Firefly Ownership Application
NOTE: All information is confidential and will be treated as such. Filling out a questionnaire does not guarantee you a puppy. The questionnaire is the beginning of the interview process and will be followed by telephone conversations and/or face to face interactions.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What is your (and your spouse or significant other) occupation? Places of employment:
*
Please tell me about yourself, your family and living situation: What are your living arrangements? (House, rent, own, Condo, or Apartment) Do you have a securely fenced yard? If yes, what kind? (Physical fence or invisible fence). Urban? Suburban? Rural?
*
Do you have any pets in your home? If so what and how old?
*
Please provide a list of other dogs you’ve owned (breed, how long you had them for, any titles you put on them, etc).
*
What drew you to the boxer Breed?
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Have you ever owned a boxer? If yes please provide breeder name and contact information.
*
Have you researched the health, behavior, and life expectancy of the Boxer breed? Please indicate what you expect and don’t expect in this breed.
*
Describe your ideal puppy’s personality. Please be specific.
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Are you committed to caring for this dog for its lifetime?
*
Where will the dog stay during the day?
*
Where will the dog stay during the night?
*
Are you going to use a crate for this puppy?
*
Do you want your puppy for show potential, working potential,breeding potential, companion only?
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Where will you be taking your puppy for obedience classes?
*
Who is your veterinarian? Please provide name of DVM and phone number.
*
Do you have a preference in the following: (Color, markings, sex, age,or no preference?)
*
Socialization in the first 16 weeks of a puppy’s life is crucial for development. How do you intend to socialize your puppy to meet its developmental needs?
*
What is your expected timeline to welcome home your new puppy?
*
If a circumstance should arise rendering you unable to care for your puppy/dog, do you agree to contact the breeder for assistance in finding a new suitable home?
*
Please provide 2 references (ie vet, other breeders, breed clubs, etc.)
*
If we do not have an appropriate puppy for you may we forward your completed questionnaire onto another reputable breeder?
*
Signature
Submit
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