Adoption Application

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Please fill out this adoption application if you are interested in adopting one of our boxers currently available or if you would like to be placed on our waiting list. Please use only your mouse or the tab key to move through the fields. Pressing “Enter” will cause the application to be submitted before it is finished.

 

Adoption Application | Rockin "P" Rescue

Please fill out this adoption application if you are interested in adopting one of our boxers currently available or if you would like to be placed on our waiting list. Please use only your mouse or the tab key to move through the fields. Pressing "Enter" will cause the application to be submitted before it is finished.
  • If you are not employed please input your home phone number.
    If Other Please Describe*
    If Other Please Describe*
    If Other Please Describe*
  • By clicking on "Submit Application" I am agreeing that the above information is true and correct and understand that this information will be included with my adoption contract and if found to be untrue at any time (even following adoption) the dog may be reclaimed at no expense to Rockin' "P" Rescue, Inc. Further, by applying for the adoption of a boxer I hereby give permission to my Veterinarian, my personal reference and landlord (if applicable) to disclose information to Rockin' "P" Rescue, Inc. I understand that incomplete applications will not be processed.