| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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Do you own or rent your home?
If renting, does your landlord allow pets? |
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| Are you a first time Boxer (or dog) owner? |
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| What interests you about the Boxer breed?: |
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| Are you looking for a show prospect or a family pet? |
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| Male or Female and what color preference? |
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| Do you intend to breed this Boxer? |
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| Do you have a fenced in yard for this puppy? |
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| Do you plan on attending any training classes with this puppy? |
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| Do you understand the difference between a Full or Limited AKC registration? |
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| Are you willing to sign a spay/neuter contract on a pet boxer puppy? |
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| Do you intend to crate train your puppy? |
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| Will this be an outside or an inside dog? |
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| How many hours per day will the puppy be left alone? |
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| Do you have any other pets? |
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| Do you have children? If so, what are their ages? |
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| Have you ever had to surrender or place any of your pets? If so, please expalin. |
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| Are you familiar with the health issues of this particular breed? |
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| Can you provide references? For example...Your vet, previous breeder etc. |
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