Puppy Questionnaire

Full Name:

Email Address:

Home phone with area code:

Cell phone with area code:

Home Address (no P.O. Boxes):

City:

State:

Zip Code:

Mailing Address:

Employer:

Occupation:

Other adults in household:

Children and ages. Please list.:

Current pets breed and ages:

Are they spayed or neutered?:
yes
no

If not spayed or neutered, please explain why?:

Pets in the last 5 years (breeds):

Pets in the last 5 years no longer with you:

Why no longer with you:

Why a boxer:

Research on boxer:

Plans for puppy:

Description of dog wanted:

Considered boxer rescue?:
yes
no

Given up a dog:

Who will feed,train,exercise?:

How will you train?:
Conformation
Obedience

When and where for training?:

Crate training?:
yes
no

Where will pet sleep at night?:

Hours alone daily?:

Where will the dog be kept when you are away from home (where dog kept when home alone?:

Vacation/emergency care?:

Have a vet?:
yes
no

Veterinarian info: name, address, and phone:

May we Contact your vet as reference?:
yes
no

Personal Reference Name & phone. Years Acquainted?:

What are your accomodations?:

Length at address?:

Yard description:

Fencing?:
yes
no

Fence height?:

Own or rent?:
Own
Rent

Will you agree to a home visit?:
yes
no

Length of ownership of dog:

Are you prepared for major medical expenses should dog be injured? Please state amount.:

Can you double that amount if necessary?:
yes
no

What are you looking for in a boxer?:

Is everyone in household supportive?:
yes
no

May we share your application with other breeders?:

What What brand/type of dog food did you feed your previous/current dogs?:

How soon were you looking to add a boxer to your household?:
1 year plus (Willing to wait)
1-3 months
3-6 months
6 months to 1 year
Now

How did you find us?:

Are you married? Kids? (if so, what ages?) What is your family's activity level? :

Would you be interested in doing any activities your boxer?:
Agility
Conformation
Obedience
Schutzhund

Companion pups sold with 'Limited AKC Registration' and on a 'Spay/Neuter contract' Agreeable?:
yes
no

Comments/questions?:

Please type the text below: