Children: (#, age, sex)
Reference's Phone Number:
Rent or Own:
Do you have a fenced yard?
Do you have a kennel run?
If no, how will exercise/toilet be handled?
How many in household:
Do your children have experience with dogs:
Are there any family members who need special consideration for any reason?
If so please explain:
Do you own any other dogs?
Are they Spayed/Nuetered?
Breed(s) & age(s) of Other Dogs:
Current Veterinarian: Please include address & phone
How many dogs have you owned in the last 5 years?
What happened to your last dog?
Have you owned a Boxer before?
What happened to it/them?
What sex do you want?
What color are you looking for?
What are your plans for your Boxer: (check all that
all that apply)
open to any age
6-12 mos 1-2
Plan to breed:
Will you return dog to Atlantis Boxers, if you can no longer keep or care for dog?
Will you spay/neuter:
(all pet placements are required to
Where will dog spend most of each day?
Where will dog sleep?
How many hours will dog be alone each day?
How soon would you like to bring a boxer into your family: (check all that apply)
open to any time frame
Will you allow Atlantis Boxers agent to visit your home prior to or after adoption?
Further comments and info that you think might help us find the right Boxer for you,
including more about your preferences and reasons for wanting a Boxer:
*** I agree to allow Atlantis Boxers to forward this
information to other breeders if they do not have
what you are looking for?
Would like to discuss