Boykin Spaniel Rescue, Inc.
94 Sunrise Dr.
Eufaula, Al 36027
334-687-4950
Please complete this form and return it to the above address with a $25.00 donation. Donation will only be refunded if the ad is not placed on the website due to refusal by the BSR governing body.
Proof of spay/neuter and current vaccinations in the form of vet certificates MUST be included for your dog to be listed on our website. NO EXCEPTIONS.
The donation is used to cover operating costs, including the website fees. Checks should be made out to Boykin Spaniel Rescue, Inc. (BSR, Inc.).
Please include a current
photo of your dog if you have one available. Photos will only be returned if a
stamped self-addressed envelope is included. The photo will be used for the
purposes of advertising your dog on the website. It is highly recommended to
include a photo of your dog.
The URL for the BSR website is http://www.boykinrescue.org .
We will also provide referrals to you from our network but we are not required to do so. Although we pre-screen prospective adopters, it is your responsibility to screen all parties interested in adopting your dog. Also, see the list of questions you might want to ask – Guidelines for Screening Potential Adopters.
We request that when your dog is successfully adopted, you notify us immediately so that we may remove your dog from our list of available Boykin Spaniels, thus saving you any further calls.
I, __________________________________, hereby make available for referrals through Boykin Spaniel Rescue, Inc. a dog named ________________________. I understand that information pertaining to my dog will be posted on the internet at www.boykinrescue.org.
I certify that I am the owner of this dog and that the information provided here is true and complete. I hereby forever release, discharge and agree to hold harmless and indemnify the Boykin Spaniel Rescue, Inc. and its volunteers from all claims in connection with the adoption or any other disposition of the above mentioned dog.
Read, understood and agreed on this _________ date of ________, 20____.
____________________________________
Signature of owner
Owner’s name_______________________________ Home Phone ___________________
Address_____________________________________ Work Phone ___________________
City _______________________________ State _____________ Zip _________________
Best time to call____________________ Email___________________________________
Dog’s name________________________________Age____________months/years
Date of Birth if known__________________ Is the dog registered? Yes No
If Yes, list registries _________________________________________________________
Color_______________________________ Sex_____________ Weight________________
Spayed/Neutered? Yes No Housebroken? Yes No Crate Trained? Yes No
Was dog purchased from a breeder? Yes No Breeder’s name_________________________
Breeder’s address/phone number_________________________________________________
Have you notified breeder of need to find this dog a new home? Yes No
Was dog purchased from: Shelter _________ Pet store ________ Other __________________
Veterinarian _________________________________________________________________
Phone/Address________________________________________________________________
Are shots current? Yes No Date next rabies due __________ Shots due _________________
Heartworm preventative ____________________ Date due next ________________________
Does dog have any physical problems? Yes No Allergies? Yes No
Is this dog on any medications? Yes No If unsprayed female, last heat cycle_____________
Has the dog had obedience training? Yes No What commands, skills, or tricks does this dog know?___________________________________________________________
What brand of food do you feed this dog?__________________________________________
Amount fed?_________ How often?___________________________
How does your dog spend its days? Please circle all that apply: INDOORS CRATED BASEMENT GARAGE FENCED YARD LOOSE UNFENCED TIED OUT
KENNEL RUN ALONE ALL DAY OTHER____________________________
How does your dog spend its nights? Please circle all that apply. INDOORS CRATED SLEEPS ON BED WITH OWNERS SLEEPS IN OWN BED BASEMENT GARAGE FENCED YARD LOOSE UNFENCED TIED OUT KENNEL RUN
OTHER________________________________________________
How does your dog act around the following? Other dogs?_________________________
Cats?___________________________Strangers?_________________________________
Children?____________________________________________________
How is your dog at: Walking on lead______________________ Being alone in yard _______________________ Being alone in the house_____________________________
Alone in car____________________________ Riding in car ________________________
Possession of his food________________________________Possession of toys____________________________________
Has your dog been raised with or been around children? Yes No
If yes, what ages?_______________________________
Does your dog have any of the following habits? (circle all that apply) EXCESSIVE BARKING DIGGING FENCE JUMPING DESTRUCTIVE CHEWING AGGRESSION SHYNESS FIGHTING WITH OTHER DOGS BITING PLAY NIPPING GETTING INTO TRASH OTHER ___________________________________
Has your dog ever bitten anyone (please be HONEST!) Yes No
If so, did the wound require medical attention? Yes No
What happened to cause this event?___________________________________________ ___________________________________________________________________________
Does your dog: Growl when you take away food or toys? Yes No Snap at people? Yes No If Yes, when______________________________________________
What does your dog like best?______________________________________________________
What does he dislike the most?_____________________________________________________
Does he have any fears?__________________________________________________________
What is the most appealing thing about your dog?
_____________________________________________________
What is your dog’s biggest fault?
_______________________________________________________
Why have your chosen to give up your dog?
_______________________________________________
***Attach vet certificates
for proof of spay/neuter and vaccinations. Listing will be refused without this
proof.
Thank you,
Boykin Spaniel Rescue, Inc.
94 Sunrise Dr.
Eufaula, Al 36027
334-687-4950