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Mid-Iowa Boxer Rescue Adoption Application
Please complete the adoption application below, when we receive the application,
we will contact you to schedule a home visit if applicable.
To download our Adoption Application, click the pdf icon. Once you have the application completely filled that out you can then email it to
Or if you would prefer you can fax the application to

This questionnaire is prepared for the benefit of both the prospective owner and the dog. It will better enable Mid-Iowa Boxer Rescue to place the right dog into the right home. We are looking for the best home to suit the specific needs of each dog. We are looking for permanent, lifetime homes.

Okay to call work?
Do they live with you full-time or visit only?
Are there any family members who need special consideration for any reason?
I/We live in a
Do you own or rent?
Note: If you rent you must have written permission from the owner to have a dog over 50 lbs.
Are you planning to move in the next year?
Is your yard fenced?
Have you owned any pets in the last 5 years?
Are current animals spayed/neutered?
Current on vaccines?
Are they on heartworm preventive 12 months of the year?
Do you understand a Mid-Iowa Boxer Rescue volunteer must visit your home prior to approval to adopt?
Do you understand that the adoption fee is not refundable after a two-week grace period?
Adoption fees range from $350 to $450

I understand that if the information contained herein is found to be in any way false, my application will be refused or the dog adopted shall be relinquished to Mid-Iowa Boxer Rescue without a refund of monies paid.

Thanks for submitting!

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