Erebor Boxers Puppy Application/Questionaire
Tell us about yourself
Full Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
*
Phone Number
-
Area Code
Phone Number
Do you own or rent
Please Select
Rent
Own
Other
How did you hear about Erebor Boxers?
How old are you?
What is your occupation?
Tell us about your family
Who do you share your home with? Please include names, ages and relationship to you.
Name
Relationship
Please Select
Son
Daughter
Mom
Dad
Grandparent
Partner/Spouse
Friend/Roommate
Other
Age
Name
Relationship
Please Select
Son
Daughter
Mom
Dad
Grandparent
Partner/Spouse
Friend/Roommate
Other
Age
Name
Relationship
Please Select
Son
Daughter
Mom
Dad
Grandparent
Partner/Spouse
Friend/Roommate
Other
Age
Name
Relationship
Please Select
Son
Daughter
Mom
Dad
Grandparent
Partner/Spouse
Friend/Roommate
Other
Age
Name
Relationship
Please Select
Son
Daughter
Mom
Dad
Grandparent
Partner/Spouse
Friend/Roommate
Other
Age
Name
Relationship
Please Select
Son
Daughter
Mom
Dad
Grandparent
Partner/Spouse
Friend/Roommate
Other
Age
Tell Us About Your Pets
Have you ever had any pets before?
Please Select
Yes
No
Tell us about your previous pets that you no longer have and what happened to them.
Do you currently have any pets?
Please Select
Yes
No
What type, breed, age and sex
Have you ever given up your pet to a shelter or the pound
Please Select
Yes
No
Never had a pet
Explain the circumstances as to why you had to return your pet
Let's Talk Boxers
Why a Boxer?
*
Have you and your family spent time/played with a Boxer?
Please Select
Yes
No
Have you spoken with any other Boxer Breeders?
Please Select
Yes
No
With which breeders have you spoken?
Are you aware that Boxers are a high energy working breed that require supervision and training?
Please Select
Yes
No
Any Boxer Puppy sold as a pet will be listed with theAKC with Limited Registration and you will not be able to breed it. Is this agreeable with you?
Please Select
Yes
No
How I am going to manage my new Boxer
Do you have a fenced yard?
Please Select
Yes
No
No, but we are adding one
What type of fence is installed?
Who will have primary responsibility for the puppy/dog?
Where would your puppy/dog spend the day?
Where would your puppy sleep at night?
Is someone home during the day? What arrangement would there be to "potty" your puppy/dog during the day?
Care and training
Are you willing to attend "positive: dog traiing classess with the goal of earning a canine good citizen title?
Please Select
Yes
No
Are you willing to feed a natural, raw, diet of human grade food (chicken necks, organs, ground venison/beef/lamb/turkey, ground vegetables, etc?
Please Select
Yes
No
I would like to learn more
What specifily are you looking for?
IF you are mainly looking for a pet, but might consider showing and would like more information regarding what type of commitment is involved, please include that in the additional comments section. Show homes are in much more demand, if you are willing to make this commitment, a puppy may be available sooner.
Check all that apply
*
Male
Female
Puppy
Adult dog
Pet dog
Performnce dog (agility, obediance etc.)
Show potential
Brindle
Fawn
White
I would be open to the other sex or a different color
Please include any other information that you think would be helpful to inform me about the type of home that you would provide for a potentia puppy
Submit
Thank you for your interest in Erebor Boxers.
Should be Empty: