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1
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Hour
00
10
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30
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50
Minutes
AM
PM
AM/PM Option
We DO NOT ship our puppies. Do you understand that you will be required to come to us and that several trips may be required?
Yes
No
Will you agree to a home visit by us or a representative?
Yes
No
What type of home do you have (describe 'other')?
House
Apartment
Condominium
Duplex/Triplex/Quadplex
Garage/Studio Apartment
Mobile Home
Other
Do you own or rent your home?
Own
Rent
If you rent, does your lease allow dogs? We require renters to send documentation that dogs of this size are allowed in this dwelling.
Yes
No
Landlord's name and contact info, including address, phone, email, etc:
If you move, what will you do with this dog?
Length of time at current address:
Less than 1 year
1 to 3 years
3 to 5 years
More than 5 years
If less than 1 year, please give complete previous address:
Do you have a SOLID WOOD or CHAIN LINK, FULLY fenced yard? A fenced area/yard is MANDATORY for the purchase of a puppy.
Yes
No
If yes, what is the height and type of fence?
If no, are you willing to erect or install a fence of appropriate height for the dog to exercise?
Yes
No
If living in an apartment, what arrangements do you plan to make for exercise and toilet duties?
Do you have a swimming pool?
Yes
No
If yes, does it have a secure perimeter?
Yes
No
Please provide 2 personal references with phone numbers and emails:
How many adults live in your home?
What is your living status (explain 'other')?
Married
Single
Unmarried, but living with Significant Other
Room mate
Other
If you have room mates, how many?
Do you have children that live in your home?
Yes
No
If yes, please give their ages and a brief history of their dog experiences:
Do any children 10 years old or younger regularly visit your home?
Yes
No
If so, what are their ages and their experience with dogs?
Since a Boxer is to become a full time member of the family, are all family members in agreement with acquiring a puppy and willing to provide proper care?
Yes
No
Who will be the primary caretaker?
Have you owned dogs before?
Yes
No
If yes, what breed(s):
Please give a brief pet owning history, ie: health care, including heartworm preventative, vaccinations, etc:
Do you have a veterinarian?
Yes
No
If yes, please provide your veterinarian's name, address, phone number and date of last visit:
Do you own other pets?
Yes
No
If yes, please give the name, breed, sex, and age of each:
Are all of your pets spayed or neutered?
Yes
No
If the answer is no, please explain why not:
How many pets have you owned in the past 5 years?
If you no longer have them, please give details explaining what happened to them:
If you have had a pet die at an early age or have ever lost a pet, please provide details:
Have you ever given a pet up for adoption or put one to sleep?
Yes
No
If yes, please explain:
Have you ever turned an animal over to a shelter or rescue?
Yes
No
If yes, please explain:
Have you ever owned a Boxer?
Yes
No
Why do you want a Boxer?
What is your gender preference?
Female
Male
No preference
What is your color preference (check all that apply)?
Plain Brindle
Flashy Brindle
Plain Fawn
Flashy Fawn
White
No Preference
What age boxer are you interested in?
Puppy (2-6 months)
Juvenile (6-18 months)
Adult (over 18 months)
No Preference
How long are you willing to wait for a puppy?
1-3 Months
3-6 Months
6-12 Months
1 Year or More
However long it takes
Will you agree to spay or neuter your pet as we direct and provide us with proper documentation (applies to "pet" placements)?
Yes
No
Will you agree to a Limited AKC Registration (applies to "pet" placements)?
Yes
No
Type option 3
Type option 4
Where will your dog spend most of his day? Check all that apply and explain 'Other'.
Loose Indoors
Loose outdoors in fenced yard
Crate
Basement
Garage
Kennel Run
Tied or chained outside
Other
Where will the dog be when you are away from home during the day (check all that apply and describe 'other')?
Loose Indoors
Loose outdoors in fenced yard
Crate
Basement
Garage
Kennel Run
Tied or chained outside
Other
How many hours, on average, will the dog spend alone?
1
2-4
4-6
6-8
8-10
10-12
What arrangements have you made for puppy care during the day when you are not at home?
Where will the dog spend the night (check all that apply and describe 'other')?
Loose Indoors
Loose outdoors in fenced yard
Crate
Basement
Garage
Kennel Run
Tied or chained outside
Other
Have you ever trained a puppy?
Yes
No
Have you researched puppy training classes in your area?
Yes
No
If yes, where:
Do you understand that a Boxer is an INSIDE dog and they should NOT be kept outside?
Yes
No
Are you familiar with crate training?
Yes
No
IF NO, are you willing to learn to crate train your puppy?
Yes
No
Puppies are known to be somewhat destructive if not properly directed, do you agree to use a crate as instructed?
Yes
No
What is your GOAL for this dog? Check all that apply and explain 'Other'.
Well-behaved house pet
Future champion
Competitive obedience dog
Competitive agility dog
Therapy/assistance dog
Herding/tracking dog
Other
Are you familiar with health problems associated with the Boxer?
Yes
No
Would you agree to our health testing guidelines prior to breeding your dog IF and WHEN ALL other breeding requirements have been satisfied?
Yes
No
If NO, please explain:
Although Boxers are short-haired, they do shed and sometimes slobber (especially when stressed, after drinking water or when over-heated). Will this be a problem?
Yes
No
Do you agree that if for any reason you can no longer keep your Boxer, the dog will be returned to us?
Yes
No
Comments, questions or additional information:
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