Puppy Application
Fields marked with ( * ) are required.
Name
( * )
Email
( * )
Phone
( * )
When is the best time to reach you?
Would you prefer a:
Male
Female
Smooth Coat
Long Coat
No Preference
What color would you prefer?
Is there a specific puppy that we have that you are interested in?
What type of temperament do you prefer?
Cuddle Buddy
Active
Laid-Back
Social
No Preference
How well do you know the Chihuahua breed?
Very Well
A Little
Not Much
Are you aware that there may be special needs?
Yes,I Am Learning
No
Do you own or rent your home?
Own
Rent
If you rent your home, can you provide a statement from your landlord?
Yes
No
Not Applicable
Will the puppy be raised around children?
Yes
No
If yes, what are the age/s of the children?
Is anyone home during the day?
Yes
No
Do you have a fenced yard or suitable exercise area for your puppy
Yes
No
List any other pets or animals you own (breed/age/sex):
Please give us a little insight into your lifestyle/home atmosphere?
Are you willing to spay/neuter your pet?
Yes
No
Do you have a regular veterinarian?
Yes
No
Please list your Veterinarian's name and contact information if "yes" above:
If no, please explain why:
How did you hear about us?
Comments
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