Name: *  

E-mail: *  

Phone Number:   

Your Preferences:

Would you like :    Male

                               Female

                               Smooth Coat   

                               Long Coat   

                               No Preference

What Color would you prefer? 

What type of temperament do you prefer?  Select Quiet Active Either would be fine

A little bit about you:

How well do you know the Chihuahua Breed?  select very well moderate not at all, but am willing to learn

Have you ever owned a Chihuahua? yes  no

Are you aware of the special needs of a Chihuahua puppy?  What do you feel are
the special needs of a Chihuahua puppy? 

Do you have children? yes no

If yes, what are the ages? 

What other pets do you have in the home? 

Do you have a fenced yard, and if not, how do you plan to exercise your dog? 

Do you work, and if so, what are your hours? 

Tell me a little bit about your family and your lifestyle and why you would like a Chihuahua puppy *

  * Required Fields