Address:

City, State, and Zip code

Email:

Do you have children(s).:
-----Select----- Yes No

Do you or family member(s) have allergy?
-----Select----- Yes No

Do you live in:
--Select-- Apartment House Condo

Do you have fenced in yard?
--Select-- Yes No

What gender are you interested in?
-----Select----- Male Female No Preference

What color?
-----Select----- Plain Brindle Flashy Brindle Plain Fawn Flashy Fawn No Preference

What age are you interested?
------Select------ 8 Weeks 6 Months 9 Months 1 year or older

For what purpose(s) are you interested in a Boxer?
------Select------ Family Pet Breeding Show Prospect

All our family pet are sold spay/neuter agreement.
Do you have a problem with this?
--Select-- Yes No

If yes, Why?

Are you aware that Boxers are high energy dogs that shed?
--Select-- Yes No

Have you ever given up a dog to Shelter or Pound?
--Select-- Yes No

If , yes please explain.

Where will your dog spend most of his day?
-----------Select----------- Inside The House Out Side All Day and Night Crated Kennel

Will this puppy have regular contact with its family during the day?
--Select-- Yes No

Have you owned a Boxer?
--Select-- Yes No

Where will this puppy sleep at night?
-------Select------- Out Side Inside The House Inside The Crate

Have you spoken with any other Boxer breeders?
--Select-- Yes No

If yes, please list them below;

Are you currently on the waiting list for any other litters?
--Select-- Yes No

If we don't have any puppies now are you willing to wait?
--Select-- Yes No

How long can you wait?
--Select-- 1 Month 3 Months 6 Months 9 Months 1 Year

If we don't have any Dog/Puppy would you like us to forward your request to another breeder?
---------------Select--------------- Yes No We will wait we want your Dog/Puppy

Comments:

Thank you for taking the time to fill out the questionnaire, we
will get back to you in a few days :)

E- Mail: kenonboxers@aol.com