Thank you for taking the time to complete this questionnaire.  Your responses will only be used by BlueCollar Boxers.   We breed carefully and infrequently, so please understand that we want to match excellent pets to excellent homes. 

Also, we will give preference to homes willing to show.  If you've only thought about a pet, please inquire about special arrangements that can be made that will place a boxer in your home that we believe will be a future champion.

 Your Name:

 Your City/State:

 Your phone number:

 Your email address:

 Why do you want a boxer?

Are you interested in a boxer strictly as a pet, or are you interested in showing?

1. Pet Only

2. Show Home

3. Unsure (I may be curious about showing)

 What is your gender preference?

1. male

2. female

3. No preference

 What age boxer would you prefer?

1. Puppy

2. Juvenile

3. Adult

4. No preference

 How long will you be willing to wait for your puppy?

1. 1-3 months

2. 3-6 months

3. 1 year or less

4. However long it takes

 Have you owned purebred dogs before?

Yes
No

 What breed or breeds:

 What happened to them? Please give a brief pet owning history below:

 Do you have a veterinarian?
No
Yes
Veterinarian's name and date of last visit:

 Do you have children?
No
Yes

 Please give their ages and a brief history of their dog experiences below:

Since a boxer is to become a full member of the family, are all members in agreement with the purchase and will each provide proper care?
No
Yes

 Will you agree to spay or neuter your pet?
No
Yes

Do you have a fenced yard? (Not having one will not automatically keep us from placing a boxer with you.)
Yes
No--explain below how you plan to handle potty time & exercising?

Where will your dog spend most of his day?
Crated
Kennel Run
In the House
Other--explain below:

 Will you be willing to use a crate for training your puppy, as instructed?
No
Yes

Although Boxers are short-haired, they do shed and sometimes slobber (especially when stressed, after drinking & when over-heated) and it will get on the walls, etc.