Backbeat Puppy Application
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Name:
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Street Address:
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City, State, Zip
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Phone #:
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Alternate Phone #:
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Email Address:
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Why do you want a Boxer?
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Do you have children?
If yes, what ages?
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Do you have a Boxer or any other dogs at present or in the past? If so, please let me know how many you have now and their breeds. Also, if you have any other pets, ex. cats, fish, birds, reptiles.
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Who would be the primary caretaker of your new puppy and how would he/she spend time while no one was at home?
EX: in a crate, loose in the house... outside in a kennel, outside with no containment (unsupervised).
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What type of activities would you include your new puppy in for entertainment/exercise?
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Do you have a secure fenced yard?
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What are your plans for your new puppy?
well behaved house pet
future champion
competitive obedience
competitive agility
therapy/assistance dog
tracking
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Do you plan to breed this puppy when he/she is old enough?
yes
no
haven't decided
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What sex and color/s do you prefer?
male
female
undecided-I have questions on this issue
Brindle
Fawn
White
no preference
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What is your marital status (has no bearing on a puppy placement- just to learn more about the family life for the puppy) We do not discriminate against any of the answers!
Single
Married
Partner
Divorced
Widowed
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What do you (and your spouse/partner) do for a living (if applicable)?
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What age puppy are you interested in?
Puppy
Juvenile
Adult
no preference
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How long are you willing to wait for a puppy?
1-3 months
3-6 months
1 year or less
However long it takes
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Do you plan to attend training/showing classes with your pup at the appropriate age?
yes
no
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Have you ever considered showing in conformation and need someone to mentor you with this issue?
yes
no
I am very serious about learning about conformation and need someone to guide me!
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Do you understand that Boxers are an inside/outside dog and they should not be kept outside solely and that we require our dogs to be kept in a manner worthly of a family member?
yes
no
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Are you familiar with the health problems associated with Boxers?
yes
no
I know a little about it
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Do you understand the difference between Limited registration and Full registration? (for information on this go to www.akc.org) Companion animals will be sold on Limited Registration.
yes
no
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Do you agree that if for any reason you can no longer keep your Boxer, that the dog be returned to us?
yes
no
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Please give me your vet information for a reference of your pets health care please. If you have just moved and don't have a vet locally, please list your prior vet as a contact. I would also like to know who will take over those services for you with your new puppy. If you've never had a pet before, please just let me know that plus whoever you decide to be your vet for the future.
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Have you ever, in the past, had to give up, surrender or euthanize a pet for temperament problems, personal changes or financial reasons? If yes, please let me know which and give an explanation if you don't mind. Alot of people have had some of these problems in the past.... I would just like to know how you handled the situation should it happen again.
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Please list any additional information or comments below.
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