Date:

Name:

Phone #:

Approval:



Thank you for you for inquiry on a Briarbush Boxer. I would appreciate your answering the following questions ,so that a puppy can be more easily tested to assist in the selection for you. All information is kept confidential. thank you for your cooperation and help in answering these questions.


Please note: All breeding stock is health tested on an individual basis according to a NH State Licensed veterinarians' recommendations. Individual results are available upon request. All puppies are required to be spayed or neutered.


Your Name:

Address:

​City: State: Zip code:

​Phone # (Home) (Cell) (Work)

​A good time to call to reach you:

​How were you referred?

​Are you interested in a puppy? ( )

​Are you interested in an older trained dog? ( )


Sex desired (circle):

Male

Female

No preference


Pigmentations desired (circle):

Classic (limited white markings on chin ,chest, abdomen & toes.)

Fawn/Black Mask

Light Brindle/Black Mask

Brindle/Black Mask

Reverse Brindle/Black Mask

Flash (white markings on muzzle, chin, chest, around neck, abdomen, legs & toes.)

Fawn/Flash

Light Brindle/Flash

Brindle/Flash

Reverse Brindle/Flash

Additional information:


There is no desire here to produce white boxer. Although it does happen occasionally, it is very rare and they are placed accordingly.


Why are you interested in obtaining a Boxer? (circle)

Companion

Show/breeding (special circumstances apply)

Obedience

Agility

Protection

Other:



What qualities do you like about the Boxer breed?


What qualities do you dislike about the Boxer breed?


Is this your first boxer?


Previous dogs:


What animals do you own now?


Have you examined the sales policy?


Are you committed to caring for this dog for its lifetime, the next 8-13 years, sometimes longer?


If for any reason you can no longer provide the proper care for this dog, it is to be returned to Briarbush Boxers, LLC. Never is this dog to be rehomed or brought to a shelter.


Signature required:


​Have you ever had to euthanize an animal? If so, why?



Name of your veterinarian:

Phone#:

Address:


All dogs are sold with a spay or neuter contract.


​Please provide 3 personal references that may be contacted:

1. Name:

Phone:

Address:

A good time to call:


2. Name:

Phone:

Address:

A good time to call:


3. Name:

Phone:

Address:

A good time to call:


Family Data:

Are you (circle): Single

Married

Divorced

Number of children and ages:


Occupation of adults in family:


Others in the household that will have contact with the dog:


Where will the dog stay during the day?


Do you (circle): Own

Rent (A letter of acceptance is required from the person you are renting from).


Do you live in (circle): Urban

Suburban

Rural


Further information that should be considered:





Thank you, your interest is deeply appreciated.


Please mail completed form to:

Briarbush Boxers, LLC

85 Briar Bush Road

Canterbury, NH 03224



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feel free to contact us with questions or comments!