Backbeat Puppy Application

Name: *

Street Address: *

City, State, Zip *

Phone #: *

Alternate Phone #: *

Email Address: *

Why do you want a Boxer? *

Do you have children? *

If yes, what ages?

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. *

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). *

What type of activities would you include your new puppy in for entertainment/exercise? *

Do you have a secure fenced yard? *

What are your plans for your new puppy? *

Do you plan to breed this puppy when he/she is old enough? *

yes

no

haven't decided

What sex and color/s do you prefer? *

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! *

What do you (and your spouse/partner) do for a living (if applicable)? *

What age puppy are you interested in? *

Puppy

Juvenile

Adult

no preference

How long are you willing to wait for a puppy? *

1-3 months

3-6 months

1 year or less

However long it takes

Do you plan to attend training/showing classes with your pup at the appropriate age? *

yes

no

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!

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

Are you familiar with the health problems associated with Boxers? *

yes

no

I know a little about it

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

Do you agree that if for any reason you can no longer keep your Boxer, that the dog be returned to us? *

yes

no

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. *

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. *

Please list any additional information or comments below. *