Pacifica Puppy Application
Name
Email address
Street Address
City and State
Zip Code
Phone #
Marital Status
Married
Single
Engaged
Seperated
Divorced
Widow
Do you have any children, if so, what are their ages?
Do you have a fenced yard?
Yes
No
I plan to install one before getting a new puppy.
What type work do you and your spouse (if applicable) do?
In what type hobbies do you and your spouse (if applicable) participate?
Who would be the primary caretaker of your new puppy?
What made you desire a Boxer dog?
What is your goal for this puppy?
Well behaved house pet
Conformation Show Dog-Future Champion
Competitive/Basic Obedience
Competitive Agility
Therapy/Assistance Dog
Tracking
Do you plan to?
Spay/Neuter your puppy at the appropriate age
Breed at the appropriate age
What sex do you prefer your new puppy to be?
Male
Female
No Preference
Not sure yet
What is your color preference?
Fawn
Brindle
Flashy-white on face, neck,legs,etc
Plain-small amounts of white, black mask
White-one that can hear
White-one that is deaf
What is your age preference?
Puppy
Up to a year old
Over 1 year of age
No preference
Have you ever owned a Boxer? If yes, state relevent details of your experience.
How long are you willing to wait for your new puppy?
1-3 months
3-6 months
1 year of less
However long it takes to have a quality puppy
Do you currently own any other dogs/pets, if so, please list their breed, age, sex and spay/neuter status.
Do you plan to attend any training classes with your puppy at the appropriate age?
Yes
No
Conformation classes (dog show classes)
Obedience
Have you ever had to return or remove a dog from your care because of problems with temperament or personal changes, etc, in your life or allergies to the dog, etc? If yes, please explain why.
Are you familiar with the health problems associated with the Boxer breed?
Yes
No
If asked, would you spay/neuter your pet and provide us with documentation from your vet?
Yes
No-plan to breed
Please tell us how your puppy will spend the majority of his day. (ex: crate, free run of home, single room, outside in a fence or kennel, puppy daycare)
Do you agree that if you become for any reason unable to take care of your puppy/dog, either physically or fianancially, you will return the puppy/dog to us or let us assist you in finding a new home for him/her?
Yes
No
List any additional information that will help us in chosing you as a home for one of our puppies.
Tell us what time of day is the best time to reach you if needed.
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