Giant Paws Boerboel Rescue
Home
Donations
Current Dogs
FOSTER APPLICATION
ADOPTION APPLICATION
About the Boerboel
Memoriam
CONTACT US
SUCCESS STORIES
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Home Number
*
Cell Phone
*
Work Phone
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
How Long at Current Address?
*
Employer Name
*
Employer Phone Number
*
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
Spouse / Significant Other Name
*
First
Last
Home Phone
*
Date of Birth
*
Cell Phone
*
Email
*
Spouse's Employer Name
*
Employer Phone Number
*
Employer Address
*
Line 1
Line 2
City
State
Zip Code
Country
Do you own or rent your home?
*
If Rent / Do you have Authorization from Your Land Lord to own large breed dog?
*
Land Lord Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Land Lord Phone Number
*
How many children are in the home and what are their ages?
*
Including yourself, how many people reside in your household?
*
Does anyone in the household have pet allergies?
*
Do you have a fenced yard? If yes what type of fence and what is the heighth?
*
What other pets reside in the home? Name, Breed, Age
*
How many pets have you had in the last 10 years? If they are no longer with you please list breed and what happened to them..example death from old age, gave away..ect...
*
Name and phone number of other rescues you have adopted from in the past.
*
How many hours a day will your adopted dog spend alone?
*
Where will your adopted dog be kept when you are not home?
*
Bathroom
Crate
Outside Fenced Yard
Outside Chained/Tied
Bedroom
Garage
Outside Loose
Loose In Home
Where will your adopted dog sleep at night?
*
Bathroom
Crate
Outside Fenced Yard
Outside Chained/Tied
Bedroom
Garage
Outside Loose
Loose In Home
We will require an inhome interview before adoption approval, is this something you are confortable with?
*
Has any one in your home been investigated or convicted of animal abuse/neglect? If so please explain...
*
Name of current Veterinarian
*
First
Last
Phone Number
*
Who is listed as owner of your pets at your vets office?
*
Are your pets spayed/neutered?
*
Are your pets up to date on vaccines?
*
Are your pets on a current heartworm/flea and tick prevenative? what brand?
*
Reference 1. Name (non-relative)
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Reference 2 Name (non-relative)
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Reference 3 Name (non-relative)
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Is there anything else you would like us to know?
*
I am looking to adopt a dog from Giant Paws Boerboel Rescue, Inc.. All the information I have provided to Giant Paws Boerboel Rescue, Inc. is true to the best of my knowledge.
E-Signature
*
DATE
*
E-Signature Spouse/Significant Other
*
DATE
*
Submit
Home
Donations
Current Dogs
FOSTER APPLICATION
ADOPTION APPLICATION
About the Boerboel
Memoriam
CONTACT US
SUCCESS STORIES