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Breeder of Happy & Healthy AKC Chihuahuas
Puppy Application
Name
*
Email Address
*
Phone Number
*
Would You Prefer A
Male
Female
Smooth Coat
Long Coat
No Preference
Is there a specific puppy that we have that you are interested in? Please list their name.
What color would you prefer?
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
Have you ever owned a chihuahua before?
Yes
No
Are you aware that there may be special needs?
Yes
I am learning
No
Option 5
Do you own or rent your home?
Rent
Own
If you rent your home, can you provide a statement from your landlord that gives you permission to have a small puppy?
Yes
No
Not Applicable
Will the puppy be raised around children?
Yes
No
If yes, what are the ages 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
Please give us a little insight into your lifestyle or home atmosphere.
Additional Comments or Questions
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