Blue Note Boxer Puppy Application
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Name
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Street Address
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State/Zip
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Primary Phone #
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Email Address
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Marital Status:
Married
Single
Single Parent
Separated
Divorced
Domestic Partners
Widow
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Do you have children, if so, what are their ages?
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Do you have a secure fenced yard?
Yes
No
I plan to install one before getting my new puppy.
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What type work do you and your spouse (if applicable) do?
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In what type hobbies do you and your spouse (if applicable) participate?
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Who would be the primary caretaker of your new puppy and how would his/her day be occupied?
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What made you desire a Boxer dog?
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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
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Do you plan to?
Spay/Neuter your puppy at the appropriate age
Breed when the appropriate age
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What sex do you prefer your new puppy to be?
Male
Female
No Preference
Not sure yet
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What is your color preference?
Fawn (Tan)
Flashy Fawn (Tan with white markings)
Brindle (Tan with black, leapard like stripes)
Flashy Brindle (Brindle with white markings)
Plain Fawn (Tan, little or no white on body)
Plain Brindle (Brindle, little or no white on body)
White (the puppy can be either more than 1/3 white to fully white,, possibly with colored patches on the body)
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What age of Boxer are you interested in?
Puppy
Up to a year old
Over 1 year old
No preference
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Have you ever owned a Boxer? If yes, state relevant details of your experience.
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How long are you willing to wait for your puppy?
1-3 months
3-6 months
1 year or less
However long it takes to have a quality puppy
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Do you currently own any other dogs/pets, if so, list their breed, age, sex and spay/neuter status.
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Do you plan on attending training classes with your pup at the appropriate age?
Yes
No
Conformation Showing Classes
Obedience Training
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Have you ever had to return or remove a dog from your care because of a problem with temperament or personal changes in your life, or allergies? If yes, please explain why.
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Are you familiar with the health problems associated with the Boxer Breed?
yes
no
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If asked, would you agree to spay/neuter your pet and provide us with proper documentation?
yes
no
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Please tell us your plans for housing and excercising your Boxer.
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Do you agree that if you become for any reason, not able to take care of your Boxer, either medically or financially, you will return the dog to us?
yes
no
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If you have any other information that you think would help us in choosing you to become the parents of one of our Boxer Puppies, please tell us here.
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What would be the best time to reach you if needed?
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Indicates Response Required
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