APPLICATION FOR OWNERSHIP

Questions?? Email me jdaras05@comcast.net

Before you begin:

  1. We are located in DELAWARE, and prefer not to ship. If you are not located close enough to us to drive to meet us and pick a pup, then try this link to help you find one closer to your location!

Adopt a Pet

2. Also, make sure you are using Internet Explorer, as this form doesn't work well in Firefox!

Please answer ALL questions completely and honestly. 

When you have completed all the questions, 

click the SUBMIT button at the bottom !

Name:

Street Address:

City, State, Zip Code:

Home Phone:Work Phone:    

Fax Number:  E-Mail:      

Vet's Name, Address, and Phone Number:

How did you find us? 

What sex puppy are you looking for?  -Scroll to select choice- MALE FEMALE NO PREFERENCE

What color puppy are you looking for?  -Scroll to select choice- BRINDLE FAWN WHITE NO PREFERENCE

Are you firmly committed to these preferences?  -Scroll to select choice- YES NO NOT SURE

What are your plans for this pup? -Scroll to select choice- Showing in Conformation Working in Obedience\Agility Both Conformation and Obedience\Agility Just as a companion

What is your housing situation?    -Scroll to select choice- SINGLE FAMILY APARTMENT TOWNHOUSE TRAILER OTHER

Do you own or rent your home?      -Scroll to select choice- RENT OWN NEITHER

What size is your yard?  -Scroll to select choice- LESS THAN 1\2 ACRE 1\2 TO 1 AC RE 1-2 ACRES MORE THAN 2 ACRES

Is your yard fenced?  -Scroll to select choice- YES NO PLANNING ON

If your yard is not fenced, how will you secure a puppy outside? 

What purpose will a Boxer puppy serve in your household?

Do you understand that all puppies sold as pets MUST be spayed or 

neutered at six months of age?  -Scroll to select choice- YES NO

Do you understand that a copy of the spay/neuter certificate 

MUST be forwarded to us within one week of the surgery?  -Scroll to select choice- YES NO

How many members make up your household?  -Scroll to select choice- 1 2 3 4 5 MORE

Do you have young children?  -Scroll to select choice- YES NO PLANNING  

Ages -Scroll to select choice- N\A baby to 10 years 10 years and older Both baby to 10 and older

Tell me about you children's experience with pets:

Are all members of your household in favor of obtaining a Boxer pup?  -Scroll to select choice- YES NO

If not, please explain:

                                           Have you ever owned a Boxer before?                                           -Scroll to select choice- YES NO          

     Another Breed?  -Scroll to select choice- YES NO

If yes, what?

If deceased, explain causes and state age.

How many pets do you currently have in your household?

-Scroll to select choice- 1 2 3 4 5 More than 5

What type of pets? DOGS   CATS   FISH  BIRDS  REPTILES  OTHER

If other, please name:

Have all members of your household been exposed to the personality of a Boxer?

  -Scroll to select choice- YES NO  

Comments:

Do you understand that Boxers have very high energy levels?  -Scroll to select choice- YES NO

Do you understand that Boxers shed?  -Scroll to select choice- YES NO

Do you understand that Boxers require extreme amounts of attention?  -Scroll to select choice- YES NO

Do you understand that we require all puppies to be kept as indoor pets?  -Scroll to select choice- YES NO

Where will the puppy stay during the day ?    -Scroll to select choice- Mostly in the house Indoor/Outdoor Kennel Inside Crated Other   

If other, please explain:

Who will be responsible for it's care during the day?

Where will the puppy stay during the night?   -Scroll to select choice- In it's own bed in the house In\beside our bed In\beside kid's bed Crated in the house Other

If other please explain:    

and with whom?

What is the longest period of time that the puppy will spend 

without  it's family? Circumstance??

Who will be the primary caretaker of the puppy?

Do you belong to a kennel club?  -Scroll to select choice- YES NO

If not, do you plan to join one?  -Scroll to select choice- YES NO Maybe N/A

Are you planning to attend training classes with your puppy?  -Scroll to select choice- YES NO Maybe

Do you understand that although your puppy will have received the highest 

quality of care and will have been properly socialized, it will not be trained 

and will not have developed a sense of mannerism when it arrives at it's 

new home?  -Scroll to select choice- YES NO

Do you understand that you will be responsible for continuing 

the proper development of your puppy's personality?  -Scroll to select choice- YES NO

Do you understand that although we have subjected our brood stock to 

clearances for genetic disorders that affect our breed before puppies 

are conceived, we can not guarantee that your puppy will be free 

from such defects?  -Scroll to select choice- YES NO

Do you understand that if a situation should arise in which you could 

no longer care for your puppy that you are to return it directly to us?  -Scroll to select choice- YES NO

Have you ever taken an animal to the shelter/pound for adoption?  

-Scroll to select choice- YES NO  

 If yes, please explain:

Have you ever purchased a dog from a breeder which you later returned? -Scroll to select choice- YES NO

If yes, please explain circumstances:

Please provide the name, address, and phone of three references 

other than your vet:

Please provide any other information that you feel makes your 

family a suitable home for a J. Dara Boxer puppy:

The following questions are just for statistical purposes, 

but we would really appreciate your input into this data.

What is your age?

What type of work do you do?

What is your average yearly family income?