Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### What is your occupation? Are you married? Yes No Spouse's Name First Name Last Name Spouse's Email Spouse's Phone (###) ### #### Spouse's Occupation If you have children, how many and what ages? If no children, put N/A. What do you live in? House Apartment Townhome Other If other, please explain... Do you rent or own? Rent Own If renting, are you allowed to have a medium to large dog? How long have you lived in your current location? Have you ever owned a Boxer before? If yes, please tell us more about that experience... What other dogs or pets do you currently own? Will your Boxer live inside or outside? Inside Outside Other If other, please explain... Why are you interested in a Boxer? Are you aware that Boxers are high energy dogs and sensitive to extreme heat and extreme cold? Yes No, please explain Are you able to provide regular exercise or activity for your Boxer? Please describe what that would look like for you and your family. What are your intentions for your Boxer puppy? Pet Only Show and Breeding Breeding Only Pet and Breeding What is your gender preference? Male Female No preference What is your color preference? Fawn Flashy Fawn (fawn & white) Brindle Flashy Brindle (brindle & white) White Other If other, please explain... If you are interested in a particular puppy, please provide puppy's name here: Is there any other information you would like to add to your application? Questions? Comments? Thank you!
