Full Name:


State You Live in:


Phone#:


Email:


Will This Be Your First Dog?:
Yes
No


Have you researched Chihuahua care and know what your doing?:
Yes
No


What other pets do you currently own? Describe please.:


Have you ever taken a dog to the animal shelter?:
Yes
No


Are you Planing on ever breeding your Chihuahua?:
Yes
No


What are your plans for the Chihuahua?:


Are there any children in your house? If so what ages?:


What kind of Chihuahua are you looking for?(size, color, coat, show/pet quality, ect.):


Additional Comments: