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Har-Vel Boxers
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QUESTIONNAIRE

So you are interested in obtaining a Har-Vel Boxer. This completed questionnaire will help us pick the very best Boxer for you, your family and your lifestyle. It is very important that we find the correct home for our boxers, as they are truly wonderful animals, they may not be for every one. Completing this questionnaire will tell us whether you would do well with a lively, devoted Boxer.

Please fill out ALL of the information requested.

To be considered for a Har-Vel Boxer, you must:
1. Be at least 21 years of age.
2. Have the knowledge and consent of all adults living in your household.
3. Have a verifiable means of identification.
4. Have your landlord's consent to bring an animal onto the property.
5. Agree that Har-Vel Boxer has the right to deny any application and the right to place one of our Boxers is the sole decision of Har-Vel Boxer.

Please answer the following as accurately as possible. All answers are confidential.


Name:
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Email:
How long at current address:
With whom are you employed?
Occupation:
What type of area do you live in? City Suburb Rural
What type of housing? Apt Condo Duplex House Other
Do you rent or own your home? Rent Own
If you rent or lease, what is your landlords name, address and phone number:
Why do you want a boxer?
What is your gender preferrence? Male Female No Preference
What age are you interested in? Puppy Juvenile Adult No Preference
Have you owned dogs before? YesNo
What breed(s):
What happened to them?
Please give a brief pet owning history:
Do you have a veterinarian? Yes No
Veterinarian's name, address,
phone number and date of last visit:
How will your dog travel to the Vet or other places? Crate Leash
What other types of animals
live in your home?
Do you have children? Yes No
Please give their ages and a brief
history of their dog experiences:
What are the major activities,
hobbies, or exercises you and
your family most participate in?
Describe your home's activity level: Busy Moderate Occasional guests
Are all family members in agreement with the purchase and will each provide proper care? Yes No
What member of the family will
be taking the MAJOR responsibility
of caring for this dog?
Do any family members have any allergies to dogs? Yes No
For what purpose are you acquiring a Boxer? Show/Companion Family Pet/Companion Companion for another pet
Will you breed the Boxer? Yes No
Will you show the Boxer? Yes No
Do you have a problem with co-ownership? Yes No
Will you agree to spay or neuter your pet? Yes No
Will you agree to have your boxer health tested (hips, heart and thyroid)? Yes No
Do you have a fenced yard? Yes No
Where will your dog spend most of his day? Crated Kennel Run In the House Other
Yearly care for a dog averages $500 - $1000.
Is this an expense you are able to undertake?
Yes No
If you move, what will you
do with your dog?
When you go on vacation, where
will your dog go and who will care for it?
Although Boxers are short-haired, they do shed and sometimes slobber (especially when stressed, after drinking & when over-heated). Puppies are known to be somewhat destructive if not properly channeled. Will you agree to use a crate as instructed? Yes No
Please list the names, addresses, and phone numbers of two personal references (not related) that you have known for at least two years:
Please tell us a little about yourself and why you feel you could provide a good home for a Boxer?

Boxers, just as with any breed, have health problem tendencies. Our biggest killers now are cancer (in many forms), heart diseases (cardiyomiopathy - enlargement of the heart muscle which leads to weakness of the muscle and eventually heart failure & aortic stenosis - narrowing of the aorta) and hip dysplasia. While no one can forsee if one particular dog will become ill, buying from a reputable breeder helps. Reputable breeders do all they can to screen the genetic health of their breeding animals to avoid propagating these problems.

Thank you for taking the time to fill out this questionnaire which will better help us to find just the right match for you!

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