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About
You:
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Your
name:
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Address:
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City/State:
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Phone
- Day:
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Phone
- Night:
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Phone
- Cell:
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Email:
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About
Your Home and Household
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If you
have children or if there are children who often visit,
please tell us about them (ages, genders, anything else
you think might be relevant)
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Does
anyone in the household have serious allergies, physical
disabilities, or other health problems that might relate
to the type of dog that would be suitable?
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Yes
No
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If so,
please give us some idea of what they are.
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Who
will usually take care of the dog?
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What is
the occupation of that person? (in general--we don't need
details.)
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Do you
allow dogs on your furniture?
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Yes
No
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Comments:
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What
type home....
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House
Apartment
Townhouse
Other
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...and
community do you have? |
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City
Suburbs
Rural
Small town
Other
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How
long have you lived here?
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Do you
rent
or own
?
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Comments:
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Do you
have a fenced yard? What type of fencing and how tall is
it? (block, chain link, invisible etc.)
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If you
don't have a fenced yard, how will you exercise your boxer?
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About
Your Pets
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Please
tell us about any other pets you have. If dogs, how many,
breeds or mixes, ages, whether inside or outside dogs, and
whether they are neutered or spayed. If cats, whether they
are indoor or outside, and ages.
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How
many dogs have you owned in the past 10 years?
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Would
you tell us what happened to them?
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Is it
all right if we call your veterinarian for a reference?
If so, please provide his name and phone number.
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Please provide at least one reference,that we can call.
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About
Your boxer
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How
did you decide on a boxer as the breed for you?
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Have
you had or lived with a boxer before?
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Yes
No
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Comments:
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Are
you looking for a puppy or an adult boxer?
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Puppy
Young Adult (1-2 years)
Adult
Undecided
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When
would you like to get one?
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Which
gender do you prefer (or does it matter?)
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Male
Female
Doesn't matter
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Is there
anything else that's especially important to you as far
as your future boxer? (e.g., strong color preference,
specific age, etc)
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Will
someone usually be home with your boxer during the day?
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Yes
No
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If not,
how many hours at a time will he be alone most days?
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| How many
hours total will he usually be alone daily? (For example,
if you work, but come home for lunch, he'll be alone four
hours at a time, but eight hours total.) |
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Comments:
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Where
will your dog stay while you're away?
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Crate
At large in house
One room
Yard
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Comments:
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Where
will your boxer sleep?
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Will
you keep your boxer primarily
indoors or
outdoors?
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Please
check any activities, if any, in which you plan or would
like to participate with your boxer.
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Conformation (showing)
Obedience
Agility
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Flyball
Hiking/jogging
Therapy dog
Other
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Comments
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If not
planning to show your dog, are you willing to spay/neuter
her/him?
Yes
No
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Comments
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Should
your circumstances change so that you are no longer able
to care for this dog, will you agree to check with us before
selling him or giving him away?
Yes
No
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Please
add anything about yourself that will help us understand
how a boxer would fit your home and lifestyle. Include
amount of time spent at home, amount & range of physical
activity, travel, entertaining, "noise level"
of household, anything you want to add about your children,
other pets, etc.
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Finally...
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This
information will be used to help find a boxer for you.
If we don't have a suitable one, is it all right for us
to forward your information to other breeders who may be
able to help?
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Yes
No
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