Country Hill Boxers
Puppy Application
What is your work schedule:
Please Provide Us With Their Contact Information
First Name:
Last Name:
Age:
Home Phone:
Email Address:
Physical Home Address
Street Address:
City:
State:
Zip Code:
Mailing Address if Different
Street/Po Box:
City:
State:
Zip Code:
Do you Own or Rent:.
Who Lives in your home with you:
What other pets do you have:
Describe your yard:
Have you ever owned a Boxer before:
Why have you chosen a Boxer for your next pet:
What traits of the Boxer are you familiar with:
What do you plan to do with your puppy/dog when your not at home:
Do you consent to us contacting your current/previous Veterinarian(s)?
Name:
Address:
City:
State:
Phone:
What Type Of Puppy Are You Looking For:
Sex:
Color preference:
You plan to:
