puppy application

All information given is confidential and will not be given out

Your name & address:

Your phone number:

Your email address:

Why do you want a boxer?

What is your gender preference?

1. Male
2. Female
3. No preference

What is your color preference?

1. Fawn
2. Flashy Fawn
3. Brindle
4. Flashy Brindle
5. Sealed Reverse Brindle
6. White (Please read the section regarding white boxers)

What age boxer are you interested in?

1.       1.       Puppy

2.       2.      Juvenile

3.       3.      Adult

4.       4.      No preference

How long are you willing to wait?

1.       1.       1-3 months

2.       2.      3-6 months

3.       3.      1 year or less

4.       4.      However long it takes

Have you owned purebred dogs before?

· Yes

· No

What breed or breed's:

What happened to them? Please give a brief pet owning history below:

Do you have a veterinarian?

· Yes

· No

Veterinarian's name, phone number and date of last visit:

Do you have children?

· Yes

· No

Please give their ages and a brief history of their dog experiences below:

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

Will you agree to spay or neuter your pet?

· Yes

· No--explain below:

Do you have a fenced yard?

· Yes

· No

Where will your dog spend most of his day?

· Crated

· Kennel Run

· In the House

· Other--explain below:

Additonal Information or Comments:

Camille & James Kelly
 Strong City, Ks