Online Contact Form

Please enter your name:


Please enter your email address:


Why do you want a dog?


Why do you want a Chihuahua??


Do you know what a molera is??


Who is your Vet?


What is your vet's telephone number and may I contact him/her?


Are you aware that a Chihuahua is a full time indoor dog? (except for potty breaks)
Yes
No

Are there any small children in your home? If yes, please list ages.
Yes
No
Please List ages:


Are you aware of the expense of vet care?
Yes
No

Do you feel that a collar or harness is a better choice?
Collar
Harness
Why?


Do you feel that a dog should be trained?
Yes
No

Do you have a fenced yard?
Yes
No

Are there any other pets in your home? If so, please list (include species, size and temperament description).
Yes
No
Please tell about your other pets:


Have you had any dogs in the past? If so, what happened to them?
Yes
No
Please list what happened to them:


Do you have house plants?
Yes
No

Do you buy real mistletoe and poinsettia at Christmas time?
Yes
No

What is your home schedule? Please list hours that you would be at home with the new puppy.


What do you plan to do with the puppy while you are away?


Do you know the difference between the AKC and the CKC?
Yes
No

What are your expectations for your new puppy?


Are you planning on getting the pup spayed or neutered? If not, please continue.
Yes
No

Are you aware of the cost of breeding? (stud service, cesarean section, ect)
Yes
No

Are you aware that small females, should NOT be bred?
Yes
No

Are you aware that a female should never be breed to a larger male?
Yes
No

Do you have a prefrence on your pup?
Sex:
Male
Female
No Preference

Size:
Under 4 pounds
Over 4 pounds
No preference

Do you have a color prefrence?


Sire:
Chico
Rico
Hershey
Blue
Kasey
No Preference

Dam:
Bambia
Luna
Lila
Star
Kandy
Margarita
Gracia
Tequlia
No Preference

**PLEASE NOTE**
by clicking on the submit button, you will be taken to a confirmation page, YOU MUST scroll to the bottom and click on contuine for the form to be sent. Thank You.