Your Home Phone Number:

Secondary Phone Number:

City: 

State:

Country:

E-Mail Address: 

(Be sure you include your email, or I can NOT reply to your inquiry!!!)

Website (If applicable):

Reference #1:

Reference #1 Phone Number:

How long have you known Reference #1?:

Reference #2:

Reference #2 Phone Number:

How long have you known Reference #2?:

Reference #3:

Reference #3 Phone Number:

How long have you known Reference #3?:

Vet Reference :

Vet Phone Number:

How did you find our Website?
<Please Select One> Link From Breeder Site Word Of Mouth Business Card Referral By Other Breeder Other Boxer Site Search Engine Just Wandered in From Somewhere I Have No Clue Other

Who are you purchasing the dog for?
<Please Select One> Self Family Self and Family As a Gift Other

Are you seeking: 
<Please Select One> Pet Puppy Show Puppy Adult/Young Adult Dog Adult or Puppy I need more Information to decide Unsure

Are you seeking: 
<Please Select One> Male Puppy Female Puppy No Preference Unsure I need more info to decide

Are you seeking: 
<Please Select One> Fawn Puppy Brindle Puppy White Puppy No Preference Other

Are you interested in any particular litter on our Website? If so, which?

If you are seeking a Show Puppy, have you ever shown dogs before? 
<Please Select One> Yes, I've shown Boxers Yes, I've shown another breed No, I have never shown dogs before, but want to learn! No, I just want a pet!!!

If you have shown another breed, what breed, and did any of your dogs complete their AKC Championship?

Are you interested in breeding your dog, or do you only want a pet (spay/neuter)?
<Please Select One> Yes - Im considering Breeding No - I only want a pet! Don't Know Yet

If you are seeking a pet puppy only, do you have a problem with your pet puppy being sold on a spay/neuter contract?
<Please Select One> No , I plan to spay/neuter my pet Yes, I may want to breed

If you answered yes to EITHER of the above questions please tell us why you may want to possibly breed your dog?

Have you owned Dogs Before? Yes No

Have you owned Boxers before?  Yes No

Are there pets in your home now?  If so, tell us about them: 

What happened to your last pet?

What is your primary interest in adding a Boxer?
<Please Select One> Pet/Companion Show Prospect Watch/Guard Dog Breeding Animal Obedience/Agility Therapy Dog Other

What is the main consideration when choosing a dog?
<Please Select One> The Breeder The Pedigree Appearance Breeder, Pedigree, and Appearance Price Location Availability Other

Do you have a fenced in Yard? 
<Please Select One> Yes No Adding One Soon We have another alternative. Electronic Fence

Which Best Describes Your Home? 
<Please Select One> House in the Country House in the City House in the Suburbs Townhouse/Subdivision Apartment Other

Do you Own or Rent? If renting provide your landlord's name and a phone number they can be reached.
<Please Select One> Own Rent
Landlord's Name IF renting:

Landlord's Phone Number IF renting:

How long have you lived there? 

How many people live there? 

Do you have kids? 
<Please Select One> No Not Yet Yes - Under 1 year to 3 years Yes - 3-6 Years Old Yes - 6-9 Years Old Yes - 9-12 Years Old Yes - 12 Years and Up Yes - Multiple Kids, Multiple Age Groups

Where will the dog live and/or spend most of its time? 
<Please Select One> Inside Outside Other

How long will the dog be left alone each day? 
<Please Select One> None 1-2 Hours Per Day 2-4 Hours Per Day 4-6 Hours Per Day 6-8 Hours Per Day 8+ Hours Per Day

Where will you leave the dog when its alone? 
<Please Select One> Crate Loose in House Confined Area, or Room Outside (Yard/Kennel) Other

What made you decide on a Boxer? 
<Please Select One> Looks Temperament Friend Owns One Protection/Guard Owned one or more before Recommended Other

If you chose "Other" Please explain:

If you have never owned a Boxer before, have you been able to spend time with the breed to determine if its right for you? 
<Please Select One> Yes No No, but I would like to Yes, I already own, or owned a Boxer

What kind of relationship do you feel you should have with the breeder after the purchase of your dog?
<Please Select One> Friend Mentor Advisor Salesperson Only No Relationship after purchase of dog

Are you willing to arrange a home visit? 
<Please Select One> Yes No

When is your time frame for bringing home a puppy?
<Please Select One> As soon as possible! Within 3 months 3-6 months 6 Months to a Year 12-18 Months Next Year No set time I'm just researching right now! Other

Have you spoken with any other Boxer Breeders, and/or are you on a waiting list for any other litters?
<Please Select One> Yes No

If yes, who?

 
 

Do you have any questions, or comments??

If we have no puppies, do you want us to make your information available to a small group of other reputable breeders? Yes No
If you choose No, you may contact us privately for references.