REFLECTION PUPPY APPLICATION
YOUR FIRST AND LAST NAME
STREET ADDRESS
CITY, STATE AND ZIP CODE
AREA CODE PHONE NUMBER
E-MAIL ADDRESS
MARITAL STATIUS
MARRIED
SINGLE
ENGAGED
DIVORCED
SEPERATED
DO YOU RENT OR OWN YOUR HOME
RENT
OWN
WHO WILL BE THE PRIMARY CARETAKER
FOR THIS PUPPY?
DOES ANYONE LIVING IN
YOUR HOME HAVE
ALLERGIES ?
ARE THERE CHILDREN LIVING IN YOUR HOME?
IF SO PLEASE LIST AGES.
DO YOU LIVE IN A
HOME
CONDO
APARTMENT
MOBIL HOME
DO YOU HAVE A FENCED YARD ?
IF SO HOW BIG IS YOUR YARD?
WHAT TYPE OF FENCE DO YOU HAVE?
WHAT IS THE HEIGHT OF YOUR FENCE?
HAVE YOU OWNED A BOXER BEFORE ?
YES
NO
OTHER FAMILY OWNS ONE
FRIENDS OWN ONE
DO YOU CURRENTLY OWN
ANY OTHER DOGD/PETS? IF SO,
PLEASE LIST THEIR BREED,AGE,SEX,
SAPY NEUTER STATUS.
HAVE YOU EVER GIVEN UP AN ANIMAL
TO THE HUMAIN SOCIETY OR A RESCUE?
IF SO WHY ?
WHY HAVE YOU CHOSEN A BOXER
AND HAVE YOU RESEARCHED THIS BREED?
ARE YOU AWARE THAT BOXERS ARE A
HIGH ENERGY BREED ?
YES
NO
DIDN'T KNOW THIS
WHERE WILL THIS PUPPY
SPEND DAYTIME HOURS ?
APROX. HOW MANY HOURS A DAY WILL THIS
PUPPY BE ALONE ?
WHERE WILL THIS PUPPY SLEEP
AT NIGHT ?
IF A FAMILY MEMBER IS NOT ABLE
TO WATCH THIS PUPPY, WHERE WILL
IT BE KEPT ?
DO YOU BELIEVE IN CRATE TRAINING ?
YES
NO
IF AT ANYTIME YOU ARE NOT ABLE TO KEEP
THIS PUPPY FOR ANY REASON DO YOU
AGREE THAT THE PUPPY MUST BE
RETURNED TO THE BREEDER ?
YES
NO
WHAT AGE ARE YOU LOOKING
FOR ?
PUPPY
ADULT
WHAT COLOR ARE YOU LOOKING
FOR ?
PLAIN FAWN
SIMI FLASHY FAWN
FLASHY FAWN
PLAIN BRINDLE
SIMI FLASHY BRINDLE
FLASHY BRINDLE
WHITE
DOESN'T MATTER
WHAT SEX ARE YOU LOOKING FOR ?
MALE
FEMALE
DOESN'T MATTER
WHAT ARE YOUR PLANS FOR
THIS PUPPY ?
PET/COMPANION
SHOW
BREEDING
WE REQUIRE THAT ALL PET
PUPPIES BE SPAYED/NEUTERED
AT SIX MONTHS OF AGE AND COME
WITH LIMITED AKC REGISTRATION.
DO YOU AGREE TO FOLLOW OUR
POLICY?
YES
NO
IF WE DO NOT HAVE ANY PUPPIES
IS IT OK FOR US TO FORWARD
YOUR INQUIRY TO ANOTHER BREEDER ?
YES
NO
PLEASE TELL US ABOUT YOURSELF
AND WHY YOU AND YOUR FAMILY WOULD BE
A GREAT HOME FOR ONE OF OUR PUPPIES. THE
MORE YOU TELL US ABOUT YOURSELF AND FAMILY
THE BETTER IT WILL HELP US WITH THE PROCESS
OF SELECTING HOMES FOR OUR BABIES. PLEASE
TELL US ANYTHING YOU FEEL WE SHOULD KNOW.
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