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Name *

Address *

City *

State *

Zipcode *

Phone Number/s *

Email Adderss *

Why do you want a Boxer? *

Are you interested in a pet puppy or a show potential puppy?

Pet Puppy
Show Potential Puppy
Other, explain:

What is your gender preference, if any?

Male
Female
No Preference

What is your color preference, if any (check all that apply)?

Do you prefer natural or cropped ears?

Natural
Pet Crop
Show Crop
No Preference

What age Boxer are you interested in (check all that apply)?

Have you owned dogs before?

Yes
No

If yes, what breed or breeds?

Do you have a veterinarian?

Yes
No

If yes, please give veterinarian’s name, address and phone number:

Do you have Children?

Yes
No

If yes, what are their ages?

Do they have any experience with dogs?

Yes
No
N/A

If yes, please explain:

Since a Boxer is to become a full member of the family, are all members in agreement with the purchase and will each provide proper care?

Yes
No

If no, please explain:

Will you agree to spay or neuter your pet?

Yes
No

Do you live in an apartment, townhome or single home?

Apartment
Townhouse
Single Home
Other, explain:

Do you have a fenced in yard?

Yes
No

If you do not have a fenced in yard, do you have a Pet Park near your home?

Yes
No
N/A

Where will your dog spend most of his day?

Crate
Kennel run
In the house
Other, explain:

Please provide the names and phone numbers of 2 references:

Puppies can get into many things and be destructive is not properly channeled. It is important that you protect your puppy from harm. Do you agree to crate train and use the crate when you cannot monitor your puppy?

Yes
No

Do you agree to immunize your puppy according to the AKC recommendations and to have annual Veterinarian exams to check the health of your Boxer?

Yes
No

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