Name: Address: Email: Phone: URL (if any): Dwelling (house, apt, etc.): Dwelling Status (own, rent, etc.): How many adults are in the home? Please
list: If any children are in the home, please
list along with ages: Do the children have experience with animals/dogs?
---- Yes No Do you have a fenced yard?
---- Yes No Do you own a Boxer now?
---- Yes No Have you owned a Boxer before?
---- Yes No Please list any other pets you have: If you have had dogs in the past, what
happened to them? How long will this puppy be alone regularly?
---- Less than 1 hour 1-3 hours 3-5 hours 5-8 hours 8-10
hours More than 10 hours When this puppy is home alone, where will
it be kept? Where will this puppy sleep at night? What do you plan to feed? If kibble, list
the brand/s. If cooked, raw or other, list more details. What are your plans for this puppy (pet,
obedience, show, etc.)? Do you plan to spay/neuter?
---- Yes No Do you plan to crop?
---- Yes No Undecided Which do you prefer, male or female?
---- Male Female No preference Are you willing to take the other sex if your first
choice is not available?
---- Yes No What color do you prefer?
---- Fawn with black mask Brindle with black mask Fawn with white markings Brindle with white markings White No preference If this color is not available, are you willing to
take another color?
---- Yes No Do you plan on attending any type of training classes
with this puppy?
---- Yes No If so, what do you plan to attend? When are you looking to purchase a puppy?
---- Immediately Within the next 6 months Within a year I'm willing to wait for the right dog Would you be interested in an older Boxer?
---- Yes No If so, what is the max age you'd consider?
---- 1 Year 2 Years 3 Years 4
Years 5 Years Any Age Would you be interested in rescue?
---- Yes No Please list anything else you'd like
me to know about you: Please list any questions you may have:
