EmailMe Form - Puppy Inquiry

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

### - ### - ####

Email

What is your intention for this puppy?

Companion (Pet)

Show (AKC Conformation Events)

Do you plan to breed this Boxer?

Yes

No

Undecided

Do you have a preference of color?

Fawn

Brindle

White

No Preference

Are you aware of the health issues common to the Boxer Breed?

Yes

No

Have you ever owned a Boxer?

Yes

No

Do you currently own a Boxer or any other dogs?

Yes

No

If you currently have other dogs, what breed, age and sex are they?

Where will you dog sleep?

Indoors

Outdoors

Do you have children?

Yes

No

If you have children, what age are they?

Do you own your home or are you renting?

Own

Rent

Is your yard completely fenced?

Yes

No

Do you agree, if for any reason you are unable to keep or care for this dog, you will return it to South Willow Boxers?

Yes

No

Do you accept the condition that a Companion Puppy is to be sold on a limited registration and a spay/neuter contract?

Yes

No

Please tell me about yourself, your family and living situation