The_Holistic_Boxer
Puppy Application
Puppy Application
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Household Members (names, ages, relationships)
*
Current Pets (species, breeds, ages, spayed/neutered)
*
Puppy Care Plans
Where will the puppy spend most of it’s time?
*
Do you work full time or will someone be home during the day?
*
Hours puppy will be left alone daily?
*
Do you have a fenced yard?
*
Yes
No
Veterinarian Name
*
First Name
Last Name
Veterinary Clinic
*
Veterinarian Phone Number
*
Please enter a valid phone number.
Would they support you with holistic choices for your puppy?
*
What do you plan to feed your new puppy
*
Kibble
Home-Cooked
Raw
Other
Are you open to learn about holistic practices?
*
No
Yes
Maybe
Monthly budget allowance for dog’s care, health, diet, wellbeing, and longevity? enter ($) amount
*
Dollars per month
Puppy Preferences
Gender Preference
*
Male
Female
Color/Markings
*
Fawn Black Mask
Fawn White Markings
Brindle Black Mask
Brindle White Markings
Which puppy are you most interested in? Write Puppy Collar Color here:
(if applicable)
Purpose for wanting a boxer puppy? Companion, Show Prospect, Breeding Potential or other. Please answer below
*
Commitment
Are you prepared for 10-12 year commitment?
*
Yes
No
Agree to contact breeder if you are unable to keep the puppy?
*
Yes
No
Why do you feel a boxer is the right fit for you or your family?
*
Any additional questions or comments you want to share?
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
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