Juan & Diana Medina 972-412-9086 dianamedina500@yahoo.com or jfmedina501@gmail.com

Oceanview Boxer’s Application Form

Applications from minors and those, which are incomplete, will not be considered. The more detailed your answers are, the better.

Your full name (first & last):

Co-Applicant's full name (first & last):

Address

City:

State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia HawaII Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hamoshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Your Home Phone:

Your Email:(Please be sure your email is correct or we will be unable to contact you.)

I am of legal age. 
Yes. Not yet.

How Did You Find Us?

please enter information

I currently reside in...


single family home 
townhome or duplex
 apartment
 other

I currently...


own my own home. live with my parents.
 rent, but landlord okays dogs.
 rent, but I haven't asked the landlord about dogs.

I prefer...


boy. 
girl.
 either gender.

I prefer...


uncropped (floppy/natural) ears. 
cropped, upright ears. I understand and accept the risks of this surgical procedure.

I am looking for ...


puppy. 
juvenile. 
adult.
any age, personality is more important.

Would you consider rescue?

yes! 
no, thank you.

Where will your Boxer spend most of its day?

in the house, with someone home. 
in the house crated. 
outside (in a run, crated or other structure) other (please explain below)

explanation

If no one will be home for most of the day, what is your plan for the first 6 months?

explanation

Do you plan to spay/neuter?


Yes. 
No. NOTE: All PETS are required to be spayed/neutered!

Do you have a fenced yard?

Yes. 
no.

Are there other adults (not listed as applicants) living with you?


yes. no.

Do you have children?

yes.
 no.

If yes, list their ages and pet(s) experience?

enter list

Do you currently have or previously had ANY other pets?


I currently have pets. 
I have had pets in the past, but not currently. 
I have had no pets.

If yes, please give a brief pet-owning history: 


enter history

Name and contact information for your vet:

enter vet information

Please tell us about your family and how a boxer will fit in: (REQUIRED)

enter family information


Should Oceanview Boxers be unable to assist you, do we have your permission to forward this information to other breeders?


Yes, you have my permission to forward this information to other breeders.

No, please do not forward any information to other breeders. But, I still have the option to contact you personally to request references.