Download this document and submit to info@LSBR.org if you would like to adopt a dog from us! Please make sure you become a "fan" of our page by clicking the LIKE button at the center of the page, thank you!

1. Lone Star Boxer Rescue
P.O. Box 541286
Houston, TX 77254-1286
Phone: (713) 464-1381 ▪ Fax: (281) 251-6179
www.lonestarboxerrescue.com
www.lsbr.org
Email: info@lsbr.org
ADOPTION APPLICATION
Instructions:
Thank you for your interest in adopting a boxer from Lone Star Boxer Rescue. Before meeting any of the dogs
in our program, you must have an approved adoption application on file. It is very important that you complete
this application thoroughly. All questions must be answered or marked not applicable (N/A). Incomplete
information may delay the processing of your application. We reserve the right to reject any application.
Reasons for rejection will be provided upon written request.
To submit an adoption application via e-mail, please complete the following steps:
1. Download the adoption application and save it to your computer.
2. Open the document in Microsoft Word.
3. Complete the application.
4. Save it on your computer with your last name in the document title.
5. Submit it via e-mail as an attachment to info@lonestarboxerrescue.com.
Once you submit a completed application, your application will be assigned to a volunteer in your area who will
contact you within a week to schedule a home visit. Completion of a home visit is a requirement for adoption of
any dog in our program. We do adopt outside of the Greater Houston area.
The adoption fee for a puppy is $300 (up to 9 months old), adult Boxers $250 (10 months through 5 years old);
senior Boxers $200 (6+ years old); Boxer mixes $150: mixed breeds $100: and other pure breed/non-Boxers
$200. The adoption fee is non-refundable, and is considered a taxable donation.
PERSONAL INFORMATION
Name Drivers License #:
Occupation: Employer’s Name:
Home Address: City: State: Zip:
Subdivision: Major Cross Streets:
Home Phone: Work Number: Alternate Number:
Email Address:
Co-Applicant Name: Work Number:
Alternate Number: Email Address:
ABOUT YOUR HOME
How many adults in your home? Do you have children? { }YES { }NO -If yes, please list the age(s) of
your children?
Some people find that having a pet becomes a nuisance when they have a new baby. Are you considering
having/adding children to your family in the next 12-18 months, and have you discussed how an adopted
pet might continue to fit into your family? { } Yes { } No

2. Why are you interested in adopting a Boxer?
Which Boxer(s) are you interested in? Age? Color?
Where will you keep the dog while you are at work or away from the house?
What behavior(s) are you not willing to work with or tolerate?
Where will the dog sleep?
How many hours per day will the dog be alone?
{ }1-2 { }2-4 { }4-6 { }6-8 { }8+
Do you plan on the dog being an { } INSIDE PET { }OUTSIDE PET
Will you crate train the dog? { }YES { }NO
Please state the reason for your decision:
What would you consider a major medical expense that you could not afford?
{ }$0-$250 { } $251-$500 { }$501-$1,000 { }$1,001+
Current pets:
Please list none if you do not currently own any pets
DOG AGE SEX BREED SPAYED/NEUTERED VACCINATED HEARTWORM PREVENTION
1. { }YES { } NO { }YES { } NO { }YES { }NO
2. { }YES { } NO { }YES { } NO { }YES { }NO
3. { }YES { } NO { }YES { } NO { }YES { }NO
4. { }YES { } NO { }YES { } NO { }YES { }NO
CAT AGE SEX BREED SPAYED/NEUTERED VACCINATED HEARTWORM PREVENTION
1. { }YES { } NO { }YES { } NO { }YES { }NO
2. { }YES { } NO { }YES { } NO { }YES { }NO
Please identify the type of heartworm preventative you use:
If any of your pets are not altered or current on their vaccinations/heartworm prevention, please explain:
Please tell us about your last three pets: how long you had them, how old they were (and under what
circumstances) when they died, and/or if you had to give them up, etc.
Vet’s name: Clinic: Telephone:
I agree to allow the veterinarian listed above to release information about the care of my pets to a
representative of Lone Star Boxer Rescue. { } YES { }NO Date:
Have you ever given up a dog? { } YES { }NO If “yes,” why?
Residence:
{ } House { } Apartment { } Other If “other,” please explain:

3. Do you: { } Own { } Rent Landlord’s name: Telephone:
If you rent, are pets allowed on this property? YES NO Are they allowed indoors? { } YES { } NO
Length of time at current address? { } <6 months { } 6 months-1 yr { } 1 yr-2 yrs { }2-3 yrs { }3+ yrs
If you are required to move, do you understand that you have an obligation to find living arrangements
that include your dog? { } YES { } NO
Do you have (check all that apply):
{ } Fenced yard Height of fence: Type of fence: { } Wooden { } Chain link { } Wrought Iron
{ } Kennel run
{ } Locks on gates (padlock or combination lock)
Locks should be in addition to the sliding latch lock and the flip latch locks that are commonly found on gates.
Describe your yard in detail:
If you do not have a yard, how do you plan to exercise the dog and take the dog to the bathroom?
Do you have an emergency evacuation plan for you and your family? { } YES { } NO
Does it include your pets? { } YES { } NO
In the event of a life altering change, where you are no longer able to care for your dog, what provisions
have you made for the future of your dog (e.g. birth of baby, caring for an elderly parent, death in
immediate family, long-term illness, disabled, loss of employment, etc.)?
Please tell us any other information you feel will help us determine if your home is right for one of the
Boxers in our program:
It is important that we be able to reach you in the event your dog is ever lost and/or found. Please
provide the name and telephone number of a friend or family member who will always know how to
contact you in case of an emergency.
Personal Reference Name:
Telephone:
Email:
Thank you for your application. Please note there is a $25 application fee due at the time of your home visit.
This fee will be applied to your adoption fee upon approval of your application. If you choose to withdraw
your application or are declined by Lone Star Boxer Rescue for any reason, this fee is non-refundable and will
be considered a tax-deductible donation toward our efforts.
You can prepare for the home visit by installing locks on all of your gates, as this is the #1 way dogs are lost or
stolen. Please make sure your fence is in good condition and all of this is done prior to your home visit; this
will expedite the adoption process.
Signature: Date:
I agree that by initializing or typing my name above, it is the same as signing my name to this document.