Braveheart Boxers Puppy Application

Thank you for your interest in our Boxers!!

Braveheart Boxers strives to place our puppies in homes that will provide love and caring throughout their lives.

The completion of this questionnaire is the first step in owning one of our puppies. Braveheart Boxers reserves the right

to turn down any home not deemed suitable for our puppies. Filling out this questionnaire does not guarantee you a puppy, nor does it put you

on our waiting list. This questionnaire is simply the first step in getting to know all of our potential puppy owners.

Braveheart Boxers would like to "thank you" for taking the time to fill out the questionnaire.

All information will be kept strictly confidential and will be used solely by

Braveheart Boxers

and it's owners/agents to determine potential puppy owners.

Name and Address:

Title Mr. Mrs. Ms. Miss.
First Name.	Middle Initial.	Last Name.

Address.	City.	State.

Zip.	Home Phone.	Work Phone.

Email Address.

Personal Information:

Your Occupation.	Spouse's Occupation.

Do you or your spouse operate a home based business?
Number of adults currently living in your home?
Please select an age range for the following:
You:	Spouse:	Other:

Number of children currently living in your home?
If you have children, please list their ages.

Pet History:

Please describe the age and breed of your present pet(s).

What breeds of dogs have you owned in the past, and what happened to them?

What made you decide on a Boxer?

Plans for your new puppy.

What are your feelings on crate training.
Will you have you pup's ear cropped?
Will you spay or neuter you puppy?
Do you plan on attending obedience classes?
Are you interested in breeding?

If yes, what are your reasons for wanting to breed?

Where will your new puppy be when you are home? and at Work?

Reasons for acquiring a Boxer:

Companionship	Family Guardian	Child's Playmate
Personal Protector	Home Security	Business Security
Obedience Trials	Schutzhund Trials	Search and Rescue
Psychological Security	Breeding Stock	Showing

Other (Please describe).

Please share with us a few details about your lifestyle including some of your

favorite activities that may include your new puppy.

Household Information:

Any children under 16 who visit your home regularly?
Do you employ domestics?
If yes, will they handle the puppy?
Who is most enthusiastic about purchasing this puppy?
Anyone fear dogs in your family?
Anyone allergic to dogs in your family?
Type of residence?
Location?
Do you have a yard?
If yes, what size?
If yes, is the yard fenced?
Do you have a dog run?
If yes, what size?
Where will your pup spend most of it's time?
Are there dogs adjacent to your home?
If yes, could they come in contact with your puppy?
Have your lost any dogs to communicable diseases?

If yes, please explain.

Puppy Preferences:

Male	Female	No Preference
Puppy	Young Adult	Adult
Companion Dog	Working Dog	Protective Dog
Standard Size	Largest Size	No Preference
Low-level Active	Mid-level Active	High level Active
Hard Coat	Soft Coat	No Preference

References:

Please list the Name, address and phone number of your veterinarian.

Personal Reference 1.

Personal Reference 2.

Thank You for filling out our online questionnaire.