout video]

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