Rescue Group or Kennel Name:

Email address: (e.g.: you@aol.com)

Contact Person:

Address(optional):

City: Province: Postal Code:

Phone (with area code):  -  - 

Please list the dog/boxer clubs you are currently a member in good standing with:

If you are a breeder, are your dogs holter tested yearly?:
No my dogs are not tested.
Yes my dogs are tested.

If you are a breeder, are your dogs thyroid tested?:
No my dogs are not tested.
Yes my dogs are tested.

If you are a breeder, are your dogs echo/dopplered for SAS?:
No my dogs are not tested.
Yes my dogs are tested.
NOT APPLICABLE, I am not a breeder.

If you are a breeder, are your dogs OFA'd for hips or PennHip'd?:
No my dogs are not tested.
Yes my dogs are tested.
NOT APPLICABLE, I am not a breeder.

If you are a breeder, what do you do with your white pups?:
My whites are culled.
My whites are placed in pet homes on a spay/neuter contract.
My whites are sold like any other pup.
My whites are very rare and are sold for more money than the others.
If you are a breeder, how many litters on average do you breed per year?:

Questions, comments or additional information: