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HOMEFINDING QUESTIONNAIRE
Name
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Address
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Telephone number
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Best time to contact you
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Number of people living in your home
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How soon would you like a Boxer if a suitable one became available
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Preference: Male/Female
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.. Age:
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Do you have any previous experience of Boxers
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If you have had Boxers before please state briefly what you have had,
how long he/she was with you, and how you lost him/her
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What other breeds have you had, and for how long
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Why is it a Boxer that you want
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Do you presently have any other animals or
birds
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Please state your type of home - town/country, house/bungalow/flat or
maisonette - garden and how
fenced (also height), whether parks or exercising areas are within easy
distance
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DO YOU LIKE WALKING YES/NO
Is your home on a main road
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Do you have children or grandchildren
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If yes, please state sex and ages
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Is a new baby expected
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Is someone at home all day
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not, please state the number of hours the dog would be
on his/her
own ..
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When you go on holiday, would you: Take
the dog with you
Put the dog in kennels
(Please
tick) Make arrangements for somebody else to
look
after him/her
Do you realise how much it costs to feed an adult Boxer
If after the dog/bitch has been rehomed with you, are you able and
willing to bear the cost of any veterinary fees which may be incurred ..
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Do you mind if a member of Home Counties Boxer Welfare calls on you
before and after the dog has been taken into care by you
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Do
you realise that no papers are passed on with a Rescue
Boxer
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(If available - Inoculation Certificates are handed over to the new owners,
plus as much information as possible regarding previous health, habits,
likes, dislikes, degree of training, and diet). You must understand that
although we tell you everything we know about the dog, we do not know
EVERYTHING and therefore cannot GUARANTEE ANYTHING. We keep an interest in
the dog and its welfare for life and should it ever have to leave your care,
the dog MUST be returned to us. Please tick
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Any change of
circumstances MUST BE notified to us. Please tick
Have you
approached any other Rescue Society (Including any other Boxer Rescue
Groups).
Please name
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Have you been refused by any other Rescue Society or Breeder, etc. and for
what reasons
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You understand that should we receive complaints or have reason to believe
the dog is not happy or is unwell in its new home, the dog will be
repossessed by us, if, after visits and discussions with yourselves, in the
Charity's opinion the terms of the agreement are not being reasonably
adhered to. Please tick
You understand that the dog has been rehomed as a house dog and is not to be
kept in a kennel outside or chained up. The Boxer has been rehomed with you
as a companion, NOT as a guard dog or for breeding purposes. Please tick
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If known please give the name and address of your Veterinary Surgeon
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. Telephone number
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Finally, we do not buy and sell Boxers, but exist entirely on the
handling and administration charge. (Normally £100 - £150). AT THE TIME OF ADOPTION NEW OWNERS ARE ASKED TO
MAKE A REALISTIC CONTRIBUTION. Please tick
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Any comments you would like to make
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Signature of Applicant
Date
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Please return completed form to
Hon. Secretary/Co-ordinator
Miss Ann M Podmore
Dallgerry Boxers
Farthing Ridge
89A High Street South
Stewkley
Nr Leighton Buzzard
Beds LU7 0HU
Tel 01525 240288
dallgerrypodmore@tiscali.co.uk
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Home visited by
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Telephone number
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..Everything
satisfactory/Unsatisfactory
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Any comments
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Copyright
© 2006 [Home Counties Boxer Welfare]. All rights reserved |
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