Puppy Application
Name(s):
Street address:
City:
State and Zip Code:
E-mail address:
Phone number(s):
Living Situation:
Married
Single (one adult in household)
Living with another adult
Living with multiple roommates
Living with parents
Do you have children living with you? If so, what are their ages?
Which of the following best describes your residence?
Apartment/condominium
Single-family home (small lot)
Single-family home (large lot)
Home in rural area with acreage
Do you:
Rent
Own
Do you have a secure, fenced yard?
Yes
No
I plan to install one before getting my new puppy.
I do not plan to have one at all.
What are your work hours and those of your spouse or partner (if applicable)?
Will you be the primary caretaker of your new puppy? If not, who will be?
How will your puppy's day be occupied if no one is at home (examples: crate, free run of house or single room, outdoors in yard, confined to fenced outdoor kennel, etc.)?
Do you currently own any other dogs/pets? If so, please list their breed, age, sex, and spay/neuter status.
What made you desire to own a Boxer?
If you have owned a dog before, how long did he/she live and what did he/she die from?
Have you ever had to give up a dog because of changes in your living situation, allergies, etc.? If so, please explain.
Are you familiar with the health problems associated with the Boxer breed?
Yes
No
Please tell me about them.
What is your goal for this puppy?
Well-behaved house pet
Conformation Show Dog
Competitive/Basic Obedience
Agility
Therapy/Assistance Dog
Other
Which of the following do you plan to do?
Spay/Neuter your puppy at the appropriate age
Breed when the appropriate age
If you intend to breed, what are your reasons for wanting to breed?
What sex do you prefer your new puppy to be?
Male
Female
No preference
Not sure yet
What is your color preference?
Fawn with a small amount of white
Fawn with a lot of white
Brindle with small amount of white
Brindle with a lot of white
White (with or without color patches)
Doesn't matter--will consider any color
What age of dog are you willing to consider?
Puppy (under 3 months)
Older Puppy (3 months to a year)
Over 1 year
No preference
How long are you willing to wait for your new dog or puppy?
1-3 months
Up to 6 months
Up to a year
However long it takes to get a quality puppy
If there is any other information you think will assist us in chosing you to become the owner of one of our puppies, please tell us here:
Are you interested in a specific litter you viewed on the Bix-L Boxers website? If so, which one (list whelping date and parents)?
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