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?:
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