Application Form

Your Name*

First Last

Your Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Do you live in a house or an apartment?

House
Apartment

Do you own your property, or do you rent?*

Own
Rent

If you live in a rental property, does your landlord approve of dogs/Chihuahuas?*

Yes
No

How many members live within the home (Provide their relationship and ages, including your own)?*

Does each person within your home also desire a Chihuahua addition?*

Yes
No

Has anyone within your household ever experienced an allergic reaction to dogs?*

Yes
No

Have you owned a Chihuahua before or have any experience with this breed?*

Do you have any other pets right now (ages, breed, and gender)?*

What colour, and sex, of Chihuahua puppy were you looking for?*

Long or Short haired*

Long Haired
Short Haired

Are you looking for a Show dog or Family pet?*

Show Dog
Family Pet

Do you plan on seeking obedience training for this Chihuahua?*

Yes
No

Do you currently breed Chuhuahuas or any other breed?*

Yes
No

Can you provide a veterinary reference? (only if you have owned a dog within the past year)*

Yes
No

Veterinarian Company Name*

Veterinarian name*

First Last

Vet reference Phone*

Have you, or any other person living in your home, ever been contacted by animal control, reprimanded, or refused the freedom to own a pet?*

Yes
No

Have you ever had to remove a dog from your home or ownership for any reason?*

Yes
No

If yes, please explain the circumstances?*

Where will the Chihuahua live?*

In the house
In part of the house
Basement
Outside facility

How many hours per day will your dog be left alone?*

Do you have a fenced yard?*

Yes
No

If not, where can you run your dog safely?*

Additional Comments

Thank you for your interest in MISO Chihuahuas.

Please fill out the following questionnaire so we can learn a bit about you. Please note: All inquiries will be responded to within 24 hours.

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